LE ligs Flashcards

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21
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Intertarsal jt?

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27
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Pelvic girdle

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  • Consists of the sacrum and two hip (coxal) bones
  • comprised of three joints
    • sacroiliac x2
    • pubic symphysis
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Sacroiliac joint

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  • Articulation between the sacrum and two ilium bones
  • synovial gliding jt that allows slight movement
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hip joint

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  • Common orthopedic surgery is a total hip replacement (THA or THR)
  • broken hip usually refers to a fractured neck of femur
  • congenital dislocation of the hip is common and treatable with orthotics and strengthening exercises
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Tibiofemoral joint

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  • The largest synovial joint in the body
  • the most complex and frequently injured joint of the body
  • modified hinge joint
    • permits flexion and extension
    • with knee in flexed position, it also allows for some internal and external rotation
31
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Joint terminology (cruciate and collateral ligs)

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  • cruciate
    • will be paired
    • means cross
  • collateral
    • will be paired
    • run parallel to each other on opposite sides of the joint (typically medially and laterally)
32
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ACL

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anterior cruciate ligament

  • originates on the posterior aspect of the lateral condole of the femur and attaches on the anterior aspect of the tibia at the intercondylar area
  • prevents anterior movement of the tibia under the femur
  • named anterior because of te attachment site on the tibia
  • injuries
    • sudden deceleration
    • hyperextension
    • pivoting in place
33
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PCL

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Posterior cruciate ligament

  • attaches to the posterior intercondular area and passes anterosuperiorly to insert into the lateral surface of the medial femoral condyle
  • when the knee is in extension, it makes an almost 90 degree turn as it passes anterosuperiorly
  • the ACL passes lateral to it and curves around it
  • prevents posterior translation of the tibia under the femur
  • stronger than ACL
  • named posterior because of the attachment site on the tibia
  • injuries
    • direct blow to the anterior aspect of the knee while the knee is in slight flexion
    • MVA
    • direct fall onto the knee
    • 20% of knee ligament injuries involve the PCL
34
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MCL and LCL

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medial and lateral collateral ligaments

  • MCL
    • distal medial femur to medial tibia
    • firmly attached to the medial meniscus
  • LCL
    • distal lateral femur to head of fibula
    • add to the stability of the knee joint
    • resist forces acting on the sides of the knee joint
  • injuries
    • direct blow to the side of the knee
35
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Tibiofibular joint

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  • proximal
    • articulation between the lateral condyle of the tibia and head of the fibula
  • distal
    • articulation between the distal ends of the tibia and fibula
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Ankle joint

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  • excessive inversion can result in a sprained ankle (involves anterior talofibular ligament)
  • other ankle ligaments may be involved in sprain injuries
  • eversion ankle injuries generally involve bone fractures rather than ligament tears
    • medial deltoid ankle ligament so strong it will break bone rather than tear
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Transverse tarsal joint

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  • comprised of two joints
    • talonavicular joint
    • calcaneocuboid joint
  • together these two joints constitute the transverse tarsal or mid-tarsal joint
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