anatomy dissection 2 Flashcards
what type of joint is the knee joint ?
it is a synovial hinge joint
what are the 3 articulations of the knee joint ? and which bone does not take part in the knee joint ?
3 articulations in total; 2 between the femur and the tibia, 1 between the femur and the patella the fibula does not take part in the knee joint
what are the main movements of the knee joint ?
flexion and extension
what muscles cause extension of the knee and what are they supplied by ?
quadriceps supplied by the femoral nerve
what muscles cause flexion of the knee and what are these muscles supplied by ?
mainly hamstrings & gastrocnemius
supplied by tibial and common fibular nerve
when the knee is flexed what is achievable
a degree of medial & lateral rotation is achievable
which muscles control the lateral rotation of the knee and what are they supplied by ?
biceps femoris
supplied by the tibial and common fibular nerve
which muscles control medial rotation of the knee and what are they supplied by ?
hamstrings & gracilis
supplied by the obturator nerves
what encloses the synovial cavity of the knee joint ?
a fibrous capsule which attaches round the margins of the articular cartilage
what the ligaments of the knee which help to strengthen the fibrous capsule and stabilise the knee ?
are the iliotibial tract, the tibial (medial) and fibular (lateral) collateral ligaments and the cruciate ligaments (anterior and posterior).
what is the function of the medial and lateral menisci ?
act as shock absorbers as well as assisting with stabilisation of the curved femoral condyles upon the relatively flatter tibial condyles.
give some examples of common abnormalities in knee alingments
Genu varum (“bandy legs” or “bow legs”) and genu valgam (“knock knees”)
what may predispose to abnormalities such as Genu varum (“bandy legs” or “bow legs”) and genu valgam (“knock knees”)
associated with loss of the medial or lateral meniscus respectively.
where are the menisci thicker ?
where they are attached peripherally to the fibrous capsule
what makes the medial menisci more vulnerable to a tearing near injury ?
The medial meniscus is also attached peripherally to the tibial (medial) collateral ligament which makes it more vulnerable to tearing in a knee injury.
describe what is meant by an unhappy triad knee injury?
Such an injury could occur after a blow to the lateral side of the knee that distracts and twists the medial aspect of the joint. If the injury is such that the ACL is also ruptured, it is referred to as an “unhappy triad” knee injury.
what are both menisci anchored too ?
anchored anteriorly and posteriorly by attachment to the tibial intercondylar area
what are the cruciate ligaments named according too ?
according to their site of attachment to the intercondylar eminence of the tibia. They both attach between tibia and femur
explain the route of the ACL
(ACL) passes superiorly, laterally and posteriorly to attach to the lateral femoral condyle.
what specifically does the ACL do ?
(ACL) passes superiorly, laterally and posteriorly to attach to the lateral femoral condyle.
what test asesses the integrity of the ACL?
anterior drawer test assesses the integrity of the ACL
describe the route of the PCL
(PCL) lies medial to the ACL and passes superiorly and anteriorly to attach to the medial femoral condyle.
what does the PCL do ?
prevents posterior displacement of the tibia on the femur and helps prevent hyperflexion of the joint.
what test asesses the PCL ?
integrity of this ligament is tested by the “posterior drawer” test.
what is the suprapatellar bursa?
is an extension of the synovial cavity.
what does the presence of the suprapatellar bursa do?
reduces friction on the quadriceps tendon during knee movements