12. Lower Limb II: Knee to Foot (HARC) Flashcards
name for the KNEE CAP bone
PATELLA
2 LEG BONES
TIBIA (medial)
FIBULA (lateral)
part on the DISTAL end of the TIBIA:
MEDIAL MALLEOLUS
part on the DISTAL end of the FIBULA
LATERAL MALLEOLUS
2 parts on the DISTAL FEMUR
LATERAL CONDYLE
MEDIAL CONDYLE
what can you find on the LATERAL and MEDIAL CONDYLES of the FEMUR that are the attachment sites for ligaments
(TIPS, can feel)
LATERAL EPICONDYLE
MEDIAL EPICONDYLE
name for the BUMP (BIG) on the TIBIA
TIBIAL TUBEROSITY
3 types of BUMPS on BONES that muscles attach to :
- Tubercle (small)
- Tuberosity (middle)
- Trochanter (big) (femur)
bigger bumps = more powerful muscles attach
name for SUPERIOR , FLAT part of TIBIA with 2 parts
TIBIAL PLATEAU
- MEDIAL CONDYLE
- LATERAL CONDYLE
name for the LINE found on the POSTERIOR surface of TIBIA
SOLEAL LINE
- SOLEUS muscle attaches
which side of the TIBIA is the SOLEAL LINE found
POSTERIOR
3 parts of PROXIMAL FIBULA
APEX (projection)
HEAD
NECK
DISTAL FIBULA there is:
LATERAL MALLEOLUS
what is BETWEEN the FIBULA and TIBIA
INTEROSSEOUS MEMBRANE
JOINT between TIBIA and FIBULA
DISTAL & PROXIMAL
TIBIOFIBULAR JOINT
very little movement
the MEDIAL MALLEOLUS is a PALPABLE FEATURE of which BONE
TIBIA
what type of JOINT is the KNEE JOINT
SYNOVIAL
HINGE JOINT (UNIAXIAL)
what AXIAL is the KNEE JOINT
UNIAXIAL - 1 AXIS
(mainly) 1 MOVEMENT: FLEXION/EXTENSION
but also some rotation & translation
which BONES make up the KNEE JOINT
FEMUR
PATELLA
TIBIA
(NOT fibula)
2 ARTICULATIONS at the KNEE JOINT
TIBIOFEMORAL JOINT (main)
-between femur and tibia
PATELLOFEMORAL JOINT
- between femur and patella
what do you find in the KNEE JOINT
BETWEEN the FEMORAL and TIBIAL CONDYLES
MENISCI
which features add STABILITY to the KNEE JOINT
- MENISCI
- 4 major LIGAMENTS (2 pairs: cruciate, collateral)
- muscles
the MENISCI are a PAIR of…
SEMILUNAR FIBROCARTILAGE DISCS in the knee joint
MEDIAL MENISCI
LATERAL MENISCI
Structure of MEDIAL MENISCI
- C-SHAPED with wide base
- well ANCHORED to TIBIA (firmly fixed down)
therefore LESS MOBILE
(MORE RISK to injury)
Structure of LATERAL MENISCI
- ALMOST O SHAPE
smaller gap - less firmly fixed down so MORE MOBILE (can move with femur)
LESS RISK to injury
which MENISCUS is at MORE RISK to INJURY and why
MEDIAL MENISCI
as it is LESS MOBILE
3 FUNCTIONS of the MENISCI
- INCREASE CONTACT AREA (main function)
- increases up to 60% - SHOCK ABSORBER
- PROPRIOCEPTION - ability to sense movement, action, and location (lots of proprioceptive fibres)
TYPES/PAIRS of LIGAMENTS in the KNEE JOINT:
- CRUCIATE LIGAMENTS
- COLLATERAL LIGAMENTS
what are the 2 CRUCIATE LIGAMENTS in the KNEE JOINT
(‘cruciate’ = ‘crossed’)
ACL - ANTERIOR CRUCIATE LIGAMENT
attaches to anterior tibia
PCL - POSTERIOR CRUCIATE LIGAMENT
attaches to posterior tibia
FUNCTION of the CRUCIATE LIGAMENTS ACL & PCL
RESIST EXCESSIVE TIBIAL TRANSLATION (limit movement)
ACL: RESIST EXCESSIVE ANTERIOR TIBIAL TRANSLATION
PCL: RESIST EXCESSIVE POSTERIOR TIBIAL TRANSLATION
how to TEST for CRUCIATE ACL/PCL FUNCTION and what results mean
TEST FOR INJURY
hold thigh and calf. pull anteriorly to test ACL and push posteriorly to test PCL (LACHMAN TEST)
if ACL TEAR:
EXCESS anterior MOVEMENT of TIBIA
if PCL TEAR:
EXCESS posterior MOVEMENT of TIBIA
if CRUCIATE are FUNCTIONING: LIMIT THE MOVEMENT
excessive = >5mm
which CRUCIATE TEAR is MORE COMMON and what is it CAUSED by:
treatment?
ACL TEAR
- caused by MEDIAL ROTATION with a FIXED LEG
usually when RUNNING FORWARD
usually NON-IMPACT injury
TREATMENT BY RECONSTRUCTION - TENDON AUTOGRAFT
what are the 2 COLLATERAL LIGAMENTS
(where are they attached to/from)
MEDIAL COLLATERAL LIGAMENT
(from Medial Epicondyle of femur to medial surface of Tibia)
LATERAL COLLATERAL LIGAMENT
(from Lateral Epicondyle of femur to the Head of the Fibula)
where are the 2 COLLATERAL LIGAMENTS
EITHER SIDE of the KNEE JOINT
FUNCTION of the COLLATERAL LIGAMENTS - MEDIAL & LATERAL
STABILILE the KNEE
in the CORONAL PLANE
Which COLLATERAL LIGAMENT is THICKER & STRONGER
MCL
MEDIAL COLLATERAL LIGAMENT