Upper Limb and Hip Ligaments Quiz
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Questions and Answers

What is the location of the medial collateral ligament in the upper limb?

The medial collateral ligament in the upper limb is located between the medial epicondyle of the humerus and the medial coronoid process of the ulna.

Which ligament is also known as the deltoid ligament and what are its components?

The tibial-navicular (also known as the deltoid) ligament is a group of ligaments that connects the medial malleolus of the tibia to the talus, navicular, and calcaneus bones. Its components include the anterior tibiotalar, posterior tibiotalar, tibiocalcaneal, and tibionavicular ligaments.

Describe the location and function of the coracoclavicular ligament.

The coracoclavicular ligament is located between the coracoid process of the scapula and the clavicle. It helps to stabilize the acromioclavicular joint and prevents excessive upward displacement of the clavicle.

Which ligament is stretched during hip abduction and extension?

<p>The iliofemoral ligament is stretched during hip abduction and extension.</p> Signup and view all the answers

What ligament acts as a posterior stabiliser for the hip joint and how?

<p>The ischiofemoral ligament acts as a posterior stabiliser for the hip joint. It originates on the ischium and spirals onto the neck of the femur and base of the greater trochanter. This configuration creates a tension that helps prevent excessive hip flexion.</p> Signup and view all the answers

Identify the three ligaments responsible for reinforcing the hip joint and explain their unique characteristics.

<p>The three main ligaments reinforcing the hip joint are the iliofemoral, pubofemoral, and ischiofemoral ligaments. The iliofemoral ligament, the strongest of the three, originates on the AIIS and attaches to the trochanteric line. The pubofemoral ligament connects the pubis to the femur, preventing excessive hip abduction. The ischiofemoral ligament spirals from the ischium to the femur, acting as a posterior stabiliser.</p> Signup and view all the answers

Describe the location and function of the anterior cruciate ligament (ACL)?

<p>The anterior cruciate ligament (ACL) is located inside the knee joint, running from the anterior aspect of the tibia to the posterior aspect of the femur. It functions to prevent anterior displacement of the tibia relative to the femur.</p> Signup and view all the answers

What are the two ligaments involved in stabilizing the lateral aspect of the ankle joint?

<p>The anterior talofibular ligament (ATFL) and the calcaneofibular ligament both contribute to stabilizing the lateral aspect of the ankle joint.</p> Signup and view all the answers

Describe the movement of the scapula, and its relationship to the thorax.

<p>The scapula moves around on the thorax. This is not technically a joint, but rather controlled by muscles, not ligaments or a joint capsule.</p> Signup and view all the answers

What are the steps for palpation of the glenohumeral joint?

<p>First, find the clavicle and palpate laterally until you feel a slight drop-off. From behind, find the crease where the shoulder is located. The glenohumeral joint should be over the shoulder, beneath the crease, and pop your hand over the joint.</p> Signup and view all the answers

Describe the movement of the humerus (upper arm bone), and where it articulates.

<p>The humerus articulates with the glenoid fossa of the scapula to form the glenohumeral joint.</p> Signup and view all the answers

What are the steps to locate the acromioclavicular joint?

<p>Locate the clavicle. The AC joint is located at the lateral end of the clavicle, and can be palpated by moving your finger laterally from the clavicle until you feel a slight drop-off.</p> Signup and view all the answers

Describe how to locate the glenohumeral joint from a posterior view?

<p>From a posterior view, look at the crease of the shoulder. The glenohumeral joint can be located in a line with the crease of the shoulder, slightly lateral.</p> Signup and view all the answers

What is the difference between active and passive range of motion?

<p>Active range of motion is the movement of a joint through its full range of motion, initiated and performed by the patient. Passive range of motion is the movement of a joint through its full range of motion, performed by the examiner while the patient remains relaxed.</p> Signup and view all the answers

Describe how to palpate the acromioclavicular joint.

<p>The acromioclavicular joint is located at the lateral end of the clavicle. You can palpate the joint by moving your fingers laterally, starting from the clavicle, and finding a noticeable divot or drop-off.</p> Signup and view all the answers

What are the benefits of palpating the shoulder and scapular area?

<p>Palpation can help identify the location of specific anatomical structures, such as the glenohumeral joint and the AC joint. It can also help detect any abnormalities in the joint, such as swelling, tenderness, or crepitus.</p> Signup and view all the answers

Describe the movement and positioning of the patient's body and the therapist's hand placement when performing a passive lateral rotation of the ankle.

<p>The patient lies supine with their ankle over the edge of the bed. The therapist holds the patient's foot in plantarflexion and, using their thumb, tries to push the patient's toe upward while the patient resists.</p> Signup and view all the answers

What is the therapist's goal in performing a passive hip flexion assessment?

<p>The therapist aims to assess the patient's range of motion in hip flexion by moving the leg from extension to flexion, keeping the heel in contact with the bed. The therapist is looking for how far the knee can move towards the buttocks while maintaining heel contact.</p> Signup and view all the answers

What is a key consideration for the therapist when performing a passive hip abduction assessment?

<p>The therapist must stabilize the patient's hips by holding the ASIS (anterior superior iliac spine) to prevent movement during the assessment, ensuring only the leg is moving.</p> Signup and view all the answers

What is the appropriate hand placement for the therapist during a passive knee flexion assessment?

<p>The therapist should hold above the knee and lightly on the ankle while applying a firm grip to twist the femur, focusing on achieving maximum range of motion in the knee flexion.</p> Signup and view all the answers

Describe the expected end feel when performing a passive knee flexion assessment.

<p>The end feel should be springy, indicating a resistance to further flexion as the ligaments and muscles reach their maximum stretch.</p> Signup and view all the answers

What range of motion is typically expected for passive knee flexion, and what differentiates it from the expected range of motion for passive lateral rotation?

<p>The expected range of motion for passive knee flexion is 60-65 degrees, while the expected range for passive lateral rotation is 30-35 degrees, indicating a larger range of motion for knee flexion.</p> Signup and view all the answers

Explain the significance of the therapist holding the sacrum during a passive hip extension assessment and describe the expected end feel.

<p>Holding the sacrum stabilizes the hips and prevents unwanted movement during the assessment. The expected end feel is springy or boney, indicating the end range of motion where the joint is at its limit.</p> Signup and view all the answers

Describe two distinct methods of passive ankle dorsiflexion and the purpose of each.

<p>One method involves holding the ankle in plantarflexion and wringing the foot inwards, while the other involves having the patient curl their toe against resistance from the therapist's thumb. The first technique focuses on overall dorsiflexion, while the second assesses the toe's ability to resist dorsiflexion.</p> Signup and view all the answers

Where is the greater tubercle of the humerus located in relation to the scapula?

<p>The greater tubercle of the humerus is located anteriorly and laterally from the spine of the scapula.</p> Signup and view all the answers

How can you identify the lesser tubercle during palpation?

<p>Palpate the greater tubercle, then move medially while the patient performs a bicep curl, feeling for a pop in the shoulder.</p> Signup and view all the answers

What anatomical structure is located just behind the coracoid process?

<p>The glenoid fossa is located just behind the coracoid process.</p> Signup and view all the answers

Describe the method to locate the olecranon process.

<p>Palpate the back of the elbow to find the bony prominence, then move inward and slightly upward.</p> Signup and view all the answers

What is the significance of the capitulum in elbow anatomy?

<p>The capitulum is the bony prominence where the radial head articulates during forearm rotation.</p> Signup and view all the answers

How do you locate the iliac crest and the ASIS during palpation?

<p>Find the top of the iliac crest and palpate down towards the ASIS, ensuring to maintain contact.</p> Signup and view all the answers

Explain how to palpate the tuberosity below the glute.

<p>Have the patient lie in a prone position with legs extended and palpate gently below the glute.</p> Signup and view all the answers

What palpation technique is used to find the hard prominence below the belly button?

<p>From the belly button, palpate straight down until you feel a hard prominence, then push down gently.</p> Signup and view all the answers

What is the location and function of the coronoid process in relation to the humerus and ulna?

<p>The coronoid process is located under the humerus and at the front of the ulna, serving as an attachment point for muscles and stabilizing the elbow joint.</p> Signup and view all the answers

Describe how to palpate the clavicle to locate the sternoclavicular joint.

<p>To locate the sternoclavicular joint, find the clavicle and palpate laterally until you feel a slight drop off, indicating the joint area.</p> Signup and view all the answers

Explain the significance of the ball and socket structure of the glenohumeral joint.

<p>The ball and socket structure of the glenohumeral joint allows for a wide range of motion, making it crucial for shoulder mobility.</p> Signup and view all the answers

What movements can be performed at the talocrural joint, and how are they demonstrated?

<p>The talocrural joint allows for plantarflexion and dorsiflexion, demonstrated by pointing the toes downwards and then upwards towards the shin.</p> Signup and view all the answers

Identify the main muscle-controlled function associated with the scapulothoracic joint.

<p>The scapulothoracic joint is primarily controlled by muscles, allowing for stabilization and movement of the scapula across the thorax.</p> Signup and view all the answers

What are the main movements involved when a patient transitions from plantarflexion to dorsiflexion in a supine position?

<p>The movements involve pointing the toes down to the floor (plantarflexion) and then bringing the toes up towards the shin (dorsiflexion).</p> Signup and view all the answers

Which muscles are responsible for the elevation of the pectoral girdle?

<p>The upper trapezius and levator scapulae are responsible for the elevation of the pectoral girdle.</p> Signup and view all the answers

How should a therapist stabilize a patient's leg while performing inversion and eversion movements?

<p>The therapist should stabilize around the tibia and fibula to prevent unnecessary movement during the exercises.</p> Signup and view all the answers

During the assessment of knee flexion and extension, where should the therapist start palpating?

<p>The therapist should start palpating on the medial tibial condyle, moving proximally to feel for any drops.</p> Signup and view all the answers

Describe the process for evaluating shoulder flexion while the patient is in a supine position.

<p>The patient starts with the arm up in flexion and then brings the arm down while the therapist stabilizes the shoulder joint and above the inner elbow.</p> Signup and view all the answers

What should a patient be instructed to do for a complete overhead arm movement during therapy?

<p>The patient should start with both arms at their side, raise them up in a straight line above their head, and then bring them back down.</p> Signup and view all the answers

Which muscles facilitate medial rotation of the pectoral girdle during rehabilitation exercises?

<p>The rhomboid major and minor, pectoralis minor, and levator scapulae facilitate medial rotation of the pectoral girdle.</p> Signup and view all the answers

What is the significance of monitoring pain responses during shoulder flexion and extension exercises?

<p>Monitoring pain responses helps to assess the patient's tolerance and identify any injury or dysfunction in the shoulder joint.</p> Signup and view all the answers

Flashcards

Greater Tubercle of Humerus

The large bony prominence on the upper end of the humerus, serving as an attachment for muscles.

Lesser Tubercle of Humerus

A smaller bony prominence on the front of the humerus, also for muscle attachment.

Coracoid Process

A small hook-like structure on the scapula, provides muscle attachment points.

Glenoid Fossa

The shallow socket in the scapula that articulates with the head of the humerus.

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Olecranon Process

The bony prominence at the back of the elbow joint, part of the ulna.

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Capitulum

A rounded knob on the humerus that articulates with the radius at the elbow.

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ASIS (Anterior Superior Iliac Spine)

The bony projection at the front of the iliac crest, a key landmark in pelvic anatomy.

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Tuberosity (of Ilium)

A rounded prominence on the ilium, important for muscle attachment.

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Glenohumeral joint

The ball-and-socket joint connecting the humerus to the scapula, allowing arm rotation.

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Talocrural Jointline

The joint between the tibia, fibula, and talus, facilitating ankle movement.

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Scapulothoracic joint

Not a true joint, it is the movement between the scapula and the thoracic cage.

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Metacarpalphalangeal Joint

The joint between the metacarpals and the proximal phalanges, allowing finger movement.

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Active Shoulder Flexion

Movement of the arm raising upwards in front of the body using muscle control.

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Passive Shoulder Extension

Movement of the arm moving backwards without muscle contraction, usually assisted by another.

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Glenohumeral Rotation

Rotational movement at the shoulder joint, including external (lateral) and internal (medial) rotation.

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AROM Elbow Flexion

Active range of motion where you bend the elbow using your own muscles.

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Knee Flexion

Bending of the knee, reducing the angle between the thigh and the lower leg.

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Ankle Dorsiflexion

Raising the foot upwards towards the shin, decreasing the angle at the ankle joint.

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Subtalar Inversion

Movement of the foot where the sole moves towards the midline of the body.

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Hip Adduction

Movement of the leg towards the midline of the body, reducing the distance between the legs.

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Annular ligament

A ligament that holds the head of the radius in place, allowing rotation.

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Radial/Lateral Collateral Ligament

A ligament on the outer side of the elbow, stabilizing the joint.

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Ulnar/Medial Collateral Ligament

A ligament on the inner side of the elbow, helping to stabilize the joint.

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Glenohumeral ligament

Stabilizes the shoulder joint by connecting the humerus to the glenoid cavity.

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Inguinal Ligament

A ligament stretching from the ASIS to the pubic symphysis, marking the groin area.

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Anterior Cruciate Ligament (ACL)

A key ligament in the knee that prevents the tibia from sliding too far forward.

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Menisci

Crescent-shaped cartilage in the knee that absorbs shock and stabilizes the joint.

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Tibionavicular Ligament

Part of the deltoid ligament, connecting the tibia to the navicular bone in the foot.

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Dorsiflexion

The action of raising the toes towards the shin.

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Plantarflexion

The movement of pointing the toes downward.

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Inversion

Turning the sole of the foot inward.

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Eversion

The movement of turning the sole of the foot outward.

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Pectoral Girdle Retraction

The movement of pulling the shoulder blades together.

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Pectoral Girdle Elevation

The upward movement of the shoulder girdle.

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Shoulder Flexion

Raising the arm forward and upwards.

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Shoulder Extension

The movement of bringing the arm down from a raised position.

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Passive heel rest

Passive movement where the heel is supported while the foot is turned outwards.

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Plantarflexion with inward wringing

Supporting the foot in plantarflexion and wringing it inwards.

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Toe resistance

Patient curls toe while you apply pressure to resist toe flexion.

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Dorsiflexion to resistance

Applying pressure on the big toe while bringing toes upward.

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Leg raise in prone

Patient raises flat leg, stabilizing the hips by holding the sacrum.

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Knee and foot motion

Keeping the knee still while moving the foot toward the face.

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Heel push into bed

Patient in flexion pushing the knee into the bed to elevate the heel.

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Foot rotation assessment

Holding knee and ankle while asking the patient to rotate the foot in various directions.

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Study Notes

Upper Limb Anatomy

  • Clavicle: A bone that forms the collarbone.
  • Acromion process: Part of the scapula.
  • Greater tuberosity of the humerus: A bony prominence on the humerus.
  • Spine of scapula: A bony projection on the scapula.
  • Medial border of scapula: The inner edge of the scapula.
  • Inferior angle of scapula: The lowermost portion of the scapula.
  • Lateral border of scapula: Outer edge of the scapula.
  • Lesser tuberosity of humerus: Another prominence on the humerus.
  • Coracoid Process: A prominent bony projection of the scapula.
  • Glenoid Fossa: A shallow depression in the scapula that articulates with the humerus.
  • Infraspinatus Fossa: Part of the scapula, a site for attachment of muscles in rotator cuff.
  • Supraspinatus Fossa: Part of the scapula, a site for attachment of muscles in rotator cuff.
  • Subscapularis Fossa: Part of the scapula, a site for attachment of muscles in rotator cuff.
  • Olecranon: Bony process of the ulna.
  • Medial epicondyle of the humerus: A bony prominence on the inside of the humerus.
  • Lateral epicondyle of the humerus: A bony prominence on the outside of the humerus.
  • Head of Radius: The rounded proximal end of the radius.
  • Scaphoid: One of the carpal bones in the wrist.
  • Lunate: Another carpal bone in the wrist.
  • Triquetrial: A carpal bone in the wrist.
  • Pisiform: A carpal bone in the wrist.
  • Trapezium: A carpal bone in the wrist.
  • Capitate: A carpal bone in the wrist.
  • Hamate: A carpal bone in the wrist.
  • Ulnar Styloid: Bony projection on the ulna.
  • Radial styloid: Bony projection on the radius.
  • Hook of hamate: A bony projection on the hamate carpal bone.
  • Base of 5th: Base of the fifth metatarsal.
  • Radial Tuberosity: A bony bump on the radius.
  • Intertubecular (bicipital) groove: A groove on the humerus.
  • Deltoid Tuberosity: A bony prominence on the humerus.
  • Lateral Edge of Acromion: The outer edge of the acromion process.
  • Illiac Crest: The upper edge of the ilium.
  • ASIS: Anterior Superior Iliac Spine.
  • AIIS: Anterior Inferior Iliac Spine.
  • PSIS: Posterior Superior Iliac Spine.
  • Pubic Symphysis: The joint where the left and right pubic bones join.
  • Pubic Tubercle: A bony prominence on the pubic bone.
  • Ischial Tuberosity: A large, roughened area on the ischium.
  • Sacrum: A triangular bone in the pelvis.
  • Coccyx: A small, triangular bone at the bottom of the sacrum.
  • Greater Trochanter: A large process on the femur.
  • Head of Fibula: The upper part of the fibula.
  • Lateral border of Patella: The outer edge of the patella.
  • Medial Border of the Tibia: Inner edge of the tibia.
  • Tibial Tuberosity: A bony prominence on the tibia.
  • Lateral/Medial Tibial Condyle: Rounded prominences on either side of the tibial plateau.
  • Lateral/Medial tibial epicondyle: Rounded prominences on either side of the tibial shaft.
  • Epicondyles of the femur: Processes on the distal femur.
  • Condyles of the femur: Rounded prominences at the distal end of the femur.
  • Adductor Tubercle: A bony prominence on the femur.
  • Femur: The thigh bone.
  • Apex/Inferior pole of patella: The bottom point of the kneecap.
  • Base/Superior pole of patella: The widest part of the kneecap.
  • Tibial Plateau: The broad upper surface of the tibia.
  • Anterior Border of the Tibia: The front edge of the tibia.
  • Medial Malleolus: The inner bony prominence of the ankle.
  • Calcaneus: The heel bone.
  • Sustentaculum Tali: A shelf-like projection of the calcaneus.
  • Tuberosity of Navicular: A projection on the navicular bone.
  • Talus: A tarsal bone in the ankle.
  • Cuboid: A tarsal bone in the foot.
  • Base of fifth metatarsal: The base of the fifth metatarsal bone.
  • Cuneiforms (lateral, intermediate and medial): Three tarsal bones.
  • Head of metatarsals: The distal heads of the metatarsal bones.
  • Talar dome: The articular surface of the talus.

Lower Limb Anatomy

  • The notes are incomplete and not in the correct order as per the provided text.

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Description

Test your knowledge on the various ligaments associated with the upper limb and hip joint dynamics. This quiz covers the location, function, and characteristics of essential ligaments, including the medial collateral, deltoid, and anterior cruciate ligaments. Assess your understanding of joint stabilization and movement mechanics.

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