Lower Extremity I Flashcards
Where should you look when you find a SD?
area above and below the SD to see what could be causing it
What is the route of the arteries from the aorta, down the leg?
Aorta
External/internal iliac
femoral
anterior/posterior tibial
Many of the issues we see involving the lower extremity involve what type of problems?
Tracking problems
What are the characteristics of the muscles that have tender points?
Those that are strained and inhibited
Treating tender points tends to do what to contracted muscles?
Lengthen contracted muscles
Postural or phasic muscle: iliopsoas?
postural
Postural or phasic muscle: vastus medialis/laterals?
Phasic
Postural or phasic muscle: fibularis
phasic
Postural or phasic muscle: glutes
Phasic
Postural or phasic muscle: rectus femoris
postural
Postural or phasic muscle: tensor fascia lata
Postural
Postural or phasic muscle: hamstrings
Postural
Postural or phasic muscle: thigh adductors
postural
Postural or phasic muscle: piriformis
Postural
Postural or phasic muscle: soleus
Postural
Postural or phasic muscle: tibialis anterior
Phasic
Postural or phasic muscle: gastrocnemius
Phasic
Postural or phasic muscle: erector spinae group
Postural
Postural or phasic muscle: quadratus lumborum
postrual
Postural or phasic muscle: intercostals
Postural
Postural or phasic muscle: rectus abdominus
Phasic
Postural or phasic muscle: external/interna oblique
Phasic
Postural or phasic muscle: transversus abdominus
phasic
What is the function of the psoas major/minor and iliacus? A strain in this area produces what?
flex and rotate the hip
bends the trunk/lumbar spine to the same side
What is the function of the gluteus maximus?
extends and externally rotates the hip
What is the function of the tensor fasciae lata?
Hip joint adduction
What is the main function of the piriformis?
external rotation of the hip
What is the main function of the gluteus medius/minimus?
abducts the hip
What is the function of the adductor longus?
hip joint adduction
What is the function of the adductor brevis?
hip joint adduction
What is the function of the adductor minimus?
hip joint adduction
What is the function of the gracilis?
Hip joint adduction and flexion
What is the function of the pectineus?
hip joint adduction
What is the function of the obturator externus?
Hip joint adduction
What is the function of the sartorius?
Hip joint flexion, abduction, and external rotation
What are the four muscles that comprise the quads?
Vastus lateralis, medialis, intermedius, and rectus femoris
What are the muscles of the hamstrings?
BIceps femoris
Semimembranosus
Semitendinosus
What is the function of the biceps femoris?
Extends the hip joint
What is the function of the semimembranosus and the semitendinosus?
Extends the hip joint
Flexes and internally rotates the knee
What is the function of the popliteus?
Flexes and internally rotates the knee
What are the muscles that are in the lateral compartment of the lower leg?
Fibularis longus
Fibularis brevis
Fibularis tertius
What is the function of the fibularis longus and brevis?
Flexes the talocrural joint
What are the two components of the triceps surae?
Soleus
gastroc
What is the function of the plantaris?
prevents the compression of the posterior leg muscles during knee flexion
What are the connections of the lateral collateral ligament?
lateral femoral condyle to the medial femoral condyle
Which collateral ligament attaches to its respective meniscus?
Medial
What is the function of the collateral ligaments?
Limit knee rotation
What is the function of the ACL?
Prevents hyperextension
What is the function of the PCL?
Prevents hyperflexion
What menisci are attached to the femur or the tibia?
tibia
Which surface of the menisci are vascular: the medial or lateral?
lateral
Which are more O shaped, and which is more C shaped: the medial / lateral menisci?
Medial = C lateral = O
What are the components of the talocrural joint?
tibia
fibula
talus
What are the main motions of the talocrural joint?
plantarflexion and dorsiflexion
What are the components of the subtalar joint?
Talus and calcaneus
What are the main motions of the subtalar joint?
Inversion and eversion
What are the main motions of the intermetatarsal joints?
Inversion and eversion
What is the membrane that is between the tibia and the fibula?
Interosseous membrane
What is the ligament that connects the anterior distal tibia to the anterior distal fibula?
Anterior tibiofibular ligament
What is the ligament that connects the posterior distal tibia to the posterior distal fibula?
Posterior tibiofibular ligament
What are the four ligaments that comprise the lateral part of the foot?
anterior tibiotalar
tibionavicular
tibiocalcaneal
Posterior tibiotalar
What is the main ligament that sits atop the proximal foot?
anterior talofibular ligament
With increasing flexion, the dynamic flexion axis moves how?
Upward, and backward
Rotation of the tibia relative to the femur may occur with the knee (___)?
Flexed to 90 degrees
What are the two muscles that are responsible for producing internal tibial rotation?
semimembranosus
Semitendinosus
What is the muscle the produces external tibial rotation?
Biceps femoris
What is the “screw home” motion of the knee?
external rotation of the tibia on the femur
The knee is most stable when?
When locked into extension, or closed packed position
Full extension of the knee is unlocked by which muscle?
Popliteus
Medial force applied to the lateral aspect of the knee joint produce what force?
Valgus
passive abduction
Lateral force applied to the medial aspect of the knee joint produce what force?
Varus force (passive adduction)
What way does the patella move with extension?
Superiorly
What way does the patella move with flexion?
Inferiorly
True or false: muscle strains are significant SD
True
What are the effects of a right soleus strain?
Limited dorsiflexion of the right ankle
Right knee pain
What are the effects of right hamstrings strain?
Right leg is functionally short
R sacral base is lowered
What should you do if you cannot effectively treat a tender point? (2)
Search for another, more painful point in the same muscle
Look for a shortened muscles on the opposite side of the bod
Where will you be able to visualize tender points?
Based on twists and turns of the muscles strained
The (farther/closer) a joint is from the center of the body, the more prone it is to injury
Farther