Anatomy of Hip and Knee Flashcards
What are the features of the hip joint?
Strong
Stable
Multi-axial
Ball and socket type joint
What forms the ball and socket of the hip joint?
Head of the femur is the ball
Socket is the acetabulum
What is the acetabular cavity mainly formed by?
The ischium
What is the depth of the acetabulum increased by?
The fibrocartilaginous acetabular labrum and the transverse acetabular ligament
What is the head of the femur covered with?
Articular cartilage
What are the joint capsule ligaments of the hip?
Iliofemoral ligament
Pubofemoral ligament
Ischiofemoral ligament
What is the function of the iliofemoral ligament?
Prevents the hyperextension of the hip joint
What is the function of the pubofemoral ligament?
Prevents over-abduction of the hip joint
What are the flexors of the hip?
Iliopsoas - chief flexor of the hip joint Sartorius Tensor fasciae latae Rectus femoris Pectineus Adductor longus, brevis and Magnus Gracillis
What are the extensors of the hip?
Gluteus maximus
Hamstrings
Adductor magnus
What are the hamstring muscles?
Semitendinosus
Semimembranosus
Biceps femoris
What are the adductors of the hip?
Pectineus Adductor longus Adductor brevis Adductor magnus Obturator externus Gracillis
What are the abductors and medial rotators of the hip?
Gluteus medius
Gluteus minimus
Tensor fasciae latae
What are the lateral rotators of the hip?
Obturator internus and externus Piriformis Gluteus maximus Gemelli Quadratus femoris
What is the blood supply to the hip?
Medial and lateral circumflex arteries
Branch of obturator artery - artery to head of the femur
What is the nerve supply to the hip?
Femoral, obturator and superior gluteal nerve
What type of joint is the knee joint?
Hinge type synovial joint
What are the articular surfaces of the knee joint?
Femoro-tibial
Femoro-patellar
What are the 5 capsular ligaments that act to strengthen the knee joint?
Patellar ligament Lateral (fibular) collateral ligament Medial (tibial) collateral ligament Oblique popliteal ligament Arcuate popliteal ligament
How many bursae are there around the knee joint?
12
What bursae communicate with the knee joint cavity?
Suprapatellar
Popliteal
Anserine
Gastrocnemius
Where does the medial collateral ligament extend from?
From the medial epicondyle of the femur to the medial condyle and the medial surface of the tibia
What fibres of the medial collateral ligament are firmly attached to the medial meniscus?
Deep fibres
Where does the lateral collateral ligament extend from?
From the lateral epicondyle of the femur to the head of the fibula
Where does the tendon of the popliteus pass in relation to the lateral collateral ligament?
Tendon of popliteus passes deep to the lateral collateral ligament
What do the intra-articular structures within the knee joint consist of?
The cruciate ligaments and menisci
What cruciate ligament is the weaker one?
Anterior - weaker of the two with poorer blood supply
What are the functions of the anterior cruciate ligament?
Limits posterior rolling of the femoral condyles on the tibia
Prevents posterior displacement of the femur on the tibia and hyperextension of the knee
What are the functions of the posterior cruciate ligament?
Limits anterior rolling of the femur on the tibia
Prevents hyperflexion of the knee
What are the menisci?
Crescentic plates of fibrocartilage
What is the function of the menisci?
Deepen the surface and play a role in shock absorption
What are the features of the medial meniscus?
C shaped
Broader posteriorly
Adheres to the surface of the medial collateral ligament
What are the features of the lateral meniscus?
Smaller and more freely moveable than the medial meniscus
Tendon of the popliteus separates it from the lateral collateral ligament
What are the flexors of the knee joint?
Hamstrings Sartorius Gracillis Gastrocnemius Popliteus
What are the extensors of the knee joint?
Quadriceps femoris
What is locking and unlocking of the knee?
Locking - medial rotation of the femur on the tibia
Unlocking - lateral rotation of the femur on the tibia
What muscle unlocks the knee?
The popliteus muscle