Joints Flashcards
Sacroiliac Joint is what between?
rigid articulation between auricular surfaces of Ilia and scarum
covered in:
hyaline cartilage
children display typical
synovial joint
puberty hits and it becomes:
modified amphiarthrodial (fibrocartliage)
the joint surface becomes:
rugose- roughed
Rugose does what?
increases congruence and restricting ROM
SI joint function
stable base for load transfer from axial skeleton to lower limbs
SI joint motion limited to
Sagittal plane
Nutation
NOD
anterior tilt of sacral base relative to ilim
Counternutation
posterior tilt of the sacral base relative to ilium
Primary SI Jt ligaments
Anterior SI Ligament
Interosseous SI Ligament
Posterior SI Ligament
Secondary Ligaments
Sacrotuberous
Sacrospinous
ST and SSP do what?
transfer weight of axial skeleton to hip joint during weight bearing
help limit AXIAL ROTATION of sacrum on ilium with weight transmission
Hip joint is what?
synovial
ball & socket
3 degrees of freedom
flex/exten
AB/AD
Inter/Extern rotation
reinforced by:
strong fibrous capsule
capsular ligaments
labrum
dynamic musculature
angle of inclination
line between shaft of femur and long axis of the femoral neck & head
normal inclination
125 degrees
coxa vara
DECREASED angle of inclination (frontal plane)
coxa valga
INCREASED angle of inclination (frontal plane)
femoral torsion
relative rotation between shaft of femur and neck
line is drawn between:
long axis of the femoral neck and
line between posterior aspects of the femoral condyles and transverse plane
normal torsion
12-15 degrees
anteversion
abnormal increase in the angle
retroversion
abnormal decrease in angle
excessive anteversion results in:
Toeing IN
excessive retroversion:
Toeing OUT
Acetabulum Labrum is:
fibrocartilaginous
and attaches from:
bony rim of acetabulum
blends with:
Transverse acetabular ligament
Ligament of the Head of the Femur from to
from acetabulum notch and transverse ace tabular ligament to
fovea on femoral head
no importance in adults
ligamentum teres provides:
primary pathway form secondary blood supply: acetabuluar branch of Obturator artery
capsular ligaments of the hip
Iliofemoral lig
Ishiofemoral lig
pubofemoral lig
Iliofemoral lig
strongest
taught in full extension and external rotation
Ishiofemoral lig
internal rotation and extension
full adduction
closed packed position of the hip
full hip extension
slight ABduction
Internal rotation
position of greatest articular congruence
capsule lig are slack
90 Flexion
ABduction
External rotation
non weight bearing (open/free distal segment) arthrokin
convex femoral head moves on fixed concave acetabulum
weight bearing (closed) arthrokin
concave acetabulum moves on fixed convex femoral head
hip aBduction open chain
superior roll and inferior glide of convex head of femur on fixed concave acetabulum
the Knee joint is the
largest synovial joint
the bony articulations of the knee is between
femoral condyles and articular tibia condyles
&
femur and patella
medial knee joint capsule blends with
fibers from MCL and inferior bands with medial meniscus
anterior Knee joint capsule attaches to:
and is reinforced by
margins of the patella
tendinous expansions of VL and VM and IT band
posterior knee joint capsule reinforced by
oblique popliteal lig
patella retinaculum ligaments run:
and from:
longitudinally and transversely from margins of patella to Tibia and femur
participating structures of patella retinaculum
deep fascia of leg
fibers from MCL and fibrous jt cap
ligaments that stabilize retinaculum
meniscofemoral meniscotibial patellofemoral patellomeniscal patellotibial
trauma to patellar retinaculum results in
patellar instability
tightness in patella retinaculum results in
pressure or patellofemoral OA
Tibiofemoral joint is:
bicondylar
synovial
sliding hinge
internal and external rotation is only allowed when
knee is flexed and prohibited in full extension
medial femoral condyle
larger surface area and extends more distally