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JOINT MOBS > quiz #2 (pelvis -> TMJ) > Flashcards

quiz #2 (pelvis -> TMJ) Flashcards

1
Q

pubic symphysis (pubic) joint - type & movements

A

cartilaginous, symphysis, amphiarthrosis, uniaxial

gliding, little motion (2mm) increases during pregnancy
-superior & inferior glide, separation, distraction, compression

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2
Q

pubic symphysis (pubic) joint - articular surfaces

A

symphyseal surfaces covered by hyaline of two pubic bones with fibrocartilaginous disc in between

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3
Q

pubic symphysis (pubic) joint - ligaments

A

superior & inferior (arcuate) pubic ligaments, fibrocartilaginous disc

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4
Q

pubic symphysis (pubic) joint - loose & close packed position

A

joint uniquely shaped

no loose or closed packed position

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5
Q

pubic symphysis (pubic) joint - capsular pattern of restriction

A

pain when joint is stressed

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6
Q

inferior glide of pubic bone - leg position

A

slight flexion, ADD & internal rotation

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7
Q

acetabulofemoral (hip) joint - type & movements

A

synovial, ball & socket, diarthrosis, triaxial

flexion, extension, ADD, ABD, medial/ internal rotation, lateral/ external rotation, circ.

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8
Q

acetabulofemoral (hip) joint - articular surfaces

A

convex head of femur with concave lunate surface of acetabulum on labrum

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9
Q

acetabulofemoral (hip) joint - ligaments

A

-fibrous capsule
-labrum, zona orbicularis, ligamentum capitis femoris (ligamentum teres)
-transverse acetabular
-iliofemoral (Y ligament of Bigelow) pubofemoral & ischiofemoral

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10
Q

acetabulofemoral (hip) joint - loose packed position

A

30º flexion, 30º ABD, slight lateral rotation

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11
Q

acetabulofemoral (hip) joint - close packed position

A

full extension, medial rotation, ABD

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12
Q

acetabulofemoral (hip) joint - capsular pattern of restriction

A

flexion, ABD, medial rotation

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13
Q

medial glide of femur (AF joint)

A

EFFECT: increase hip ABD, pain management
PRECAUTIONS: if SI or pubic symphysis unstable, L spine should be neutral to avoid injury
*pt side lying
-stabilizing hand: distal femur, medial knee
-mobilizing hand: soft contact to direct mobilization of trochanter inferiorly & medially while distracting
*suggestions: lower table, use body weight to direct mobilization, axial distraction first

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14
Q

sacroiliac joint - type & movements

A

synovial, plane (also fibrous, syndesmosis), diarthrosis & amphiarthrosis

gliding (slight), nutation & counternutation

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15
Q

sacroiliac joint - articular surfaces

A

C-shaped auricular surface, concave sacral surface (covered in hyaline cartilage) on sacrum

C-shaped auricular surface, convex ilium surface (covered in fibrocartilage) on ilium

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16
Q

sacroiliac joint - ligaments

A

joint capsule
-iliolumbar
-anterior sacroiliac
-interosseous
-posterior; long & short sacroiliac
-sacrotuberous
-sacrospinous

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17
Q

nutation

A

-base of sacrum moves inferiorly & anteriorly
-enlarges pelvic outlet
-ischial tuberosities move apart
-symphysis pubis approximates
-iliac crests approximate
-PSIS separates
-ASIS flares in

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18
Q

counter nutation

A

-base of sacrum moves superiorly & posteriorly
-enlarges pelvic inlet
-ischial tuberosities approximate
-pubic symphysis separates
-iliac crests separate
-PSIS approximates
-ASIS flares out

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19
Q

sacroiliac joint - loose & close packed position

A

loose: neutral

close: full nutation

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20
Q

sacroiliac joint - capsular pattern of restriction

A

pain with stressing joint

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21
Q

sacrococcygeal joint - type & movements

A

cartilaginous, symphysis, amphiarthrosis, uniaxial

small amount of flexion & extension, especially during defecation & childbirth, fuses with age

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22
Q

sacrococcygeal joint - articular surfaces

A

inferior surface apex of sacrum

superior surface base of coccyx

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23
Q

sacrococcygeal joint - ligaments

A

-fibrocartilaginous disc
-sacrococcygeal (anterior, lateral, superficial posterior, deep posterior)
-intercornual

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24
Q

tibiofemoral (knee) joint - type & movements

A

synovial, hinge, diarthrosis, biaxial

gliding, flex, ext, hyperextend, lateral/ external rotation, medial/ internal rotation

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25
Q

tibiofemoral (knee) joint - articular surfaces

A

convex medial & lateral femoral condyles with concave medial & lateral superior articular surfaces of tibia (tibial plateu)

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26
Q

tibiofemoral (knee) joint - ligaments

A

EXTRAcapsular: fibrous capsule, patella, medial & lateral patellar retinaculum, MCL< LCL, oblique popliteal, arcuate popliteal
INTRAcapsular: ACL, PCL, posterior meniscofemoral, transverse, coronary, medial & lateral menisci

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27
Q

anterior cruciate ligament (ACL)

A

from medial aspect of lateral femoral condyle
to anterior aspect of tibial intercondylar eminence

resists anterior translation & medial rotation of tibia on femur
-taut in hyperextension

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28
Q

posterior cruciate ligament (PCL)

A

from posterior aspect of intercondylar eminence to lateral aspect of medial femoral condyle

resists posterior translation of tibia on femur
-taut in hyperflexion

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29
Q

medial collateral ligament (MCL)

A

resists VALGUS forces

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30
Q

lateral collateral ligament (LCL)

A

resists VARUS forces

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31
Q

meniscus - function

A

acts to disperse weight evenly & reduce friction with movement

32
Q

medial meniscus

A

attached to MCL & semimembranosus mm/tendon

33
Q

lateral meniscus

A

attached to PCL & popliteus mm

34
Q

how are mensicus attached to each other

A

attached to each other anteriorly by TRANSVERSE ligament of knee, & to margins of head of tibia by coronary ligaments

35
Q

BURSA - knee

A

-suprapatellar
-superficial & deep infrapatellar
-prepatellar
-popliteal
-semimembranosus

36
Q

tibiofemoral (knee) joint - loose packed position

A

25º flexion

37
Q

tibiofemoral (knee) joint - close packed position

A

full extension, lateral rotation of tibia

38
Q

tibiofemoral (knee) joint - capsular pattern of restriction

A

flexion, then extension

39
Q

genu valgum

A

Q angle greater than 22° in women & 18° in men “knocked knees”

40
Q

genu varum

A

Q angle less than 0°, distal tibia points medially “bow legs”

41
Q

genu recurvatum

A

hyperextension of knee

42
Q

tibiofemoral (knee) joint - anterior glide of tibia on femur: CI’s

A

CI’d for ACL injury/ damage

43
Q

tibiofemoral (knee) joint - posterior glide of tibia on femur: CI’s

A

CI’d with PCL injury/ damage

44
Q

tibiofemoral (knee) joint - medial & lateral glide of tibia: CI’s

A

do not allow femur to rotate medially

45
Q

patella

A

small bone in front of knee, embedded in quadriceps (thigh mm) tendon
= sesamoid bone

acts to increase biomechanical leverage of the quadriceps mm

46
Q

patellofemoral joint - type & movements

A

synovial, plane, diarthrosis, triaxial

superior/inferior glide, medial/lateral glide, tilt & rotation

47
Q

patellofemoral joint - articular surfaces

A

concave posterior surface of patella

convex trochlear surface of distal anterior femur

48
Q

patellofemoral joint - ligaments

A

-patellar ligament
-medial & lateral patellofemoral ligament

49
Q

patellofemoral joint - lose packed position

A

full extension

50
Q

patellofemoral joint - close packed position

A

full flexion

51
Q

patellofemoral joint - capsular pattern of restriction

A

flexion, then extension

52
Q

proximal/ superior tibiofibular joint - type & movements

A

synovial, plane, diarthrosis, uniaxial

gliding

53
Q

proximal/ superior tibiofibular joint - articular surfaces

A

articular facet on fibular head

facet on lateral tibial condyle

54
Q

proximal/ superior tibiofibular joint - ligaments

A

fibrous capsule
-anterior & posterior superior tibiofibular -lateral collateral ligament
-upper interosseous membrane

55
Q

mid-tibiofibular joint - type & movements

A

fibrous, (interosseous) syndesmosis, amphiarthrotic, uniaxial

slight movements

56
Q

mid-tibiofibular joint - articular surfaces

A

interosseous membrane connecting shafts of tibia & fibula

ligaments: interosseous membrane

57
Q

distal/inferior tibiofibular joint - type & movements

A

fibrous, syndesmosis, amphiarthrosis, uniaxial

gliding

58
Q

distal/inferior tibiofibular joint - articular surfaces

A

articular area on inferior end of fibula

facet on inferior end of tibia

59
Q

distal/inferior tibiofibular joint - ligaments

A

interosseous membrane (lower)
-anterior & posterior inferior tibiofibular

60
Q

distal/inferior tibiofibular joint - loose packed position

A

plantar flexion

61
Q

distal/inferior tibiofibular joint - close packed position

A

maximum dorsiflexion

62
Q

distal/inferior tibiofibular joint - capsular pattern of restriction

A

pain when joint is stressed

63
Q

talocrural (ankle/ mortise) joint - type & movements

A

synovial, hinge, diarthrosis, uniaxial

dorsiflexion, plantar flexion

64
Q

talocrural (ankle/ mortise) joint - articular surfaces

A

inferior articular & medial malleolar surfaces of tibia, lateral malleolar articular surface of fibula, trochlea of talus

65
Q

talocrural (ankle/ mortise) joint - ligaments

A

-fibrous capsule
-medial collateral (deltoid): posterior tibiotalar, tibiocalcaneal, tibionavicular, anterior tibiotalar
-lateral collateral: anterior talofibular, posterior talofibular, calcaneofibular

66
Q

talocrural (ankle/ mortise) joint - loose packed position

A

10º plantar flexion, midway between eversion & inversion

67
Q

talocrural (ankle/ mortise) joint - capsular pattern of restriction

A

plantar flexion, then dorsiflexion

68
Q

talocrural (ankle/ mortise) joint - close packed position

A

max dorsiflexion

69
Q

talocalcaneal joint - type & movements

A

synovial, plane, diarthrosis, triaxial

gliding & rotation, inversion & eversion

70
Q

talocalcaneal joint - articular surfaces

A

posterior, anterior & middle articular surface for calcaneus on talus

facets on superior surface of calcaneus

71
Q

talocalcaneal joint - ligaments

A

fibrous capsule, medial, lateral & posterior talocalcaneal ligament

72
Q

talocalcaneal joint - loose packed postions

A

midway between extremes of ROM

73
Q

talocalcaneal joint - close packed position

A

supination (inversion)

74
Q

talocalcaneal joint - capsular pattern of restriciton

A

limitation of motion

75
Q

talocalcaneonavicular joint - type & movements

A

synovial, both ball & socket & plane , diarthrosis, multiaxial

gliding & rotation, inversion & eversion

76
Q

talocalcaneonavicular joint - articular surfaces

A

facet on head of talus, facet on proximal side of navicular, anterior talar facet, middle talar facet, sustentaculum tali

77
Q

talocalcaneonavicular joint - ligaments

A

fibrous capsule, dorsal talonavicular, plantar calcaneonavicular/spring, calcaneonavicular portion of bifurcate ligament

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