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Kinesiology Exam 3

Motions at theAnswer
Motions at the hip FLexion, Extention Abduction, adduction internal rot, external rotation
Dynamic Stability Created by muscles
Static stability Joint capsule- covers hip joint in cylindrical fashion from lip of acetabulum to neck. illiofemoral ligament. ANT. Y lig pubofemoral ligament. Medial ischiofemoral ligament. POST Ligamentum teres. inguinal lagament IT band
Angle of inclination Angle between shaft and neck in frontal plane. 125. Coxa Valga- neck-shaft greater than 125. Opening medially Coxa Vara- neck-shaft angle less than 125. Opening laterally
Hip vs Shoulder Similarities Triaxial increased ROM decreased stability labrum holding head in socket convex limb moving on concave surface
Hip vs Shoulder differences Shoulder even more ROM Hip more stability, great dynamic stability, great ligament stability
Angle of torsion Angle between shaft and neck in transverse plane. 12-15. Retroversion- Posterior rot of femoral neck in relation to condyles less than 12 deg anteversion causing toed out gait.
Angle of torsion Anteversion- Ant rot of femoral head in relation to condyles greater than 12 deg causing toed in gait
Medial muscles of hip ADDUCTION: pectineus, add magnus, add longus, add brevus, gracilis
Lateral muscles of hip ABDUCTION: gluteus medius, gluteus minimus, tensor fascia latae
Anterior muscles of hip FLEXION: iliopsoas, rectus femoris, sartorius
Posterior muscles of hip EXTENTION: gluteus maximus, deep rotators 6, semimembranosis semitendinosus biceps femoris
Implications of hip musculature Tight hip flexors- causes lumbar lordosis, anterior tilt of pelvis Gluteus medius, minimus weakness- unilateral stance posture/gait, greater trochanter promimnence
Implications of hip musculature TIGHT HAMS-cause posterior tilit that pulls lordotic curve away, pinched ant side of vertebrae. SARTORIUS- longest muscle in body, not a prime mover PIRIFORMIS tightness- tight-pinches down on sciatic nerve.
Hip pathology Congential hip dysplasia- upward lsiding of femoral head in acetabulum. caused by shallow acetabulum
Hip pathology Legg-calve perthes disease. avascular necrosis of femoral head. cused by poor blood supply
Hip pathology Slipped capital femoral epiphysis. proximal epiphysis slips from normal position. caused by coxa vera
Hip pathology Osteoarthuritis- dengenration of cartillage. Caused by chronic wear and tear
Hip pathology Fractures- break in bone. Casued by high impact trauma.
Hip pathology IT band syndrome- inflammation of band. Caused by tightness of band, greater trochanter constantly rubbing.
Hip pathology Hamstring strain- tear in any of the hamstring muscles. Caused by sudden contraction or stretch
Hip pathology Hip pointer. Bruise or contrusion to illiac crest. caused by direct force.
Bones of knee Femur Patela Tibia Fibula
Genu Valgum knocked knees. Medial angle opening of above 180 deg
Genu Varum Bowlegs- Large q angle. Lateral side greater than 180 deg
Functions of patella protection, increase lever arm, take pressure of patellar tendon.
Patellofemoral joint increases mechanical advantage by lengthening the moment arm, which allows muscles to have greater angualr force.
Ligament functions ACL- prevents tibia from sliding anteriorly. PCL- prevents tibia slifing posteriorly MCL- prevents valgus, opening of medial side LCL- prevents varum, opening of medial side
Meniscus functions shock absorbtion friction increased stability muscle insertion joint nutrition
Quadriceps muscles group EXTENTION: rectus femoris vastus lateralis vastus medials vastus intermedialis
Hamstrings group KNEE FLEXION: semimembranosus semitendinosus biceps femoris
Pes Anserine group INSERTION. common distal attachment medially Sartorius gracilis semitendinosis
Other muscle groups popliteus gastrocnemius
Knee pathology genu valgum/varus: knock kneed/bow legged. Casued by excessive q angle coxa vara/ coxa valga
Knee pathology patellar tendointis, inflammation of patellar tendon. overuse of quad muscles
Knee pathology Osgood-schlatters disease. pull on traction epiphysis on tibial tuberosity. Caused by overuse of quad muscles
knee pathology patellofemoral pain syndrom. Pain in joint. Caused by Q angle, quad weakness, or tightness, foot pronation
Knee pathology Chondromalacia patella. softening/degeneration of posterior patella. Caused by PFPS
Knee Pathology Bursitis, inflammation of bursa (patellar). Caused by kneeling or acute fall of knee.
Aspects of the foot Forefoot- 5 metatarsals, and phalanges. Midfoot-navicular, cuboid, and 3 cuneiform bones. Hindfoot- talus and calcaneus
Ankle joints/motions Talocrural joint- talus, fibula, and tibia. Motions-plantar flexion, dorsiflexion. Subtalar joint- talus and calcaneus. Motins- inversion and eversion. Combined motions- Pronation-eversion with dorsiflexion. Supination-inversion with plantar flexion.
Ankle joints/motions Distal tibiofibular joint- Limited motion, fibula will rotate around and spread apart some. doesn't really move
Foot arches/functions Medial longitudinal arch- from calcaneus post to talus, up to three metatarsals. For absorbtion, gait-arch helps propell you forward, and changes in terrain.
Foot arches/functions Lateral longitudinal arch- from calcaneus through cuboid to 4 and 5 metatarsals. For shock absorption, gait, posture, and changes in terrain.
Foot arches/functions Transverse Arch- side to side through 3 cuneiforms to the cuboid. For shock absorption, gait, and changes in terrain.
Medial stability ligaments Deltoid lig- ankle lig complex, prevents eversion
Lateral stability ligaments Lateral ligaments- Anterior talofinular,posterior tibiofibular, and calcaneofibular. All together prevent inversion.
Points of contact 1. bottom of calcaneus 2. Head of 4th metatarsal 3. Head of 1st metatarsal
Pathologies Shin splints- exercise induced pain along the medial edge of tibia. three types- 1. medial tibia stress syndrome 2. thin layer compact bone surrounding gets inflammed 3. stress fractures/microfractures
Pathologies Turf toe-Pain and numbness in toe that gets worse w activity. Caused by forced hyperextension of great toe at MTP joint. Ankle sprains- check for medial malleous for pain as associated fracture. usually happen laterally.
Pathologies Plantar fasciitis- Inflammation, usually starts by calcaneus, increase weight gain, Pain in heel. Achilles tendonitis- inflammation of gastrocnemius-soleus tendon. it stems from tendon down and webs around calcaneus.
Intrinsic muscles of hand/foot F.M. skills, but are not as well developed because we do not use as much intricate things. like writing.
Created by: kclark5120
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