HBS EXAM 2 Flashcards
appendicular skeleton
limbs/extremities
axial skeleton
ribs
vertebral column
skull
horizontal plane motion occurs around a ___ axis
longitudinal/superior-inferior
frontal plane motion occurs around a ____ axis
anterior-posterior
sagittal plane motion occurs around a ____ axis
mediolateral
flexion
bending forward
extension
leaning backward
lateral flexion
leaning to one side
movements of the head, spine, and trunk that take place in the sagittal plane
flexion
extension
movements of the head, spine, and trunk that take place in the frontal plane
lateral flexion
movements of the head, spine, and trunk that take place in the horizontal plane
rotation
movements of the shoulder joint and arm that take place in the sagittal plane
flexion
extension
movements of the shoulder joint and arm that take place in the frontal plane
abduction
adduction
abduction
deviating away from the midline
adduction
moving toward the midline
movements of the shoulder joint and arm that take place in the horizontal plane
internal/medial rotation
external/lateral rotation
movements of the elbow joint and forearm that take place in the sagittal plane
flexion
extension
movements of the elbow joint and forearm that take place in the horizontal plane
pronation
supination
movements of the wrist joint and hand that take place in the sagittal plane
flexion
extension
movements of the wrist joint and hand that take place in the frontal plane
abduction
adduction
movements of the wrist joint and hand that take place in the sagittal plane
flexion
extension
movements of the wrist joint and hand that take place in the frontal plane
abduction
adduction
movements of the wrist joint and hand that take place in the horizontal plane
internal rotation
external rotation
movements of the knee joint and leg that take place in the sagittal plane
flexion
extension
movements of the ankle joint and foot that take place in the sagittal plane
dorsiflexion
plantarflexion
movements of the ankle joint and foot that take place in the frontal plane
eversion
inversion
gluteal region
includes part of the bony pelvic and associated soft tissues
thigh
contains the femur and associated soft tissue structures
leg
contains the tibia and fibula and associated soft tissue structures
foot
includes tarsal bones, metatarsals, phalanges and associated soft tissue structures
hip
includes part of the bony pelvis, proximal femur and associated soft tissue structures
knee
includes the distal femur, proximal tibia, patella and associated soft tissue structures
ankle
includes the distal tibia and fibula, proximal talus and associated soft tissue structures
3 bones that comprise the hip bone
ilium
ischium
pubis
acetabulum
location of femoral head articulation –> hip joint
greater trochanter
large lateral bony prominence located at the junction of the femoral neck and shaft
lesser trochanter
medial bony prominence at the junction of the femoral neck and shaft
interotrochanteric line
located anteriorly at the point where the femoral neck meets the femoral shaft
fovea of proximal femur
attachment site of the ligament of the head of the femur
intertrochanteric crest
located posteriorly at the point where the femoral neck meets the femoral shaft
gluteal tuberosity
ridge of bone between greater trochanter and linea aspera
pectineal line
ridge of bone btwn lesser trochanter and linea aspera
linea aspera
vertical ridge of bone along posterior shaft of femur
medial and lateral supracondylar line
extends inferiorly from the linea aspera
medial and lateral femoral condyles
expanded lower aspect of the femur
articular surface for patella and tibia
shallow depression on the anterior distal femur
intercondylar fossa
separates the femoral condyles posteriorly
medial and lateral epicondyles
most prominent area on the medial and lateral femoral condyles
femoral shaft/body
length of the femur distal to the trochanters and proximal to the femoral condyles
medial and lateral tibial condyles
flattened proximal portion of the tibia
tibial plateau
relatively flat superior surface of the tibia
where is the tibial tuberosity
located on the anterior aspect of the proximal tibia
medial malleolus
medial projection of the distal tibial shaft
head of fibula
proximal expanded region of the fibular that articulates with the tibia
lateral malleolus
distal expanded region of the fibula
where is the interosseous membrane
between shafts of tibia and fibula
patella
medial and lateral articular facet that articulates with the femoral condyles
bones of the foot
7 tarsal bones
5 metatarsals
14 phalanges
7 tarsal bones
talus calcaneus navicular cuboid 3 cuneiforms
how many vertebrae?
33
how many cervical vertebrae?
7
how many thoracic vertebrae?
12
how many lumbar vertebrae?
5
how many sacral vertebrae?
~5 fused
coccyx
3-4 fused vertebrae
primary curvatures of the spine
concave anteriorly
which regions are the primary curvatures of the spine?
thoracic
sacral
secondary curvatures of the spine
concave posteriorly
which regions are the secondary curvatures of the spine?
cervical
lumbar
vertebral body
weight bearing part of the vertebra
vertebral arch
forms lateral and posterior parts of the vertebral foramen
vertebral canal
contains and protects the spinal cord
pedicles of the vertebra
bony pillars that attach the vertebral arch to the vertebral body
laminae of the vertebra
flat sheets of bone that extend from each pedicle to meet in the midline and form the roof of the vertebral arch
spinous process of the vertebra
project posteriorly and inferiorly from the junction of the laminae,
site for muscle and ligament attachment
transverse process of the vertebra
extends posterolaterally from the junction of the pedicle and lamina on each side,
articulates with ribs in the thoracic region
articular processes of the vertebra
project from the region where pedicle join laminae,
articulate with inferior and superior articular processes of adjacent vertebra
features of cervical vertebrae
spinous process is bifurcated
triangular canal
small vertebral body
transverse foramen
role of the atlas
holds the head up
what is the atlas attached to?
occipital bone
unique feature of atlas and axis
no vertebral body
axis role
allows head to rotate
dens/odontoid process
on axis
specialized body that allows the head to rotate
unique features of thoracic vertebrae
more articular surfaces
round foramen
costovertebral joints with ribs
unique features of lumbar vertebrae
larger size
triangular canal
zygapophysial joints and motions of cervical vertebra
sloping inferiorly from anterior to posterior,
rotation
flexion
extension
zygapophysial joints and motions of thoracic vertebra
vertically oriented
flexion
extension
rotation
zygapophysial joints and motions of lumbar vertebra
facing inward
limited movement in favor of stability
vertebral body of cervical vertebra
short in height
curved surface
vertebral body of thoracic vertebra
heart shaped
vertebral body of lumbar vertebra
cylindrical
vertebral foramina of cervical vertebra
triangular
vertebral foramina of thoracic vertebra
circular
vertebral foramina of lumbar vertebra
triangular
2 major types of intervertebral joints
zygapophysial joints
intervertebral discs
zygapophysial joint
synovial joint that connects articular processes
intervertebral discs
symphyses solid joint that connects adjacent vertebra
annulus fibrosus
ring of fibrocartilage that limits rotation btwn vertebrae
nucleus pulposus
gelatinous center of disc that absorbs compression forces
function of vertebral ligaments
Resist excessive motion of the spinal column and some serve as muscle attachment sites
where are the anterior and posterior longitudinal ligaments
course along vertebral bodies
role of anterior longitudinal ligaments
prevent hyperextension of the vertebral column
role of posterior longitudinal ligaments
prevent hyperflexion of the vertebral column
where are the ligamentum flavum
connects lamina of adjacent vertebrae
role of ligamentum flavum
resists separation of laminae in flexion
supraspinous ligament
connects adjacent vertebral spines
ligamentum nuchae
Thickened extension of supraspinous and interspinous ligaments
role of ligamentum nuchae
resists flexion of the head
interspinous ligaments
pass btwn adjacent spinous processes
3 layers of back musculature
superficial/appendicular
intermediate/respiratory
deep/intrinsic
muscles in the superficial layer of the back
Trapezius latissimus dorsi levator scapulae rhomboid minor rhomboid major
what do the muscles in the superficial layer of the back act on?
scapula
humerus
muscles of the intermediate layer of the back
serratus posterior superior
serratus posterior inferior
function of the serratus posterior superior
elevates superior ribs
function of the serratus posterior inferior
depresses inferior ribs
innervation of the serratus posterior superior
anterior rami of the upper thoracic spinal nerves
innervation of the serratus posterior inferior
anterior rami of lower thoracic spinal nerve
spinotransversales muscles
splenius capitis
splenius cervicis
proximal attachment of the splenius capitis
ligamentum nuchae
spinous processes C7-T4
proximal attachment of the splenius cervicis
spinous processes T3-T6
distal attachment of the splenius capitis
mastoid process
skull
distal attachment of the splenius cervicis
transverse processes of C1-C3
innervation of the splenius capitis and splenius cervicis
posterior rami of the cervical spinal nerves
function of the splenius capitis and splenius cervicis
extend head and neck
rotation of head
largest group of intrinsic back muscles
erector spinae
muscles of the erector spinae
iliocostalis
longissimus
spinalis
lateral muscle of the erector spinae
iliocostalis
intermediate muscle of the erector spinae
longissimus
medial muscle of the erector spinae
spinalis
innervation of the erector spinae muscles
posterior rami of the spinal nerves
function of the erector spinae muscles
extend trunk/spine
flex trunk
3 groups of the transversospinales
semispinalis
multifidus
rotatores
superficial muscle of the transversospinales
semispinales
intermediate muscle of the transversospinales
multifidus
deep muscle of the transversospinales
rotatores
function of mutifidus and rotatores
trunk extension
contralateral trunk rotation
how do the transversospinales muscles run?
obliquely upward and medially from transverse processes to spinous processes
spinal cord length
extends from foramen magnum to L1-L2
conus medullaris
terminal end of spinal cord
cone shaped
2 enlargements of the spinal cord
cervical
lumbosacral
cervical enlargement of the spinal cord
C5-T1
supplies upper extremity
lumbosacral enlargement of the spinal cord
L1-S3
supplies lower extremity
cauda equina
extension of lumbar and sacral nerves
spinal meninges
tissue layers that protect the spinal cord
dura mater
outermost meningeal membrane
arachnoid mater
thin, delicate membrane deep to the dura mater
pia mater
vascular membrane that firmly adheres to the surface of the spinal cord
denticulate ligaments
anchor spinal cord to superficial meningeal layers
filum terminale
extension of pia mater that connects the spinal cord to the coccyx
role of filum terminale
provides tension to stabilize the spinal cord
2 meningeal spaces
epidural
subarachnoid
epidural space
located btwn periosteum lining vertebral canal and dura mater
subarachnoid space
located btwn arachnoid and pia mater
contains CSF
where do sensory/afferent neurons enter the spinal cord?
dorsal/posterior gray matter
where are cell bodies of sensory neurons in the spinal cord?
dorsal root ganglia
where do motor/efferent neurons enter the spinal cord?
anterior/ventral gray matter
where are cell bodies of motor neurons in the spinal cord?
ventral gray matter
spinal nerve
1 sensory and 1 motor root
what do anterior rami supply?
postcranial muscles
what do posterior rami supply?
intrinsic back muscles
spinal nerves C1-C7 are named for ___
vertebra below them
spinal nerves T1 and caudal are named for ___
vertebra above them
anterior spinal artery supplies ___
anterior 2/3 of the spinal cord
posterior spinal arteries supply ___
posterior 1/3 of the spinal cord
what does the anterior spinal artery branch from?
a convergence of vertebral arteries
what do the posterior spinal arteries branch from?
posterior inferior cerebellar artery
how does the anterior spinal artery travel?
along the anterior median fissure
how do the posterior spinal arteries travel?
along the posterolateral sulci
what kind of joint is the hip joint?
synovial
ball and socket
movements of the hip joint
flexion extension abduction adduction internal rotation external rotation
what kind of joint is the knee joint?
synovial
tibiofemoral joint
articulation btwn medial and lateral femoral condyles and medial and lateral tibial condyles
patellofemoral joint
articulation btwn the patella and distal femur
predominant movements of the knee joint
flexion
extension
what kind of joint is the ankle joint?
synovial
ankle joint
distal tibia and fibula articulate with talus
main motions of the ankle joint
dorsiflexion
plantarflexion
intertarsal joints
btwn tarsal bones
movements of the intertarsal joints
inversion
eversion
tarsometatarsal joints
btwn tarsals and metatarsals
movements of the tarsometatarsal joints
inversion
eversion
metatarsophalangeal joints
btwn metatarsals and phalanges
movements of the metatarsophalangeal joints
abduction
adduction
flexion
extension
interphalangeal joints
btwn phalanges
movements of the interphalangeal joints
flexion
extension
femoral artery is a continuation of the ___
external iliac artery
superior and inferior gluteal arteries are branches of the ___
internal iliac artery
the obturator artery is a branch of the ___
internal iliac artery
contents of the superficial fascia
fat
cutaneous nerves
superficial veins
great saphenous vein
largest superficial vein in the lower extremity
course of the great saphenous vein
ascends along the medial aspect and drains into the deep femoral vein into the anterior thigh
fascia lata
deep fascia of the thigh
iliotibial band
thickening of the fascia lata
muscles of the anterior thigh
psoas major
iliacus
quadriceps femoris
sartorius
attachment of the psoas major
lumbar vertebra to lesser trochanter
innervation of the psoas major
upper lumbar spinal nerves
attachment of the iliacus
iliac fossa to lesser trochanter
innervation of the iliacus
femoral nerve
movement of the iliopsoas
strong hip flexor
quadriceps femoris
4 headed femoral muscle
muscles of the quadriceps femoris
rectus femoris
vastus medialis
vastus lateralis
vastus intermedius
attachment of the rectus femoris
AIIS to tibial tuberosity
movement of the rectus femoris
hip flexion
vastus medialis attachment
intertrochanteric line and linea aspera to tibial tuberosity
vastus lateralis attachment
greater trochanter and linea aspera to tibial tuberosity
vastus intermedius attachment
anterior femoral shaft to tibial tuberosity
innervation of the quadriceps femoris
femoral nerve
movement of the quadriceps femoris
knee extension