Knee Joint Flashcards

(32 cards)

1
Q

What kind of joint is the knee joint?

A

It’s a modified hinge joint, allowing some rotation to change direction of movement

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2
Q

When can rotation occur at the knee joint?

A

when the knee is in flexion

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3
Q

Is the patella enclosed in the joint capsule?

A

Yes

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4
Q

What are the three paired structures for stability at the knee?

A

collateral ligaments
cruciate ligaments
menisci

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5
Q

What’s the functional difference between epicondyles and condyles of the femur

A

epicondyles are located laterally, for attachment of muscles
condyles are articular surfaces with condyles of tibia

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6
Q

T/F The lateral condyle is larger than the medial condyle

A

False, medial one is larger`

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7
Q

When does the screw-home mechanism occur?

A

When the knee is in terminal extension, and ACL pulls the femur in medially to lock

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8
Q

T/F Flexion is passive

A

false, flexion is active, extension is passive

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9
Q

what is the function of popliteus muscle

A

unlocking the knee joint by providing lateral rotation on the femur

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10
Q

Are cruciate ligaments intra-synovial?

A

No, they are extra-synovial, but intracapsular

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11
Q

Why doesn’t the synovial membrane cover the whole menisci?

A

menisci is the point of articulation, and synovial membrane has rich neurovascular supply. It doesn’t cover the whole menisci so irritation can be prevented

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12
Q

Why is there bleeding in the joint when a ligament in the capsule is torn

A

synovial membrane is likely to get damaged as well, so there is bleeding

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13
Q

What are the anterior muscle reinforcing the joint?

A

quadriceps, the femoris muscle

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14
Q

what are the lateral reinforcements of the joint?

A

popliteus, biceps femoris, iliotibial tract

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15
Q

What are the medial reinforcements of the joint?

A

pes anserinus, complex of tendons composed of satorius, gracilis, bursa, semitendinosus

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16
Q

What does “say grace before tea” stand for

A

Satorius
Gracilis
Bursa
Tendon of semitendinosus

17
Q

What are the posterior reinforcements of the joint?

A

tendon of semimembranosus

18
Q

Does the suprapatellar bursa communicate with the joint cavity?

A

Yes, so any infection can travel into the capsule

19
Q

What are the attachments of ACL

A

anteriorly on the tibia

lateral condyle of femur

20
Q

What are the attachments of the PCL

A

posteriorly on the tibia

medial condyle of femur

21
Q

What is the action of ACL?

A

stops anterior displacement of tibia or posterior displacement of femur

22
Q

In what situation in the ACL most commonly injured

A

upper leg rotates while lower leg is stationary

https://www.youtube.com/watch?v=lpIOMuqXWrE

23
Q

What is the test for PCL injury?

A

posterior draw test

24
Q

What does the deep medial collateral ligament blend with

A

The medial meniscus

25
How does medial collateral ligament act as a secondary restrain for ACL
because the course of collateral ligament runs slightly anteriorly to prevent anterior displacement of tibia
26
What is the unhappy triad?
ACL, medial collateral ligament, medial meniscus. Usually damaged due to lateral rotational movement
27
What is the function of lateral collateral ligament
resisting medial movement of the tibia
28
What is the function of menisci?
shock absorb | distribute weight by increasing area of contact
29
Why is the medial meniscus more likely to be injured?
because it is held in place by the MCL
30
What are the two passive structures maintaining the patella alignment
raised lip on lateral femoral condyle | medial patellar retinaculum
31
What is the active structure maintaining patella alignment
vastus medialis
32
What is chondromalacia patella
inflammation of underside of the patella due to abnormal traction