knee joint Flashcards

(36 cards)

1
Q

where does the fibrous capsule of the knee attach

A

margins of femoral condyles to the margins of the tibial condyles

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2
Q

where does the tibial collateral lig (MCL) attach?

A

medial epicondyle of femur
medial condyle
shaft of the tibia deep to the sarorius and pes anserinus

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3
Q

what does the tibial collateral lig do?

A

stabilizes medial aspect of joint/prevent abduction of tibia….
prevent knee valgus and IR

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4
Q

where does the fibular collateral lig (LCL) attach?

A

lateral epicondyle of femur

anterior lateral aspect of fibular head

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5
Q

what does the fibular collateral lig do

A

stabilizes lateral joint/prevents adduction of tibia

prevents knee varus and ER

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6
Q

what does the ACL do

A

prevents anterior translation of tibia/post translation of femur
and prevents hyperextension of knee
-controlls rotational forces between tibia and femur

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7
Q

where does ACL attach

A
  • medial part anterior intercondylar area of tibia

- posterior part medial surface lateral condyle of femur

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8
Q

where does the PCL attach

A

posterior intercondylar area of tibia

lateral surface medial condyle of femur

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9
Q

what does the PCL do

A

prevents posterior translation of tibia/anterior translation of femur

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10
Q

where does the medial meniscus attach

A

anterior and post region of intercondylar area of tibia

fibrous capsule at MCL

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11
Q

where does lateral meniscus attach

A

anterior and post region of intercondylar area of tibia

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12
Q

what do the menisci do

A
  1. distribute compressive forces (aborsb shock)

2. increase contact area of tibiofemoral joint

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13
Q

where does the patellar ligament attach

A

apex of patella to tibial tuberosity

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14
Q

what does pateallar ligament do

A
  • resists knee flexion

- serves as component for extensor mechanism for quadriceps muscle to extend tibia on femur

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15
Q

where does the medial patellofemoral lig attach

A

proximal 50% of medial patealla

medial epicondyle of the femur

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16
Q

what is the function of the medial patellofemoral lig

A

restraints against patellar lateral displacement

17
Q

where does the crural interosseus membrane attach

A

interosseus border of tibia

interosseus border of fibula

18
Q

ACL is ____ to the PCL

19
Q

explain the screw home mechanism

A
  • the tibia ER as the knee reaches full extension
  • provides increased stability to the knee through bony congruency and ligamentous tension
  • due to larger medial femoral condyle, the tibia does this
20
Q

which muscle is the MCL attached to

A

semimembranosus through posterior oblique ligament

21
Q

which meniscus is larger

22
Q

which meniscus is smaller

23
Q

where is meniscal blood flow greatest?

A

peripheral 1/3

24
Q

where is meniscal blood flow least

25
what are some things to consider wtih medial meniscus repair rehab
- femoral condyle imparts a sheer force in meniscus in WB beyond 115-120 of knee flexion - hamstring contraction indirectly tugs on posterior horn of meniscus
26
what kind of joint is the patellofemoral
planar - posterior surface of patealla is covered with thick hyaline cartilage - patealla slides within trochlear groove of femur
27
what does the PFJ compressive forces do
- increase with degere of flexion angle at knee | - increase with quadriceps muscle force production
28
explain the PFJ and contact area and pressure
- surface area of contact increases with flexion - increased surface area results in reduced focal areas of pressure so, for a pt that alcks articular gartilage on patealla or trochlear groove.. decrease ROM
29
what is the patellofemoral motion during flexion
inferior glide
30
what is the patellofemoral motion during extension
superior glide
31
what are some patellar soft tissue restraints
- medial and lateral retinaculum | - medial patellofemoral lig
32
what are 4 patellar instability anatomical factors
1. MPFL or retinacular deficinty 2. shallow trochlear groove 3. flat patella 4. patella alta
33
what kind of joint is the prox superior tibiofibular jiont
planar
34
what does the prox (superior) tibiofibular joint do with knee extension
glide posterior
35
what does the prox (superior) tibiofibular joint do with knee flexion
glide anterior
36
which strucutres attach to the fibular head that cross the knee joint and would result in forces across this joint
- biceps femoris tendon - popliteus tendon - LCL - arcuate lig