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Where does the anterior longitudinal ligament attach to and from on the spine?
Anterior vertebral bodies & the annulus fibrosis from C2 to the Sacrum
Where does the posterior longitudinal ligament attach to and from on the spine?
Extends on the posterior aspect of the vertebral bodies within the vertebral canal from C1 to the scrum.
What movement does the anterior longitudinal ligament limit at the spine?
Extension
What movement does the posterior longitudinal ligament limit at the spine?
Flexion
What are the 2 parts that make up the vertebral discs?
Annulus fibrosis & Nucleus pulposus
Annulus fibrosis?
Series of fibro-elastic cartilage rings that surround the inner portion of the disk.
Nucleus Pulposus
Inner gelatin material of the disc made up about 80% of water.
The spine is made up of zygapophyseal joints or facet joints. What type of joint are they classified as?
Plane joint
What plane orientation does the facet joints have at the cervical vertebrae?
Oblique plane
What plane orientation does the facet joints have at the thoracic vertebrae?
Frontal plane
What plane orientation does the facet joints have at the lumbar vertebrae?
Sagittal plane
What muscles are responsible for cervical flexion?
Scalenes & Longus coli
What muscles are responsible for cervical extension?
SCM, Semispinalis capitis, Splenius capitis, Splenius cervicis, & upper erector spinae
What muscles are responsible for left cervical lateral flexion?
L SCM, L Scalenes, & L Splenius Capitis
What muscles are responsible for right cervical lateral flexion?
R SCM, R Scalenes, & R Splenius Capitis
What muscles are responsible for left cervical rotation?
R SCM, L Scalenes, & R Semispinalis capitis
What muscles are responsible for right cervical rotation?
L SCM, R Scalenes, & L Semispinalis capitis
What muscle is responsible for flexion of the trunk?
Rectus abdominus
What muscle is responsible for extension of the trunk?
Erector spinae
What muscles are responsible for left lateral flexion of the trunk?
L erector spinae, L Quadratus lumborum, L External oblique & L Internal oblique
What muscles are responsible for right lateral flexion of the trunk?
R erector spinae, R Quadratus lumborum, R External oblique & R Internal oblique
What muscles are responsible for left rotation of the spine?
R external oblique & L internal oblique
What muscles are responsible for right rotation of the spine?
L external oblique & R internal oblique
What makes up the pelvis?
2 innominate bones + sacrum
What are the innominate bones made up of what 3 bones?
Ilium, Ischium, & Pubis
What portion of the ilium designates your waist?
Iliac crest
What is the boney landmark that is the most anterior point of the iliac crest?
Anterior superior iliac spine (ASIS)
What is the boney landmark that is the most posterior point of the iliac crest?
Posterior superior iliac spine (PSIS)
What boney landmark is the posterior-inferior projection of ischium?
Ischial tuberosity
What is the purpose of the Sacrotuberous ligament?
Stabilize the SI joint
Where does the sacrotuberous ligament connect to an from?
Connects the pelvis to the vertebral column
What structures of the pelvis does the sacrospinous ligament connect?
Attaches from the outer edge of the sacrum to the spine of the ischium. This ligament sits anteriorly to the sacrotuberous ligament.
What is the function of the Iliolumbar ligament?
Helps maintain alignment of L5 on the sacrum during movement.
What structures does the iliolumbar ligament connect to and from?
Connects from the transverse process of L5 to the crest of the ilium.
What motion does the anterior sacroiliac ligament prevent?
Anterior and inferior movement of the sacrum.
What ligament is the strongest ligament of the hip?
Iliofemoral ligament (Y ligament)
What motions does the iliofemoral ligament limit?
Hip extension, later rotation, & adduction
What motion does the pubofemoral ligament limit?
Extension, & abduction
What motions does the ischiofemoral ligament limit?
Hyperextension, Internal rotation, and adduction when hip is FLEXED
What is the open pack position of the hip?
30 degrees of flexion, 30 degrees of abduction, & slight external rotation
What position is the hip in when you have the greatest amount articular contact and the ligaments of the hip joint are the MOST relaxed?
Open-packed
What position is the hip in when you have the least amount of articular contact and the ligaments of the hip joint are the TIGHTEST
Closed-packed
Coxa vara
Abnormally decreased angle of inclination (The neck of the femur angle is close with the shaft)
Coxa valga
Abnormally increased angle of inclination (The neck of the femur angle is farther with the shaft)
Femoral anteversion
Angle between the longitudinal axis of the femoral neck and the medial-lateral axis of the femoral condyles
What is the normal amount of femoral anteversion in adults?
About 15 degrees
Femoral retroversion
The angle between the longitudinal axis of the femoral neck and the medial-lateral axis of the femoral condyles is 0 degrees
What muscles are responsible for hip flexion?
Iliacus, Psoas Major, Rectus femoris, Pectineus, and TFL
What muscles are responsible for hip extension?
Glute max, Biceps femoris (LH), semitendinosus, & semimembranosus
What muscles are responsible for hip abduction?
Glute medius & glute minimus (hip stabilizers)
What muscles are responsible for hip adduction?
Adductor brevis, Adductor longus, Adductor magnus, Gracilis, & Pectineus
What muscles are responsible for hip external rotation?
Glute max & 6 lateral rotators
What muscles are responsible for hip internal rotation?
Glute minimus & TFL
The knee complex is made up of what 2 joints?
Patellofemoral & tibiofemoral
What is the open pack position of the tibiofemoral joint?
20-30 degrees or greater of flexion
What is the closed pack position of the tibiofemoral joint?
Full extension
What is the open pack position of the patellofemoral joint?
20-30 degrees of knee flexion to full passive extension
What is the closed pack position of the patellofemoral joint?
20-30 degrees of knee flexion to full knee extension
What happens with the Screw Home Mechanism of the Knee during extension?
During the last 30 degrees of knee extension, the tibia externally rotates and the femur internally rotates.
What happens with the Screw Home Mechanism of the Knee during flexion?
The tibia internally rotates and the femur externally rotates.