Joints Of Lower Extremity Flashcards
Sacroiliac joint
Synovial joint
Articulation between a sacrum in the illium
sacrum is lined with hyaline cartilage
Illium is lined with fibrocartilage
Both services contain irregular shapes that help the bone interlock
Strong joint capsule and the strongest ligaments in the body support it
Interosseous sacroiliac ligaments
Massive, strong ligaments that unite the sacra and iliac tuberosities
Posterior sacroiliac ligaments
Composed of short and long fibers that connect the sacrum and ilium posteriorly
It blends with a sacrotuberous ligament
Anterior sacroiliac ligaments
Transverse fibers that support the anterior and inferior portion of the sacroiliac joint
Iliolumbar ligament
Accessory ligament of the sacroiliac joint
Supports the L5 - S1 joint
Sacrotuberous ligament
Help support the sacroiliac joint by preventing upward movement (nutation) of the sacrum
Sacrospinous ligament
Help support the sacroiliac joint by preventing upward movement of the sacrum
SI dysfunction
Result of impaired load transfer through the SI joints
Nutation of sacrum
Nutation of the sacrum is restrained by the Sacrotuberous ligament (anterior motion relative to the iliac)
Further enhance by action of biceps femoris attachment to ischial tuberosity
Counternutation of the sacrum
Is restrained by the long dorsal sacroiliac ligament
And further enhance by action of latissimus dorsi through with attachment via thoracolumbar fascia
Load transfer through pelvic girdle
Load transferred through the pelvic girdle is more effective when the sacrum is nutated or tilted forward at its superior aspect
How is amplitude of sacral nutation controlled
It is controlled by co activation of pelvic floor muscles and sacral Multifidis