Week 11 Flashcards

1
Q

What are the bones of the knee?

A

Distal Femur
Patella
Proximal Tibia

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2
Q

True/False
The Tibia is more laterally located and articulates with both the knee and the ankle.

A

False
The Tibia is more MEDIALLY located and articulates with both the knee and the ankle.

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3
Q

Medial and Lateral Condyles

Femur

A

The rounded projections of the femur

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4
Q

Medial and Lateral Epicondyles

Femur

A

Proximal to the condyles

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5
Q

The fibula is smaller and only articulates with the…
A. Tibia
B. Femur
C. Ankle
D. None of the above

A

C. Ankle
The fibula is smaller and only articulates with the ankle.

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6
Q

Fibula

A

An attatchment site for the biceps femoris and the lateral collateral ligament

Attaches to the tibia both proximally and distally

DOES NOT connect to the knee but splints the lateral side of the tibia to maintain its vertical alignment.

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7
Q

True/False
The tibiofemoral joint is considered to be a hinge joint that’s uniaxial.

A

False
The tibiofemoral joint is considered to be a hinge joint that’s BIAXIAL.

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8
Q

What is the main load bearing structure of the knee?

A

Tibial Plateaus

Menisci are the 2 fibrocartilaginous joint discs that provide joint stability by deepening the contact surface on the tibia

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9
Q

What type of packed position is the knee when it is in full extension and dorsal foot flexion?

A

Closed-Packed Position

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10
Q

What is the resting position for the knee?
A. 15 Degrees of Flexion
B. 20 Degreees of Flexion
C. 25 Degrees of Flexion
D. 30 Degrees of Flexion

A

C. 25 Degrees of Flexion

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11
Q

What types of motion can the knee perform?

A

Flexion/Extension
Limited Ab/Adduction (if knee is flexed)
Medial and Lateral Rotation (aka internal/external rotation)

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12
Q

Patella

A

“Small Plate”

A sesamoid bone that protects the tendon by diminishing friction and alters the direction of the tendon’s angle of pull.

Cartilage is 4-5mm thick

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13
Q

True/False
The patella lengthens the level arm of the quadriceps muscle force around the center of rotation by centralizing these forces into one concerted direction of pull.

A

True

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14
Q

Patellofemoral Joint

A

The patella is in the quadriceps tendon that articulates with the anterior aspect of the distal femur.

This lets you kneel, sit, squat, and walk up and down stairs

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15
Q

What are the three muscles that make up the hamstings?

A

Semimembranosus
Semitendinosus
Biceps Femoris

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16
Q

Where are menisci located?

A

Within the knee

Anchored by the coronary and transverse ligaments.

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17
Q

Causes of a Torn Meniscus

A
  • Aging
  • Injury (usually from sports football,tennis, and basketball)
  • Degenerative diseases (ex. Osteoarthritis)
  • Forceful rotation or twisting of the knee such as sudden stops and turns
  • Putting body’s full weight on the knee such as kneeling, deep squatting, or lifting heavy objects
18
Q

Treatment for Torn Meniscus

A

Medication
Rest
Ice
Surgery

19
Q

True/False
The tibia is the primary weight-bearing bone of the lower leg.

A

True

20
Q

Genu Varus is also called…

A

Bowleg
or inward angulation of the tibia relative to the femur

21
Q

Genu Valgus is also called…

A

Knock-Knee
or the tibia beginning to angle outward

22
Q

True/False
A higher foot arch often contributes to instability.

A

True

With less contact between the bottom of the foot and ground surface there is less stability.

However, the flatter the arch the less able to absorb ground forces.

23
Q

Screw-Home Mechanism

A

Screw-Home mechanisms “locks” the knee, tightening the fomoral condyles within their tibial receptacles in full extension, its closed-pack position, which enhances stability.

24
Q

What movement does the ankle perform?

A

Dorsiflexion(extension) and plantar flexion
Inversion (supination), eversion (pronation), and slight rotation

25
Q

What joints form the ankle?

A

Talocrural Joint
Subtalar Joint

26
Q

Talocrural Joint

Ankle

A

Hinge Joint, Uniaxial
Performs dorsiflexion (extension) and plantar flexion of the ankle

27
Q

Subtalar Joint

Ankle

A

Allows for inversion (supination;moves toes laterally out) and eversion (pronation; moves toes in medially) of the ankle.

Also known as the talocalcaneal joint

28
Q

What are the flexors of the knee?

A

Hamstrings
Popliteus

29
Q

What are the extensors of the knee?

A

Quadriceps

30
Q

What are the three sections of the foot?

A

Rearfoot
Midfoot
Forefoot

31
Q

Common Joints of the Foot AND Ankle

A

Ankle: Tibiotalar Joint
Talonavicular Joint
Subtalar Joint
Foot: Calcaneocuboid Joint
Tarsometatarsal (Lisfranc) Joint
Metatarsophalangeal (MTP) Joint

32
Q

True/False
The transverse tarsal joint moves through all three cardinal planes.

A

True

Talonavicular Joint
Ball and socket joint that allows for inverting, everting, dorsiflexion and plantar flexing
Articulation of the Navicular and talus bones.

Calcaneocuboid Joint
Distal surface of the calcaneus and the proximal surface of the cuboid bone.
Less joint flexibility, provides stability to this area.

Talonavicular & Calcaneocuboid Joint make up the Transverse Tarsal Joint

33
Q

When Does Drop Foot Occur?

A

When there is damage to the peroneal nerve; Peripheral Nerve Damage (compression of the spinal cord)
or
Associated with CVA or another CNS related condition

34
Q

When a client has drop foot they are unable to perform BLANK of the ankle.
A. Inversion
B. Plantar Flexion
C. Eversion
D. Dorsiflexion

A

D. Dorsiflexion
When a client has drop foot they are unable to perform dorsiflexion of the ankle

35
Q

Treatment for Drop Foot

A

PT to Strengthen the Muscles
Surgery to Decompress the Nerve
OT Instruction on Donning/Doffing AFO

Client may wear an ankle foot orthosis (AFO) to stabilize the ankle.

36
Q

Common Pathologies of the Foot

A

Achilles Tendonitis
Plantar fasciitis
Hammer toe, mallet toe, claw toe
Bunion- hallux valgus

37
Q

Achilles Tendonitis

A

Cumulative trauma injury of achilles tendon (which attaches calf muscles to calcaneous)

38
Q

Risk Factors of Achilles Tendonitis

A

Age
Sex
Flat Arches
Obesity
Tight Calf Muscles
Activity
Medications

39
Q

Plantar Fasciitis

A

Inflammation of plantar fascia (which is thick connective tissue that connects calcaneous to toes)
Stabbing pain (increased intensity in the morning)

40
Q

Risk Factors of Plantar Fasciitis

A

Running
Ballet Dancing
Being Overweight
Flat Feet or High Arch
Prolonged Time on Feet
Unknown