MSK is characterized by the joint or structure in need of evaluation such as:
Shoulder, Elbow, Wrist, Hand, Knee, Ankle and Foot
_____________________: portion of the muscle that attaches to the mobile bone for which that muscle action controls
Insertion
_____________________: the part of the muscle attached to the stationary (immobile) bone
Origin
The shoulder would be considered the ____________ and the humerus would be considered the ____________.
insertion ; origin
What are the 4 different types of muscles?
Bipennate, Unipennate, Multipennate, and Circumpennate
The __________ muscle contains muscle fibers with a central origin. (2 connection points)
Bipennate
___________________ muscle is a division of several feather-like sections in one muscle
Multipennate
____________________is the convergence of fibers to a central tendon (more in sphincters)
Circumpennate
Skeletal muscle imaged in a longitudinal plane appears _________________with multiple, fine parallel _________.
homogeneous ; echoes
The main portions of the muscle fibers are ____________and radiate toward a central tendon or aponeurosis. (turn on the area to confirm it is muscle and not a mass)
hypoechoic
Attachment of muscle occurs at proximal and distal portions of bundle; it is a collection of tough collagenous fibers called a ____________.
TENDON
Attachments cordlike or flat sheets:
Aponeuroses
This type of attachment (tendons) occurs in __________________ like the rectus abdominis in abdomen.
flat muscles
Tendons occur with or without a surrounding tubular sac called the ______________________.
synovial sheath
____________________: a loose areolar connective tissue, fills the fascial compartment of tendons lacking a synovial sheath.
Paratenon
Examples of tendons ______________a synovial sheath include the Achilles, patellar, proximal gastrocnemius, and semimembranosus tendons.
without
The joining of the tendon to the bone is called _______________occurs via a narrow band of _______________.
enthesis ; fibrocartilage
Support and strength of joint due in part to ___________which are short bands of tough fibers which connect BONES TO OTHER BONES.
ligaments
Ligaments are ___________and allow joint _____________, however they also limit movement to protect joints from hyperextending or hyperflexing beyond normal range of motion.
elastic ; flexibility
_________________________________ : connects the medial femoral condyle to the medial proximal tibia
Medial collateral ligament (MCL) or tibial collateral ligament
The Medial collateral ligament (MCL) or tibial collateral ligament (TCL) deviates from the usual ligament ______________.
appearance
Most major injuries occur in the _______.
MCL
_____________:Saclike structure surrounding joints and tendons containing viscous fluid
Bursa
Bursa provides area for synovial fluid to aid in reduction of ___________between two musculoskeletal structures, such as tendon and bone or ligament and bone.
friction
Two types of bursae are found in the body:
communicating and noncommunicating
The _______________membrane of communicating bursae interact with the joint space.
synovial
One finding related to a communicating bursa is the __________________, which is located in the medial popliteal fossa(behind the knee).
Baker's cyst
A ___ ___ has a connecting neck located between the semimembranosus and medial gastrocnemius tendons to a bursa contained within the knee joint.
Baker's cyst
___________________: Conduit for impulses to and from muscles and central nervous system (CNS) and the periphery.
Nerves
________________: Under control of muscle system with nerves in contact with muscle through motor end plates
Muscle action
Elements of the peripheral nerve include the nerve fibers, arranged into BUNDLES known ass ___________, each encapsulated by dense insulating sheaths of ___________ and connective tissue.
fasciculi ; myelin (Schwann Cells)
Tendons that MOVE when the corresponding joint or muscle will ___________.
contract
Nerve structures remain _____________within the muscle tissue during movement, but within, excursion of the nerve fibers is seen during associated joint movement