Introduction to MSK/ Movement Flashcards

1
Q

Name the 2 Joints of the Skull

A
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2
Q

Name the 8 Joints of the trunk

A
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3
Q

Name the 9 joints of the trunk

A
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3
Q

Name the 7 joints of the upper limbs

A
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4
Q

Name the 12 joints of the lower limbs/ pelvis

A
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5
Q

What are the 3 classifications of Joints?

A

Synovial
Cartilaginous
Fibrous

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6
Q

What is the Joint relationship between mobility and stability

A

Increased mobility = decrease stability

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7
Q

Features of a fibrous joint

A
  • Generally limited mobility
  • quite stable
  • 3 types: Syndesmoses, Sutures, Fontanelles
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8
Q

What is a Syndesmoses?

Fibrous Joints

A

unites bones with a fibrous sheet

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9
Q

What is a Suture?

Fibrous Joints

A

between bones of skull

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10
Q

What is a Fontanelles?

Fibrous Joints

A
  • wide sutures in neonatal skull
  • allow the growing frontal, parietal, temporal and occipital bones to ‘slide’ over each other
  • make’s the baby’s head smaller for passage through the birth canal moulding
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11
Q

Features of Cartilaginous Joints

A
  • Fairly limited mobility
  • relatively stable
  • 2 types: primary, secondary
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12
Q

2 features of Primary Cartilaginous Joints

A
  • Synchondroses
  • Bones joined by hyaline cartilage
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13
Q

5 features of Secondary Cartilaginous Joints

A
  • symphyses
  • strong
  • slightly movable
  • fibrocartilage
  • e.g. intervertebral discs
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14
Q

How does the Vertebre move?

A

each disc allows small amounts of movement in all directions
- added together to produce considerable movement

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15
Q

Name 7 features of Synovial Joints:

A
  1. 2 or more bones articulating with each other
  2. articular surfaces are covered in hyaline ‘articular’ cartilage
  3. a capsule wraps around the joint
  4. contains a joint cavity contains synovial fluid (cushions, nourishes and lubricates)
  5. supported by ligaments
  6. associated with skeletal muscles and their tendons
  7. associated with bursae -(prevent friction around joint) (extensions of joint cavity or closed sacs separate from the joint cavity)
16
Q

Name the 5 subtypes of Synovial Joints

A
  1. Pivot
  2. Ball & Socket
  3. Plane
  4. Hinge
  5. Biaxial
17
Q

Describe a Pivot joint

A
  • > 45 degrees of rotation (shaking head)
18
Q

Describe a Ball & Socket joint

A

good ranges of multi-axial movement (e.g. circumduction)

19
Q

Describe a Plane joint

A

minimal movement in one plane

20
Q

Describe a hinge joint

A

reasonable range of movement in one plane

21
Q

Describe a biaxial joint

A

reasonable range of movement in one plane and less in another

22
Q

name 4 General features of joints

A

excellent:
- sensory nerve supply
- blood supply -(periarticular arterial anastomoses are common)
- Arteries supplying joints can be damaged by dislocations
- Shape of articular surface determines possible movement

23
Q

Describe ligament Injury, Subluxation, Dislocation:

A
  • Ligament injury/slipped disc but articular surfaces still in normal anatomical relationship to each other
  • Subluxation - reduced area of contact between articular surfaces
  • Dislocation - complete loss of contact between articular surfaces
24
Q

Where is skeletal muscle found?

A
  • deep to deep fascia
  • Covered in tough fibrous connective tissue
25
Q

How is skeletal muscle named?

5 conditions

A
  • shape – Latin/Greek name
  • location – body region
  • size – relative size e.g. major / minor
  • main bony attachment
  • main action/movement
26
Q

How is skeletal muscle attatch and contract?

A
  • usually at least 2 points of attachment to bone:
  • origin’ (usually most proximal part)
  • ‘insertion’ on the other side
  • Function of skeletal muscle is to move attachments closer together during contraction
  • During contraction, muscle fibres shorten along the long axis between the attachments
27
Q

What is a tendon?

A
  • Attach muscle (usually) to bone
  • found at either end of muscle
  • non-contractile
28
Q

What is an Aponeurosis?

A
  • Flattened tendon
  • Most commonly associated with flat muscles
  • Attach muscle to soft tissue
29
Q

How can skeletal muscle be clinically examined?

A
  • Testing ability to move and power of movement
  • Testing muscle itself and the nerve(s) supplying it
  • Can be carried out by asking patient to make movements
  • Or by testing reflexes
30
Q

What are muscle reflexes?

A
  • Protective & Automatic
  • Stretch reflex or Flexion withdrawal reflex
31
Q

What is a Deep tendon reflex?

A
  • Biceps, triceps, knee and ankle jerk reflexes
  • Tendon hammer applies brief stretch to muscle via its tendon → stretch reflex (if normal)
  • Normal reflex response is to contract
  • Contraction results in brief twitch of muscle belly or a movement in the normal direction
  • reflexes are protective against overstretching
32
Q

Describe the reflex arc of stretch reflex

A
  1. Sensory nerve (muscle) detects stretch and tells spinal cord
  2. Motor nerve from spinal cord passes message to contract
  3. Neuromuscular junction - synapse where motor nerve communicates with skeletal muscle
33
Q

A normal stretch reflex indicates that what are functioning normally?

A

the muscle
its sensory nerve fibres
its motor nerve fibres
the spinal cord connections between the two
the neuromuscular junction
“descending controls” from the brain

34
Q

Definition of Paralysis

A
  • a muscle without a functioning motor nerve supply
  • can’t contract
  • muscle would have reduced tone on examination
35
Q

Definition of Spasticity

A

-muscle has intact and functioning motor nerve but the descending controls from the brain aren’t working
-on examination muscle has increased tone.

36
Q

Defintion of Muscle Atrophy

A
  • ‘wasting’ of the muscles
  • develops through inactivity
  • muscle cells (myocytes) become smaller
37
Q

Definition of Hypertrophy

A
  • opposite to atrophy
  • skeletal muscles enlarge
  • each individual myocyte enlarges