Palpation mod 2 Flashcards
The 2 “bulges” at the knee, “widening of the femur” are called
Epicondyle - medial and lateral
With the patients knee slightly bent, move hand medially from the epicondyle. Your hand will land on top of the _____
Patella
The lateral aspect of the tibial condyle is where you would find the ____
fibular head
Put your hands on the knee while your knee is bent. Have your fingers drop off of the front. What structure are your fingers on?
Tubercle of tibia
What is the most forward facing prominence distal to the patella on the shaft of the tibia?
Tibia tuberosity
The fibular head moves best when this structure moves.
foot
Where would you find the calcaneus? What movement can confirm your placement?
The back of the foot. Dorsi/plantar flex
Calcaneus meets cuboid bone, which meets with the _ and _ metatarsal
4 and 5
On the medial aspect of the foot, name the bones going proximal to distal.
Calcaneus, Talus, navicular, medial cuneiform, first metatarsal, phalanges
What is the largest synovial joint in the body?
Tibiofemoral (knee) joint. A modified hinge joint.
What is the thinnest bone in the body in proportion to its length?
Fibula
The patella is the largest ____ bone in the body
Sesamoid
The patella is an attachment site and junction point for the _____ tendon and _____ligament.
quadricep femoris tendon and patellar ligament.
When the knee is flexed, the patella seems to disappear, sinking into the space between the ____ and _____.
proximal tibia and femoral condyles
The tibial tuberosity is an attachment point for which ligament?
Patellar ligament
The head of the fibula is the attachment site for which muscles and ligament?
bicep femoris muscle and a portion of the soleus muscle, and the fibular collateral ligament.
Which 3 tendons of the thigh converge at the medial knee to form the larger pes anserinus tendon, which attaches to the proximal, medial shaft of the tibia?
sartorius, gracilis, and semitendinosus.
The edges of the ______ ______ play an important role in the tracking of the patella when the knee is flexed and extended.
femoral condyles
The medial epicondyle is deep to the tendon of the ______, distal to the ________ muscle, and serves as an attachment site for the ________ ______ ligament.
sartorius
vastus medialis muscle
tibial collateral ligament
This small tip sticks out from the top of the medial epicondyle and is an attachment site for the adductor magnus tendon.
Adductor tubercle - located proximal to the medial epicondyle, between the belly of the vastus medialis and the hamstring tendons.
The foot contains ___ bones
a) 18
b) 24
c) 26
d) 27
c) 26 bones
The hind foot is the union of which 2 bones?
talus and calcaneus
What bone articulates with the tibia and fibula to form the ankle joint?
a) calcaneus
b) talus
c) cuboid
d) navicular
b) talus - ankle joint is the talocrural joint.
The midfoot is composed of ____ tarsals?
a) 5
b) 10
c) 4
d) 8
a) 5
- cuboid, navicular,
medial, middle and lateral cuneiforms
T/F
The forefoot is formed by the long, superficial metatarsals and phalanges. Similar to a metacarpal, each metatarsal consists of a proximal base, a shaft, and a distal head.
True
The first toe is formed by ___ phalanges, and the remaining toes have ___ phalanges each.
2, 3
What does the sustentaculum tali support?
talus on the calcaneus.
It is also an attachment site for the deltoid ligament.
How many landmarks does the talus have?
a) 1
b) 2
c) 3
d) 4
c) 3
1. The head is a round anterior portion that articulates with the navicular. The medial aspect of the head is accessible posterior to the navicular tubercle.
2. The trochlea, the large, superior prominence of the body of the talus. Anterior part is between malleoli.
3. Medial tubercle - posterior to the medial malleolus and serves as an attachment site for the deltoid ligament.
The first metatarsophalangeal joint is located at the ______
ball of the foot.
It is an ellipsoid joint with a large, bulbous shape.
The proximal end of the first metatarsal flares to articulate with the
a) medial cuneiform
b) middle cuneiform
c) lateral cuneiform
a) medial cuneiform
This forms a visible crest on the top of the foot that can be irritated by wearing tight shoes.
T/F
All of the metatarsals have similar shapes and sizes
False. The first metatarsal is short and stocky, while 2-5 are long and slender.
In metatarsals 2-5, there are 2 articulations, the “pip” joint and the “dip” joint. What does pip and dip stand for?
Pip - Proximal InterPhalangeal
Dip - Distal InterPhalangeal
The tuberosity of the 5th metatarsal is a superficial knob that extends laterally off the base of the metatarsal and is the attachment site for the ________
fibularis brevis
The medial cuneiform serves as an attachment site for which 2 muscles?
Tibialis anterior and tibialis posterior.
The middle and lateral cuneiforms, sandwiched between the medial cuneiform and the cuboid, are accessible on which surfaces?
dorsal
Which bone is sandwiched between the medial and middle cuneiforms and the talus?
Navicular
The cuboid is surrounded on 3 of its 4 sides by which structures?
4 and 5 metatarsals, lateral cuneiform and calcaneus.
This makes the cuboid only partially accessible.
