Biomechanics Quiz 7 Flashcards
In articular surface is medial or lateral surfaces larger?
Medial
Variation in curvature of femoral condyles occurs in which plane?
The sagittal plane
Is their greater joint congruency in flexion or extension?
Extension
What type of cartilage is the patella made of?
Hyaline Cartilage
Are the articular surfaces of the tibia or femur smaller?
Tibia
Medial plateau bears more load during weight bearing for…
greater stress distribution
Normal Tibiofemoral alignment
170-175
Knee Genu Valgum
165*
Genu Varum
180*
Knee Varum is also known as
Bow legs
Knee Valgum is also known as
Knock Knees
Is the knee a highly mobile joint?
yes!
Where does the knee get its stability from?
Ligaments and joints
Large surface area of femoral condyles allows for?
Excessive knee motion and decreased stability
What are the soft tissue constraints of the knee?
Capsule, ligaments and the meniscus
The fictional characteristics of the Tibiofemural joint are that it is more…
1) Stable in extension
2) Mobile in flexion
The 2 active angular degrees of freedom for the tibiofemoral joint are?
1) Extension/flexion
2) Internal/External rotation
Extension and flexion of the TF joint enable use of ?
The quadriceps and hamstrings
Internal and external rotation of the TF joint enable use of?
The hamstrings vertically
1 Passive motion of the TF joint is?
Valgus/varus
Flexion and extension occur about what axis of rotation?
Medial/Lateral
Valgus and various occur about what axis of rotation?
Anterior and Posterior
Flex/Ext occur about the M/L axis of rotation through?
The femoral epicondyles
Typical ROM for the Tibiofemoral joint are?
130-140 flexion to 5* hyperextension
Internal and external rotation occur about what axis of rotation?
longitudinal
axial rotation increases with what kind of flexion?
greater knee flexion
What degree of knee flexion permits 40-50* total rotation (excursion)?
90*
Internal and external rotation is also called what kind of rotation?
axial rotation
The purpose of the MCL is to?
… resist knee valgus or abduction
The purpose of the LCL is to?
… resist knee varus or adduction
The MCL attaches to what which part of the meniscus?
medial meniscus
The purpose of the ACL is to?
… to resist anterior tibial translation on the femur (linear movement)
The purpose of the PCL is to?
resist posterior tibial translation on the femur
What muscles are ACL protective?
hamstrings
What muscles are PCL protective?
quads
What ligaments reside in the intercondular notch?
- ACL
2. PCL
The meniscus has what two physical characteristics?
- c-shaped
2. anterior and posterior horns
The anterior and posterior horns are attached how?
Medial to lateral
How does the meniscus get its nutrition?
Through
- diffusion
- synovial fluid
- compression
- ?
During loading, the meniscus experiences what stresses?
- tensile
- compressive
- shear
If the meniscus is removed, forces on the tibia are how many times greater?
6-7 times greater
Why is the meniscus removed?
due to bad OA or for a total knee replacement
For the patellofemoral joint, what are the local stabilizers?
- quads
- joint surfaces
- joint capsule
What are the tibial on femoral movements
The patella slides relative to fixed femur
What are the femoral on tibial movements?
groove of femur slides relative to the fixed patella
What is the function of the patella?
Acts as spacer between femur and quads.
(“spacer”) The patella increases internal MA of the … ?
knee extensor mechanism
The internal MA is greatest between what degrees of flexion?
20-60* flexion
The patella moves on the femur when?
When you flex or extend
Dislocation of patella occurs in what position?
the extended position
Bow straining force definition
when a force moves the patella laterally or femur is moving medially
Q angle avg overall
13-17*
Men Q angle
13-14*
Women Q angle
16-17*
The more the Q angle, the more …
the patella will be pulled laterally
Extensor lag
Difficulty with the last 15-20* of extension
The talocurural joint is what type of joint?
hinge joint
another name for the talocrural joint is?
Mortise joint
The talocurural joint acts like what?
a “moveable wrench” which allows for stability and mobility
The talocrural joint more or less congruent of a joint compared to others?
more congruent
dorsiflexion is when … (talocrural anthrokinetics)
the talus slides posterially and rolls forward
plantarflexion is when … (talocrural anthrokinetics)
the talus slides anteriorly and rolls backward
(talocrural arthrology) the distal talocrural joint’s lateral ligaments are which 3?
- anterior tala-fibular ligament ATFL
- calcaneo-fibular CFL
- posterior-talofibular PTFL
What is the most common sprain?
inversion sprain
What is the move injured ligament?
the anterior talofibular ligament ATFL
Inversion
Lateral collateral ligament
Eversion
Medial collateral ligament
Medial ligament of the distal talocrural joint is:
Deltoid ligament
Attachments of the deltoid ligament are:
- navicular
- talus
- calcaneous