Knee Flashcards

(31 cards)

1
Q

Name the 3 joints at the KNEE JOINT

A

Tibio-Femoral Joint
Patellofemoral Joint
Superior Tibio-Fibular Joint

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2
Q

What type of joint is the Tibiofemoral Joint?

A

Synovial Bicondylar Modified Hinge Joint

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3
Q

Where is the Tibiofemoral Joint Line?

A

The Tibiofemoral joint line is a horizontal line that bisects midway between the apex of the patella and the tibial tuberosity.

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4
Q

What are the articular surfaces of the TIBIOFEMORAL JOINT ?

A

Femoral Condyle
Tibial Condyle

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5
Q

What type of joint is the Patellofemoral Joint?

A

Synovial Saddle Joint

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6
Q

Where is the Patellofemoral Joint line?

A

The Patellofemoral joint line is along the anterior surface of the patella.

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7
Q

What are the articular surfaces of the Patellofemoral joint?

A

Patella
Femoral Head

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8
Q

What type of joint is the Superior Tibio-Fibular Joint?

A

Synovial Plane Joint

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9
Q

Where is the Superior Tibio-fibular joint line?

A

The Superior Tibio-fibular joint line runs inferiomedially from the APEX of the fibular head.

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10
Q

What are the articular surfaces of the Superior Tibiofibular Joint ?

A

Head of Fibula
Tibial Lateral Condyle

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11
Q

What are the ligaments of the Superior Tibiofibular Joint?

A

Anterior Ligament of Fibular Head
Posterior Ligament of Fibular Head

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12
Q

What are the main ligaments of the KNEE?

A

ACL - Anterior Cruciate Ligament
PCL - Posterior Cruciate Ligament
MCL - Medial Collateral Ligament
LCL - Lateral Collateral Ligament

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13
Q

Describe the Anterior Cruciate Ligament (ACL)

A

The ACL is situated at the anterior intercondylar area of the tibia

The ACL runs posteriorly, laterally and superiorly

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14
Q

Describe the Posterior Cruciate ligament (PCL)

A

The PCL is located at the posterior part of the intercondylar area of the tibia

The PCL runs anteriorly, medially and superiorly

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15
Q

Describe the Medial Collateral Ligament (MCL)

A

The MCL is a broad, flat ligament
The MCL is fan shaped
The MCL is approximately 10 cm long
The MCL is attached to the medial epicondyle of femur

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16
Q

Describe the LATERAL COLLATERAL ligament

A

The LCL is a strong rounded cord

The LCL’s PROXIMAL attachment is the lateral femoral epicondyle

The LCL’s DISTAL attachment is the apex of the head of Fibula

17
Q

Describe the articular surfaces of the proximal tibia (Tibial Articular Surface)

A

The articular surface of the Proximal Tibia is:
Concave centrally
Flatter Peripherally
Covered with semi-lunar cartilages

Medial Tibial Condyle projects further antero-posteriorly to accommodate the femoral Condyle
Covered in articular cartilage

18
Q

Describe the articular surfaces of the distal femur (Femoral Articular Surface)

A

The articular surface of the Distal Femur is:

Convex antero-posteriorly and medio-laterally
Lateral Condyle is shorter and wider
Medial Condyle projects more distally
Lateral Condyle projects more anteriorly
Covered in articular cartilage

19
Q

Describe the Medial Meniscus

A

Medial Meniscus:
‘C’ shaped

The Medial Meniscus has 2 Horns
Anterior Horn: intercondylar area + ACL, transverse and coronary ligaments

Posterior Horn: PCL + posterior horn of lateral meniscus, Blends with capsule & medial collateral ligament

Medial Meniscus is narrower and thinner

Medial meniscus is less mobile and more easily damaged

20
Q

Describe the Lateral Meniscus

A

The Lateral Meniscus is:

‘O’ shaped

It has 2 horns:
Anterior Horn - anterior intercondylar eminence posterior to ACL

Posterior Horn - Posterior intercondylar area, anterior to posterior horn of medial meniscus

21
Q

What are the functions of the Mensicus?

A

The functions of the Meniscus are:

Enhances Tibio-femoral joint stability by deepening tibial anterior surface.
Acts as shock absorbers
Conforms to changing shape of femoral condyles during knee movement

NB:
Outer borders thick and vascular
Inner borders thin and vascular

22
Q

Name the PRIME MOVER and list the muscles involved in the movement: KNEE FLEXION

A

PRIME MOVER: Hamstrings
Bicep Femoris
Semitendinosus
Semimembranosus
Sartoruis
Popliteus
Gastrocnemuis

23
Q

Name the PRIME MOVER and list the muscles involved in the movement: KNEE EXTENSION

A

PRIME MOVER: Rectus Femoris
Vastus Medialis
Vastus Intermedius
Vastus Lateralis

24
Q

Name the PRIME MOVER and list the muscles involved in the movement: KNEE INTERNAL ROTATION

A

PRIME MOVER: Medial Rotators (of tibia on femur)
Semitendinosus
Semimembranosus
Sartoruis
Popliteus

25
Name the PRIME MOVER and list the muscles involved in the movement: KNEE EXTERNAL ROTATION
PRIME MOVER: Lateral Rotators (of tibia on femur) Bicep Femoris
26
What is the NERVE SUPPLY at the KNEE during movement?
FLEXION - Sciatic & Tibial EXTENSION - Femoral INTERNAL ROTATION - Sciatic & Tibial EXTERNAL ROTATION - Sciatic
27
What are the limitations (limiting factors) to movement at the KNEE JOINT?
Soft tissue apposition Tension in antagonists Ligaments (Extension fo the KNEE)
28
What is the ROM during KNEE FLEXION?
135 degrees
29
What is the ROM during KNEE EXTENSION?
0 degrees (- 5) degrees - HYPEREXTENSION
30
What is the ROM during KNEE INTERNAL ROTATION ? (during 90 degrees flexion)
20 - 30 degrees
31
What is the ROM during KNEE EXTERNAL ROTATION ? (in 90 degree flexion)
30 - 40 degrees