Anatomy of Hip and Knee Joints
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Questions and Answers

What is the primary action of the descending part of the trapezius muscle?

  • Rotates the glenoid cavity inferiorly
  • Elevates the scapula (correct)
  • Retracts the scapula
  • Depresses the scapula
  • Which nerve innervates the latissimus dorsi muscle?

  • Cervical nerve
  • Dorsal scapular nerve
  • Thoracodorsal nerve (correct)
  • Spinal Accessory nerve
  • Which of the following muscles is responsible for rotating the glenoid cavity superiorly?

  • Trapezius (correct)
  • Latissimus dorsi
  • Rhomboid major
  • Levator scapulae
  • The rhomboid minor muscle attaches to the spinous processes of which vertebrae?

    <p>C7 and T1</p> Signup and view all the answers

    What is one of the actions of the levator scapulae muscle?

    <p>Elevates the scapula</p> Signup and view all the answers

    The latissimus dorsi is primarily responsible for which of the following actions?

    <p>Extends the shoulder</p> Signup and view all the answers

    Which muscles act to rotate the scapula and elevate the shoulder region?

    <p>Trapezius muscles</p> Signup and view all the answers

    What is the distal attachment of the trapezius muscle?

    <p>Lateral third of clavicle and acromion</p> Signup and view all the answers

    What is the primary muscle action of the Extensor Carpi Radialis Brevis (ECRB)?

    <p>Extends the medial four digits at metacarpophalangeal joints</p> Signup and view all the answers

    Which muscle has its proximal attachment at the lateral epicondyle of the humerus and extends the fifth digit?

    <p>Extensor Digiti Minimi</p> Signup and view all the answers

    What is the innervation of the Extensor Carpi Ulnaris (ECU)?

    <p>Posterior interosseous nerve</p> Signup and view all the answers

    Which muscle primarily acts on the second digit of the hand?

    <p>Supinator</p> Signup and view all the answers

    What is the distal attachment of the Extensor Digitorum?

    <p>Extensor expansion of the medial four digits</p> Signup and view all the answers

    Which muscle shares an innervation with both the Extensor Carpi Radialis Brevis and the Extensor Digitorum?

    <p>Extensor Digiti Minimi</p> Signup and view all the answers

    What is the primary action of the Extensor Carpi Ulnaris?

    <p>Adducts the hand at the wrist joint</p> Signup and view all the answers

    Which of the following muscles extends primarily at the metacarpophalangeal joints?

    <p>Extensor Digitorum</p> Signup and view all the answers

    What is the primary action of the Flexor Carpi Radialis?

    <p>Flexes and abducts the hand</p> Signup and view all the answers

    Which muscle is primarily responsible for flexing the distal phalanges of the 4th and 5th digits?

    <p>Flexor Digitorum Profundus</p> Signup and view all the answers

    Which nerve innervates the Flexor Carpi Ulnaris?

    <p>Ulnar nerve</p> Signup and view all the answers

    What is the distal attachment of the Palmaris Longus?

    <p>Apex of palmar aponeurosis</p> Signup and view all the answers

    Which muscle acts to flex the middle phalanges at proximal interphalangeal joints of the middle four digits?

    <p>Flexor Digitorum Superficialis</p> Signup and view all the answers

    What is the proximal attachment of the Flexor Pollicis Longus?

    <p>Anterior surface of radius</p> Signup and view all the answers

    Which layer does the Flexor Digitorum Superficialis belong to?

    <p>Intermediate layer</p> Signup and view all the answers

    Which action does the Flexor Carpi Ulnaris perform?

    <p>Flexes and adducts the hand</p> Signup and view all the answers

    What is the primary muscle action of the rhomboid major?

    <p>Retracts the scapula</p> Signup and view all the answers

    Which nerve innervates the supraspinatus muscle?

    <p>Suprascapular nerve</p> Signup and view all the answers

    Which muscle initiates and assists in arm abduction?

    <p>Supraspinatus</p> Signup and view all the answers

    What is a common action performed by both the teres minor and infraspinatus muscles?

    <p>Laterally rotates the arm</p> Signup and view all the answers

    Which of the following muscles is involved in flexing the forearm in all positions?

    <p>Brachialis</p> Signup and view all the answers

    What is the primary action of the triceps brachii muscle?

    <p>Extends the forearm</p> Signup and view all the answers

    Which muscle helps to medially rotate the arm?

    <p>Subscapularis</p> Signup and view all the answers

    What is the primary muscle action of the biceps brachii when the forearm is in a supine position?

    <p>Flexes the forearm</p> Signup and view all the answers

    Which muscle primarily aids in pronating the forearm?

    <p>Pronator Teres</p> Signup and view all the answers

    Which of the following is NOT a function of the rotator cuff muscles?

    <p>Adducts the arm</p> Signup and view all the answers

    What is the primary muscle action of the Pronator Quadratus?

    <p>Pronates the forearm</p> Signup and view all the answers

    Which nerve innervates the Extensor Pollicis Longus?

    <p>Posterior interosseous nerve</p> Signup and view all the answers

    From which attachment does the Abductor Pollicis Longus originate?

    <p>Posterior surface of the proximal halves of ulna and radius</p> Signup and view all the answers

    Which muscle is responsible for extending the proximal phalanx of the thumb at the metacarpophalangeal joint?

    <p>Extensor Pollicis Brevis</p> Signup and view all the answers

    What is the distal attachment point of the Extensor Carpi Radialis Longus?

    <p>Dorsal aspect of the base of the 2nd metacarpal</p> Signup and view all the answers

    What action is maximal for the Brachioradialis?

    <p>Weak flexion of forearm when midpronated</p> Signup and view all the answers

    Which muscle specifically abducts the thumb?

    <p>Abductor Pollicis Longus</p> Signup and view all the answers

    What is the innervation for the Extensor Pollicis Brevis?

    <p>Posterior interosseous nerve</p> Signup and view all the answers

    What is the proximal attachment site of the Extensor Indicis muscle?

    <p>Posterior surface of distal third of ulna and interosseous membrane</p> Signup and view all the answers

    Which nerve is responsible for innervating the Opponens Pollicis muscle?

    <p>Recurrent branch of median nerve</p> Signup and view all the answers

    What is the primary action of the Flexor Pollicis Brevis?

    <p>Flexes the thumb</p> Signup and view all the answers

    Which muscle assists in the abduction of the 5th digit?

    <p>Abductor Digiti Minimi</p> Signup and view all the answers

    What muscle action does the Extensor Indicis perform at the forearm?

    <p>Supinates the forearm</p> Signup and view all the answers

    Which structure serves as the distal attachment for the Abductor Pollicis Brevis?

    <p>Lateral side of base of proximal phalanx of thumb</p> Signup and view all the answers

    What muscle draws the 5th metacarpal anterior and rotates it into opposition with the thumb?

    <p>Opponens Digiti Minimi</p> Signup and view all the answers

    What nerve innervates the Deep branch of the ulnar nerve's target muscles?

    <p>C8, T1</p> Signup and view all the answers

    Study Notes

    Close-Packed and Open-Packed Positions of Joints

    • Close-Packed Position: The position of a joint where the congruency of the articulating surfaces is greatest, maximizing joint stability and ligament tension. This position can be more prone to injury if improperly stressed
    • Open-Packed Position (Resting Position): A joint position with more mobility, less stress on ligaments, and more congruency between articulating surfaces, promoting joint health and fluid flow.

    Muscles of Anterior Thigh Acting at Hip Joint

    • Pectineus: Adducts and slightly flexes the hip; assists with lateral rotation
    • Iliopsoas (Psoas Major and Minor, Iliacus): Flexes and laterally rotates the hip and stabilizes the hip joint when standing
    • Sartorius: Flexes, abducts, and laterally rotates the hip at the hip joint; also flexes the knee.

    Muscles of Anterior Thigh Acting at Knee Joint

    • Quadriceps Femoris (Rectus Femoris, Vastus Lateralis, Vastus Medialis, Vastus Intermedius): Extends the knee joint, and steadies the hip joint; helps flex the hip
    • Rectus Femoris: Also assists iliopsoas in hip flexion

    Muscles of Adductor Compartment of Thigh

    • Adductor Longus: Adducts the hip joint
    • Adductor Brevis: Adducts the hip joint and slightly flexes it
    • Adductor Magnus: Adducts the hip joint, flexes hip joint (adductor part), extends hip joint (hamstring part)

    Muscles of Superficial Back

    • Trapezius: Elevates, retracts, and rotates the scapula; extends the neck
    • Latissimus Dorsi: Extends, adducts, and medially rotates the humerus

    Deep Posterior Axio-Appendicular Muscles (Intrinsic Shoulder)

    • Levator Scapulae: Elevates the scapula
    • Rhomboid Minor and Major: Retract the scapula, and rotate the scapula's glenoid cavity inferiorly

    Superficial Anterior Axio-Appendicular Muscles

    • Pectoralis major: Adducts and medially rotates the humerus; draws scapula anteriorly and inferiorly
    • Pectoralis minor: Stabilizes the scapula by drawing it inferiorly and anteriorly against the thoracic wall
    • Subclavius: Anchors and depresses the clavicle
    • Serratus anterior: Protracts the scapula and holds it against the thoracic wall; rotates the scapula

    Superficial Intrinsic Muscles of the Back

    • Splenius: Unilaterally: laterally flexes the neck and rotates to the opposite side; Bilaterally: extends the head and neck.

    Deep Intrinsic Muscles of the Back

    • Transversospinalis, Semispinalis, Multifidus, Rotatores: Stabilize the vertebrae during movements and assist in local extension and rotation.

    Scapula-Humeral (Intrinsic Shoulder) Muscles

    • Deltoid: Flexion, abduction, and extension of the arm, depending on which part is active. (anterior, middle, posterior)
    • Supraspinatus: Abduction of the arm
    • Infraspinatus: Laterally rotates the arm
    • Teres Minor: Laterally rotates the arm
    • Subscapularis: Medially rotates the arm

    Anterior Compartment of Forearm Muscles

    • Brachioradialis: Flexes the forearm (weak)
    • Extensor Carpi Radialis Longus: extends and abducts the hand at the wrist
    • Extensor Carpi Radialis Brevis: extends and abducts the hand at the wrist.
    • Extensor digitorum: extends digits primarily at the metacarpophalangeal and interphalangeal joints.
    • Extensor digiti minimi: extends the fifth digit
    • Extensor carpi ulnaris: extends and adducts the hand at the wrist; assists in fist clenching

    Anterior Compartment of Forearm Muscles (continued)

    • Supinator: Supinates the forearm
    • Extensor indicis: extends the second digit
    • Abductor pollicis longus: abducts thumb, extends at carpometacarpal joint
    • Extensor pollicis longus: extends distal phalanx of thumb
    • Extensor pollicis brevis: extends proximal phalanx of thumb

    Intrinsic Muscles of Hand

    • Thenar Muscles (Opponens Pollicis, Abductor Pollicis brevis, Flexor Pollicis brevis, Adductor Pollicis): oppose the thumb, abduct, flex and adduct thumb.
    • Hypothenar Muscles (Abductor Digiti Minimi, Flexor Digiti Minimi, Opponens Digiti Minimi): oppose the little finger, abduct, flex, and adduct little finger
    • Lumbricals: flex metacarpophalangeal joint and extend interphalangeal joints
    • Interossei: Abduct or Adduct the second to fifth fingers.

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    Description

    This quiz focuses on the anatomy and biomechanics of the close-packed and open-packed positions of joints, particularly the hip and knee. It also examines the major muscles involved in movements at these joints, such as the quadriceps and iliopsoas. Test your knowledge on joint stability and muscle function in the lower limbs.

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