LE ligs Flashcards
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Intertarsal jt?
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Pelvic girdle
* Consists of the sacrum and two hip (coxal) bones
* comprised of three joints
* sacroiliac x2
* pubic symphysis
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Sacroiliac joint
* Articulation between the sacrum and two ilium bones
* synovial gliding jt that allows slight movement
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hip joint
* 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
* 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
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Joint terminology (cruciate and collateral ligs)
* 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)
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ACL
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
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PCL
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
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MCL and LCL
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
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Tibiofibular joint
* 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
* 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
* comprised of two joints
* talonavicular joint
* calcaneocuboid joint
* together these two joints constitute the transverse tarsal or mid-tarsal joint
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