Final Exam Flashcards
What joint forms the connection between the lower extremity and pelvis?
Hip joint
Only the ________ joint is more moveable than the the hip joint?
Shoulder
The hip joint is subject to what diseases?
Inflammatory and degenerative diseases
T or F: The hip joint what one of the first joints for which a replacement prosthetic was designed?
True
T or F: The hip joint is commonly dislocated
False
What are the articulating surfaces of the hip joint?
Head of the femur + acetabulum of the pelvis
The cavity of the acetabulum is deepened by what?
The presence of the acetabular labrum
How much does the acetabular labrum increase the depth of the articulation of the hip joint?
10%
What is the transverse acetabular ligament?
Part of the acetabular labrum which bridges the notch
The hip joint is classified as what type of joint?
Ball and socket
T or F: The capsular ligament is strong and fairly loose allowing free movement?
True
T or F: The iliofemoral ligament is very weak
False, it’s the strongest ligament in the body
What is the strongest ligament of the body?
Illiofemoral
What are the attachments of the illiofemoral ligament?
Anterior inferior iliac spine (superiorly) and the intertrochanteric line (inferior)
What ligament “screws” the head of the femur into the acetabulum?
Illiofemoral ligament
Is the Illiofemoral ligament intrinsic or extrinsic?
Extrinsic
Does the Illiofemoral ligament act as a rope or as a wall?
Rope
What is the nerve supply of the hip joint?
Femoral, obturator, and sciatic
When bending backwards, what muscles are brought into action to prevent the body from falling backward?
Anterior hip and abdominal muscles
When bending forward, which muscles are brought into play and prevent the body from falling forward?
Gluteal, hamstring, and spinal muscles
T or F: the pubofemoral reinforces the capsule ligament posteriorly and superiorly?
False, it reinforces the capsule anteriorly and inferiorly
What are the attachments of pubofemoral ligament?
Superior ramus of pubis (superiorly) to the intertrochanteric line (inferiorly)
What ligament of the hip prevents abduction at the joint?
Pubofemoral
Is the pubofemoral ligament intrinsic or extrinsic?
Extrinsic
Does the pubofemoral ligament act as a rope or like a wall?
Rope
Where does the ischiofemoral ligament reinforce the capsular ligament?
Posteriorly
What are the attachments of the ischiofemoral ligament?
Body of the ischium (superiorly) + the neck and greater trochanter of the femur (inferiorly)
Which hip ligament prevents hyperextension and abduction?
Ischiofemoral
Does the ischiofemoral ligament act as a rope or like a wall?
Rope
Is the ischiofemoral ligament extrinsic or intrinsic?
Extrinsic
What is the ligament also known as the ligament of the head of the femur?
Capitis Femoral Ligament
What hip ligament is a weak intrinsic ligament?
Capitis femoris ligament
What is the main function of the Capitis femoris ligament?
Conduct blood vessels to the head of the femur
Why does the hip joint have less movement than the shoulder joint?
Some movements have been sacrificed in order to provide strength and stability.
What is a term used to describe an ongoing process which is variable in its manifestations and not always detectable at birth?
Developmental dysplasia
Developmental displasia is also called what?
Congenital disclocation
How often is developmental dysplasia found?
1.5 per 1,000 live birthda
How often is developmental dysplasia bilateral?
50% of cases. 8x more common in females
Ligamentous laxity is associated with what?
Developmental dysplasia
Ligamentous laxity causes what?
Hip becomes unstable and slips out of position
Majority of infants with developmental dysplasia were born ______.
Breech
What are the 6 things that may occur if developmental dysplasia is not corrected?
Pain, abnormal gait, unequal leg length, osteoarthritis, twisting of the femur (femoral anteversion), contracture of the hip muscle
What is twisting of the femur?
Femoral anteversion
What dislocation of the hip is the most common?
Posterior dislocation
What happens during a posterior dislocation of the hip?
Femoral head passes through a tear in the capsular ligament and over the acetabulum, ending up on the illeum
A posterior hip dislocation may compromise what nerve?
Sciatic nerve
What happens during an anterior dislocation?
Head of the femur ends up in obturator foramen
An anterior hip dislocation can compromise what nerve?
Obturator nerve
What is the largest and most superficial joint in the body?
Knee joint
What 3 bones form the articulation of the knees joint?
Femur, tibia, and patella
What type of joint is the joint between the femur and patella?
Plane gliding
What type of joint is the joint between the femur and tibia?
Ginglymus (hinge) w/ some degrees of rotation when the joint is flexed
What is the nerve supply of the knee joint?
Femoral, obturator, common fibular, tibial
What is the purpose of the openings in the anterior aspect of the capsular ligament of the knee joint?
Alllows the synovial membrane to pass through and form bursae
What bursae is between the patella and the skin?
Subcutaneous prepatellar
Which bursae lies between the tibial tubercle and the skin?
Subcutaneous infrapatellar
Where is the deep infrapatellar bursae found?
Between the ligamentum patella and the tibial tubercle
Where is the suprapatellar bursae found?
Between the femur and common tendon of insertion of the quadriceps
What is the anterior ligament of the knee joint?
Ligamentum patella
Where does the ligamentum patella run?
From the apex of the patella to the tibial tubercle
What is the main role of ligamentum patella?
Maintaining the alignment of the patella relative to the articular surface of the femur
What knee ligaments are taut when the joint is fully extended and contributes to the stability while standing?
Collateral ligaments
What knee ligament attaches from the lateral epicondyle of the femur (superiorly) to the head of the fibula (inferiorly)?
Lateral collateral
Does the lateral collateral ligament act as a wall or like a rope?
Like a wall
What knee ligament prevents lateral (abduction) movement at the joint?
Lateral collateral
What knee ligament is superficial and seperate from the articular capsule of the joint?
Lateral collateral
What knee ligament blends with the articular capsule and is directly attatched to the medial meniscus?
Medial collateral
Where does the medial collateral ligament of the knee joint attach?
Medial epicondyle of the femur (superiorly) and to the medial side of the tibia (below the medical condyle (distally))
Does the medial collateral ligament act as a wall or like a rope?
Like a wall
What ligament prevents medial movement (addiction) of the knee joint?
Medial collateral
What ligament of the knee joint is found on the posterior side?
Oblique and actuate popliteal
Do the oblique and arcuate and popliteal act as a wall or like a rope?
Wall- prevents hyperextension
Is the ligamentum patella ligament of the knee joint intrinsic or extrinsic?
Extrinsic
Are the collateral ligaments of the knee joints extrinsic or intrinsic?
Extrinsic
Is the lateral collateral ligaments of the knee joint intrinsic or extrinsic?
Extrinsic
Is the medial collateral ligament of the knee joint intrinsic or extrinsic?
Extrinsic
Are the oblique and arcuate popliteal ligaments of the knee joint intrinsic or extrinsic?
Extrinsic
What knee ligaments are the main bonds between the femur and tibia?
Crucifer ligaments
What cruciate ligament is the weaker of the 2?
Anterior cruciate
Where does the anterior cruciate ligament attach?
Lateral condyle of femur to the anterior intercondylar area
What is the job of the anterior cruciate ligament?
Prevents anterior displacement of the tibia under the femur and acts like a rope.
Where does the posterior cruciate ligament attach?
Medial condyle of the femur to the posterior intrcondylar area of the tibia
What is the job of the posterior cruciate ligament?
Prevents posterior displacement of the tibia under the femur and acts like a rope.
Are the cruciate ligament intrinsic or extrinsic?
Intrinsic
Are menisci intrinsic or extrinsic?
Intrinsic
What knee ligament is C shaped, less mobile, and firmly adheres to the medial collateral ligament?
Medial meniscus
What knee ligament is nearly circular in shape, freely movable and attached to the surface of the tibia?
Lateral meniscus
Is the medial meniscus or lateral meniscus smaller?
Lateral meniscus
What knee ligaments are a potion of the joint capsular ligament which attaches to the the edge of the menisci and helps to hold them in place?
Coronary ligaments
What ligament of the knee joins the anterior edges of the medial and lateral menisci and allows them to work together?
Transverse ligament of the knee
Lateral rotation of the tibia allows what?
Locking of the knee at full extentsion
How does the knee unlock?
Popliteus muscle must contract to rotate the tibial medially and thus cause flexion at the knee joint
What causes preparellar (Housemaid’s) Bursitis?
Friction between skin and patella
Direct blow or falling on a flexed knee can also be causes.
What causes subcutaneous infrapatellar bursitis?
Excessive friction between skin and tibial tubercle
What is another name for subcutaneous infrapatellar bursitis?
Clergyman’s knee
What bursitis is common in roofers and tilers?
Subcutaneous infrapatellar bursitis
What is caused by bacteria from an abrasion or penetrating wound?
Suprapatellar bursitis
Is the knee joint susceptible to injury?
Yes because it is mobile and weight bearing