Joints Flashcards
Coxofemoral joint (hip)
Functionally diarthrodial joint
Structurally synovial, ball and socket joint
Multiaxial joint that rotates around 3 axes in all three planes of movement
Iliofemoral ligament
Covers most of the anterior aspect of the hip joint Proximal attachment: anterior inferior iliac spine and acetabular rim
Distal attachment: intertrochanteric line of femur
-prevents hyperextension of the thigh and sees the head of the femur into the acetabulum to help strengthen and stabilize the hip joint
Pubofemoral ligament
Proximal attachment: pubic part of the acetabular rim and iliopubic eminence
Distal attachment: blends w/ medial part of iliofemoral ligament
-checks hyperabduction, aids in hyperextenion prevention of the thigh, strengthen the anterior and inferior parts of capsule
Ischiofemoral ligament
Proximal attachment: ischial portion of the acetabular rim
Distal attachment: spirals around the posterior neck and attaches to anterior neck medial to great trochanter
-prevents hyperextension of joint and strengthens the posterior capsule
Ligamentum teres
Intracapsular ligament
Proximal attachment: acetabular notch and transverse acetabular ligament
Distal: fovea capitis on femur
-does not aid in stabilization, but does have the artery to the head of the femur running through it
Tibiofemoral joint
Articulation between the tibia and femur bones
Functionally diarthrodial joint
Structurally modified synovial, hinge (modified because there is some rotation)
Very weak joint, relying on muscles and ligaments for support
Medial and lateral menisci
Help deepen concavity of the knee joint, provide proprioception, help lubricate joint, provide shock absorption by increasing surface area, and help with tensional forces of joint
Articulating surfaces of the tibia (knee joint)
medial and lateral tibial plateaus
Articulating surfaces of the femur (knee joint)
medial and lateral femoral condyles
-convex structures are covered with hyaline cartilage
Lateral meniscus
“O shaped”
Attached to intercondylar area:
-posteriorly: anterior to PCL
-anteriorly: posterior to ACL
Attached posteriorly to populates m. and has coronary ligaments allowing more movement than MM (possibly why LM is less commonly injured)
Medial meniscus
“C shaped”
Anterior horn: attaches to anterior portion of the intercondylar area anterior to ACL
Posterior horn: attaches to posterior portion of the intercondylar area anterior to the PCL
-medial attachment with the MCL
MM is fixed strongly to the medial tibial plate via coronary ligaments which allow little displacement,
Medial (tibial) collateral ligament
Strong wide flat band of connective tissue
Proxiamal attachment: medial femoral epicondyle
Distal: medial tibial condyle
roughly the midpoint, fibers of MCL are strongly attached to medial meniscus
primarily checks tibial abduction, secondarily checks hyperextension
Lateral (femoral) collateral ligament
Very strong, cord like ligament
Extends from lateral epicondyle of the femur to the lateral surface of the fibular head
Primary checks tibial adduction, second prevents hyperextension
Anterior cruciate ligament
Extends posteriorly, superiorly and laterally to attach to the medial side of the lateral femoral condyle
Checks anterior translation of the tibia on the femur and hyperextension of the leg
Posterior cruciate ligament
Stronger than ACL
Extends from the posterior intercondylar eminence of the tibia to the anterior part of the lateral surface of the medial femoral condyle
Checks posterior translation of the tibia on the femur and will also help check hyper flexion of the leg
“unhappy triad”
Injury to the ACL, MCL and medial meniscus
Commonly caused by trauma to the posterolateral knee
Also can be caused by pivot shift injury (non contact) caused by quick deceleration, flexion of the knee, and lateral rotation of the femur and a values force (“cutting in”)
Superior tibiofibular joint
Synovial, planar joint between the fibular head and the lateral tibial condyle
Movement of the joint is minimal, but may help with proper mechanics of the talocrural joint