Proximal LE Flashcards
Osteoarthritis
30 million adults have OA (CDC 2019)
destruction of articular cartilage and underlying bone surfaces of synovial joints
Symptoms: joint pain, stiffness, swelling, fatigue
OA risk factors
joint injury, overuse
advanced age
female gender
obesity
genetic markers
race
(CDC 2019)
OA impacts
physical performance: gross and fine motor performance
limits: social participation, GAAD and depressive disorders
Societal impacts: loss of employment, absenteeism work, hospitalizations
OT intervention OA
manage symptoms
reduce further degradation of cartilage, articular surfaces
maximize occupational performance and participation
(AOTA 2012)
Pelvis
os coxa (2) plural os coxae
sacrum
coccyx

PSIS (posterior superior iliac spine)
PIIS (posterior inferior iliac spine)
greater sciatic notch
Iliac crest
ASIS (anterior superior iliac spine)
AIIS (anterior inferior iliac spine)
Iliac fossa
arcuate line
auricular surface

lunate surface
acetabular labrum
acetabular notch
transverse acetabular ligament


Ischial body
ischial spine
lesser sciatic nothc
ischial tuberosity
ischial ramus


Superior ramus of pubis
body of the pubis
pubic tubercle
inferior ramus of pubis
articular surface at pubic symphysis


- head of femur
- neck of femur
- greater trochanter
- lesser trochanter
- intertrochanteric crest
- gluteal tuberosity
- linea aspera
8-9. medial and lateral epicondyles
10-11. medial and lateral condyles
- intercondylar fossa

Joints associated with femur
pelvifemoral joint
tibiofemoral joiont
patellofemoral joint

- tibial plateau
2-3. medial and lateral condyles
- intercondylar eminence
- tibial tuberosity


- base
- apex
- medial articular facet
- lateral articular facet

Gluteal muscle, superficial
prox: ilium, sacrum, coccyx
distal: IT tract & gluteal tuberosity
Pelvifemoral EXT/ER
Innervation: L5-S2

Gluteal muscle, superficial
prox: ilium
distal: greater trochanter
pelvifemoral: EXT/IR
Innervation: L5-S1

Gluteal muscle: superficial
Prox: arcuate line of ilium
Dis: greater trochanter
Pelvifemoral: ABD/IR
innervation: L5-S1

superficial gluteal muscle
prox: ASIS & iliac crest
distal: IT tract, lateral epicondyle tibia
pelvifemoral: ABD/IR
innervation: L5-S1

Deep gluteal muscle
proximal: sacrum
distal: greater trochanter
pelvifemoral: ER
innervation (L5-S2)

deep gluteal muscle
prox: ischial spine
distal: greater trochanter
pelvifemoral ER
(L5-S2)

Deep gluteal muscle
prox: obturator membrane
Distal: greater trochanter
pelvifemoral: ER
(L5-S2)

Deep gluteal muscle
prox:ischial tuberoity
Distal: greater trochanter
pelvifemoral: ER
(L4-S1)

Deep gluteal muscle
prox:ischial tuberoity
Distal: intertrochanteric crest
pelvifemoral: ER
(L4-S1)

posterior thigh
prox:ischial tuberosity
Distal: medial condyle tibia
pelvifemoral: EXT
Tibiofemoral: FLX / IR
(L5-S2)

posterior thigh
prox:ischial tuberosity
Distal: medial proximal tibia
pelvifemoral: EXT
Tibiofemoral: FLX / IR
(L5-S2)

Long head: posterior thigh
prox:ischial tuberosity
Distal: head of fibula
Tibiofemoral: FLX/ ER
(sciatic n., L5-S2)

short head: posterior thigh
prox: linea aspera
Distal: head of fibula
Tibiofemoral: FLX/ ER
(sciatic n., L5-S2)

Anterior thigh
prox: ASIS
Distal: medial, proximal tibia
Pelvifemoral: FLX/ ABD/ ER
tibiofemoral: FLX
(femoral n., L2-S3)

Anterior thigh
prox: AIIS
Distal: Patella, Tibial tuberosity
Pelvifemoral: FLX
tibiofemoral: EXT
(femoral n., L2-:L4)

Anterior thigh
prox: greater trochanter, linea aspera, gluteal tuberosity
Distal: Patella, Tibial tuberosity
tibiofemoral: EXT
(femoral n., L2-L4)

Anterior thigh
prox: anterior femur
Distal: Patella, Tibial tuberosity
tibiofemoral: EXT
(femoral n., L2-L4)

Anterior thigh
prox: linea aspera
Distal: Patella, Tibial tuberosity
tibiofemoral: EXT
(femoral n., L2-L4)

Medial high
prox: superior pubic ramus
Distal: pectineal line of femur
pelvifemoral: FLX/ ADD
(femoral n., L2-L3)

Medial high
prox: body of pubis
Distal: linea aspera
pelvifemoral: ADD
(obturator n., L2-L3)

Medial high
prox: body of pubis, inferior pubic ramus
Distal: linea aspera
pelvifemoral: ADD
(obturator n., L2-L4)

Medial high
prox: body of pubis, ischial tuberosity
Distal: linea aspera
pelvifemoral: ADD
(obturator n., [L2-L4] sciatic n. [L4])

Medial high
prox: inferior pubic ramus, body of pubis
Distal: medial proximal tibia
pelvifemoral: ADD
tibiofemoral: FLX/ IR
(obturator n., [L3-L4])