Biomechanics of the Knee Flashcards

1
Q

Biomechanics

If the frontal plane angle of the knee is less than 170° it is called excessive genu ____, or “knock-knee”.

Knee

A

Valgum

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2
Q

Biomechanics

If the frontal plane angle of the knee is greater than 180° it is called genu ____, or “bow-leg”.

Knee

A

Varum

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3
Q

Biomechanics

Describe the articulation at the tibiofemoral joint.

Knee

A

Two articulations between large, convex femoral condyles (medial and & Lateral) and nearly flat, smaller tibial condyles

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4
Q

Biomechanics

What two muscles dynamize the medial meniscus?

Knee

A
  • Quadriceps Femoris
  • Semimembranosus
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5
Q

Biomechanics

What three muscles dynamize the lateral meniscus?

Knee

A
  • Quadriceps Femoris
  • Semimembranosus
  • Popliteus
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6
Q

Biomechanics

Does complete lateral meniscectomy increase or decrease peak contact pressures at knee?

Knee

A

Increase.
230%

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7
Q

Biomechanics

During tibial-on-femoral knee extension, arthrokinematically the tibia rolls ____ and glides ____ . The medial condyle rolls (more or less) than the lateral side, causing ____ rotation of the tibia.

Knee

A

Anteriorly
Anteriorly
More
External

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8
Q

Biomechanics

What benefit does the patella provide during knee extension?

Knee

A

Improves Mechanical Advantage of Quads

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9
Q

Biomechanics

What are the retropatellar forces during the following activities?
* Walking
* Jogging
* Deep squat

Knee

A

Walking = 0.5x body weight
Jogging = 7x body weight
Deep Squat = 20x body weight

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10
Q

Biomechanics

During what degree of motion is the ACL most vulnerable? Why?

Knee

A

15-30° of knee flexion
* Accepts most anterior translation at 30°
* Accepts most IR force at 30°
* Most slack between 20-50°
* Poor hamstring force 20° and under

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11
Q

Biomechanics

The ACL accepts the most load in (flexion or extension); whereas, the PCL accepts the most load in (flexion or extension).

Knee

A
  • Extension
  • Flexion
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12
Q

Biomechanics

Which ligament of the knee is best at limiting external valgus forces?

Knee

A

The Medial Collateral Ligament

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13
Q

Biomechanics

The medial tibial plateau accepts (more or less) weight than the lateral side and has a meniscus that moves (more or less) than the lateral side.

Knee

A
  • More
  • Less
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14
Q

Biomechanics

Describe the movement and femoral contact of the patella during knee flexion.

Knee

A

The patella glides inferiorly in a ‘C’ shape during knee fleixon. Patellar contact against the femoral condyles starts inferiorly, moves superiorly, and finishes laterally.

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15
Q

Biomechanics

Freedom of knee axial rotation ____ with greater flexion, totaling ____ degrees of rotation at 90° flexion.

Knee

A

Increases
45°

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16
Q

Biomechanics

In order to fully extend the knee about ____ ° of external rotation is required. What is this called?

Knee

A

10°
Screw-home Mechanism

17
Q

Biomechanics

For a knee that is fully extended to be unlocked, the joint must first be ____ rotated by the ____ .

Knee

A

Internally
Popliteus

18
Q

Biomechanics

Which two muscles that cross the knee help to control rotation at this joint in the transverse plane?

Knee

A
  • Hamstrings
  • Gastrocnemius