Lower Extremity Quiz 1 (Lectures 24-30) Flashcards
Describe the transfer of weight in the lower extremity.
From the Pelvis:
- Hip Joint
- Femur
- Knee Joint
- Tibia
- Ankle Joint
- Foot
What Bone in the lower leg forms the part of the ankle joint?
Fibula
TRUE OR FALSE: The pelvis is fully mature after your teenage years?
True, they complete between the ages of 20-25
What separates the bones of the pelvis at puberty and where are they centered around?
- A Y-shaped cartilage around the acetabulum.
What bony landmark on your body has your body weight rest in the seated position?
The Ischial Tuberosity
What are more common in the hip than fractures and dislocations?
Contusions and Hematomas
What is a common factoring cause for hip fractures and dislocations?
- High-Energy Trauma/Severe-Direct Trauma
A patient falls from a roof and lands on their feet, what can be caused by this lateral compression of the pelvis?
Fracture of the Acetabulum
What is an avulsion fracture?
When there is avulsion or tearing away from the ischial tuberosity.
What can cause an avulsion fracture?
- Adolescents or young adults playing in sports with sudden acceleration and deacceleration.
Do men or women have a greater angle for the head of the femur
Men have a greater angle
Older patients who experience a slight stumble may experience, what fracture?
Femoral neck fracture
What is a Slipped Epiphysis of the Femoral Head? What can cause this to occur in patients?
Occurs in Children/Adolescents; When the femoral head rips off of the femoral neck.
Acute or repetitive micro-traumas.
Characteristics of Slipped Epiphysis of the Femoral Head?
- Initial hip discomfort
- Progressive Coxa Vara
What is Coxa Vara and Coxa Valga?
- Coxa Vara is when the angle of inclination is decreased causing the neck and body of femur to be closer together. This limits passive abduction of the hip and shortens the lower limb.
- Coxa Valga is when the angle is increased, appearance of longer legs.
When an elderly patients claims to have broken a hip, it is more likely that the patient experienced a?
Fracture of the femoral neck
What is there to note about Femoral Neck Fractures?
- Most troublesome fracture
- Very limited in Osteogenesis
- Injuries at this site can lead to ruptures in circumflex medial femoral arteries resulting in necrosis of the femoral head.
What are some other types of femoral fractures?
- Intertrochanteric Fractures
- Petrochanteric Fractures
- Occurs from Violent direct injuries like Automobile Accident
What is the most common site for the fracture of the tibia?
Narrowest site at the junction of the middle and inferior thirds.
Tibia fractures are usually what kind of fractures?
Compound fractures, which are prone to infection due to the skin being perforated and ripped blood vessels.
What is the Transverse Stress Fracture of the tibia?
Fractures the inferior third of the tibia; Common for people who take long walks when they shouldn’t
Whats a diagonal fracture of the Tibia?
Indirect violence applied to the tibial body while it is turning and the foot is fixed in place.
Occurs during a football tackle or skiiing
What is a “Boot-Top fracture”?
A comminuted fracture of the tibia leading to fragments of bone.