04 Posterior Knee Palpations Flashcards Preview

7232 Ortho > 04 Posterior Knee Palpations > Flashcards

Flashcards in 04 Posterior Knee Palpations Deck (14):
1

semitendinosus tendon: clinical significance

- superior-medial boundary of popliteal fossa
- tendonitis/osis
- strain
- partial tear/rupture
- could harvest for ACL reconstruction

2

semitendinosus: palpation

- pt in gentle knee flexion and IR
- most prominent tendon you can feel, should jump out

3

biceps femoris tendon: clinical significance

- superior-lateral boundary of the popliteal fossa
- tendonitis/osis
- strain
- partial tear/rupture

4

biceps femoris: palpation

- pt in gentl knee flexion and ER
- big cord, prominent

5

medial head of gastrocs: clinical significance

- myositis/osis
- strain
- partial tear/rupture
- etc

6

medial head of gastrocs: palpation

- drop down from semitendinosus palpation
- have pt plantarflex and dorsiflex the ankle

7

lateral head of gastrocs: clinical significance

- myositis/osis
- strain
- partial tear/rupture
- etc
- fabella may be present

8

fabella

- looks like a fracture on radiograph
- just a sesamoid bone in the lateral head of the gastrocs

9

lateral head of gastrocs: palpation

- drop finger down from biceps femoris palpation
- have pt plantarflex and dorsiflex the ankle

10

posterior capsule: clinical significance

- likely place for swelling in the knee
- Baker's cyst may be present

11

Baker's cyst

- generic term for swelling in popliteal fossa
- usu due to articular problem of some sort

12

popliteal artery: clinical significance

- primary blood supply going to the foot
- deepest of NV triad and right against the back of the knee
- almost always too deep to palpate

13

Which pulses should you check for vascular flow distal to the knee?

- posterior tibial
- dorsalis pedis

14

popliteal artery: palpation

- in the center of the posterior knee capsule
- palpate popliteal fossa for pulse