hip and spine plus knee and ankle osteology Flashcards

1
Q

phases of fracture healing

A

haematoma
tissue death
inflammation/cellular proliferation
angiogeesis/granulation tissue/procallus
consolidation/hard callus
bony remodelling

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2
Q

t1 vs t2

A

t1- fluid dark, fat white
t2- fluid white, fat whiteq

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3
Q

where do spinal nerves exit

A

c1-c7- above
c8- between c7 and t1
t1-l5 below corresponding vertebrae
s1-s4 via sacral formaina

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4
Q

pre axial borders

A

cephalic vein, long saphenous vein

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5
Q

post axial border

A

basilic vein, short saphenous vein

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6
Q

structure of IV disc

A

inner nucleus pulposus (type 2 collagen) outer nuculus fibrosus (type 1 collagen)

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7
Q

role ALL vs PLL

A

ALL- hyperextension
PLL- hyperflexion

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8
Q

4 stages slipped disc

A

disc degenration, prolapse, extrusion, sequesteratopm

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9
Q

l4, l5, s1 sciatica

A

l4- anterior thigh, anterior knee, medial leg

l5- lateral thigh, lateral leg, dorsum foot

s1- posterior thigh, posteripr leg, sole of foot

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10
Q

red flag caudia equina

A

bilateral sciatica, perianal numbness, painless retention urine, urinary incontenence, ED

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11
Q

3 bones hip joint

A

ilium, ischium, pubis

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12
Q

what strengthens hip joint

A

labrum and transverse acetabular ligament, joint capsule, joint ligaments (iliofemoral. pubofemoral, ischiofemoral)

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13
Q

hip flexion

A

FEMORAL- iliopsoas, rectus femoris, sartorius, pectineus

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14
Q

hip adductor

A

OBTURATOR adductor magnus, breis, longus (pectineus, gracilis, obturator internus)

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15
Q

hip extensor

A

SCIATIC - semimembranus, semitendinosus, biceps femoris long head

INFERIOR GLUTEAL- gluteus maximus

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16
Q

hip abductor

A

SUPERIOR GLUTEAL- gluteus medius and minimus, tensor fascia lata and sartorius (femoral)

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17
Q

muscles in gluteal region and role

A

Piriformis = Nerve to Piriformis
Gemellus Superior = Nerve to Obturator internus

Obturator Internus = Nerve to Obturator Internus

Gemellus Inferior = Nerve to Quadratus Femoris

Quadratus Femoris = Nerve to Quadratus Femoris

lateral rotation thigh, abduction thigh

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18
Q

importance piriformis

A

divides gluteal region into superior and inferior part, the sciatic nerve enters inferior to piriformis

19
Q

blood supply hip

A

deep femoral giving off medial circumflex and lateral circumflex.

20
Q

blood supply femoral head

A

artery of ligamentum teres to head in child

in adult- ascending cervical branches giving off medial and lateral circumflex branches

21
Q

radiology osteoathritis

A

Loss of joint space. Osteophytes.
Subchondral sclerosis

22
Q

hip shortened and internally rotated in posterior dislocation

A

shortened- gluteus maximus, hamstrings and adductors

internally rotated- anterior gluteus medius and minimus

23
Q

presentation anterior dislocation

A

externally rotated, abducted, flexed

24
Q

draw cutaneous nerve distribution in hand

A
25
Q
A

1- medial cutaneous (MSC)

2- lateral cutaneous (MSC)

  1. median
  2. medial cutaneous nerve forearm
  3. ulnar
  4. superficial radial
  5. posterior cutaneous (radial)
  6. lower lateral cutaneous nerve forearm (radial)
  7. intercostal brachial
  8. supraclacivular

missing- axilary

26
Q
A

1- genitofemoral

  1. iliolingual
  2. obturator
  3. femoral
  4. saphenous (femoral)
  5. common fibular deep
  6. common fibular superficial
  7. common fibular
  8. posterior cutaneous nerve
  9. lateral cutaneous nerve

11/12. posterior rami

  1. obturator
  2. saphenous femoral
  3. sural
  4. tibial
27
Q
A

a- ligamentum flavum

b- interspinpis

c- supraspinous

d- ALL

e- PLL

28
Q
A
29
Q
A

1- IV disc

2- pedicle

3/4- IV foramen

5- inferior vertebral notch

6- superior vertebral notch

7- inferior articular process

8- spinous process

9- sacrum

10- vertebral body

11- iliac crest

bottom is s1

30
Q
A
31
Q
A
32
Q
A

osteoarthritis

33
Q
A

1- greater sciatic foramen

2- sacrospinous ligament

3- lesser sciatic foramen

4- sacrotubreous ligament

34
Q
A

1- pubic tubercule

2- acetabulum

3- superior pubic ramus

4- obturaptr foramen

5- inferior pubic ramus

6- inferior ischial ramus

7- ischial tuberosity

8- supreror ischial ramus

9- ischial spine

10- pubic symphisis

35
Q
A

1- neck

2- intertrochanteric crest

3- greater trochanter

4- head

5- lesser trochanter

6- intertrochanteric line

7- gluteal tuberosity

8- linea aspera

9- medial and lateral supraconylar lines

10- intercondylar fossa

11- medial condyle

12- adductor tubercule

13- medial epicondyle

14- lateral condyle

15- lateral epicondyle

36
Q
A

1- lateral epicondyle

2- lateral condyle

3- gerdys tubercule

4- tibial tuberosity

5- fibula

6- tibia

7/8- anterior intercondylar fossa

9- medial condyla

10- patella

11- medial epicondyle

12- adductor tubercule

13- trochlear groove

14- femur

37
Q
A

1- lateral condyle

2- tibial tuberosity

3- fibula

4- lateral malleolus

5- articular surface

6- medial malleolus

7- tibia

8- interosseous membrane

9- anterior border

10- medial condyle

11- articular surface medial comndule

12- arrticulr surface lateral condyle

13- head fibula

14- soleal line

15- fibula

16- lateral malleolus

38
Q
A

1- ACL

2- articular cartilage

3- lateral collateral

4- fibula

5- tibia

6- PCL

7- meniscus

8- medial collateral

9- femur

39
Q
A

1- medial meniscus

2- ACL

3- patellar lig

4- transverse lig

5- tibiofibular joint

6- lateral collateral

7- head fibula

8- lateral meniscus

9- posterior meiscofemoral lig

10- PCL

11- medial collateral

40
Q
A

1- interosseous ligamnet

2- fibula

3- lateral malleolus

4- tibia

5- medial malleolus

6- talus

41
Q
A

1- tibia

2- medial malleolus

3- deltoid

4- fibular

5- subtalar

6- tibia

7- P/A inferior tibiofibular lig

8- anterior talofibular ligament

9- subtalar

10- calcaneofibular ligamnt

11- interosseous membrane

12- fibula

42
Q
A

1- phalanges

2- sesamoid bones

3- metatarsals

4- cuneiforms

5- navicular

6- talus

7- calcaneous

8- cuboid

9- cuboid

43
Q

unhappy triad

A

anterior cruciate ligament (ACL), medial meniscus and tibial (medial) collateral ligament.

44
Q
A