M1 Reading Guide 3 Flashcards

1
Q

What fascia plays an important functional role in mechanical stability of the low back, including the SI joint?

A

thoracolumbar fascia

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2
Q

The thoracolumbar fascia is most extensive here

A

lumbar region

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3
Q

layers of the thoracolumbar fascia

A

3: anterior, middle, posterior layers

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4
Q

What do the layers of thoracolumbar fascia do?

A

partly surround and compartmentalize the posterior muscles of the low back

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5
Q

Where are the anterior and middle layers of the thoracolumbar fascia anchored?

A
  • medially to transverse processes of lumbar vertebrae

- inferiorly to iliac crests

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6
Q

What does the posterior layer of the thoracolumbar fascia cover?

A
  • posterior surface of erector spinae

- latissimus dorsi

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7
Q

Where does the posterior layer of the thoracolumbar fascia anchor?

A
  • spinous processes of all lumbar vertebrae and sacrum

- ilium near the PSIS

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8
Q

thoracolumbar fascia: posterior attachments provide

A

mechanical stability to the SAJ

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9
Q

thoracolumbar fascia: Where do the posterior and middle layers fuse?

A

at lateral margins

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10
Q

Fusion of the thoracolumbar fascia at the lateral margins produces a:

A

lateral raphe

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11
Q

Fusion of the thoracolumbar fascia: lateral raphe blends with fascia of the:

A
  • transverse abdominus

- obliquus internus abdominus

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12
Q

What is the location of the TrA relative to the other abdominals?

A

most internal (deepest) muscle of the abs

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13
Q

What is the functional advantage of the broad attachments of the TrA?

A
  • increases segmental stiffness
  • motor control of the “neutral zone”
  • stabilizes the spine (like a corset)
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14
Q

What are the anterior components of a vertebral segment?

A
  • vertebral body
  • interbody joint
  • disc
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15
Q

What types of bone make up the vertebral body?

A
  • cortical bone

- trabecular bone

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16
Q

cortical bone

A
  • withstand greater stress

- surrounds cancellous bone

17
Q

trabecular bone: withstands

A

compression

18
Q

What is the interbody joint?

A

bonds disc and bone

19
Q

What is the function of the disc?

A
  • shock absorption

- spacer

20
Q

Which structure bridges the anterior and posterior elements of the vertebra?

A

pedicles

21
Q

What are the posterior elements of the vertebra?

A
  • spinous process
  • lamina
  • transverse process
  • mammillary processes
  • articular facets
  • pars interarticularis
22
Q

What is the function of the lamina?

A

protects posterior aspect of the SC

23
Q

What is the function of the mammillary processes?

A

attachment points for the multifidus

24
Q

Articular facets: costocorporeal joints

A
  • costal facets on body

- attachment sites for heads of ribs

25
Q

Articular facets: costotransverse joints

A
  • costal facets on transverse processes

- attachments for articular tubercle of ribs

26
Q

What is the pars interarticularis?

A

bridge between superior and inferior facets

27
Q

What does the pars interarticularis help to resist?

A

shear forces