Bones and Joints of the Lower Extremity Flashcards
List the bones of the lower extremity
femur
patella
tibia
fibula
talus
calcaneous
navicular
cuboid
cuneiforms
metatarsals
phalanges
What type of bone is the patella?
sesamoid bone
What are the facets of the patella?
lateral
medial
odd
What are the superior articular surfaces of the tibia?
medial and lateral tibial plateau
Where is Gerdy’s tubercle?
on the tibia, distal to lateral condyle, medial to fibular head (insertion of IT band)
What are the 3 surfaces of the shaft of the tibia?
medial, lateral, posterior
What are the articular facets of the tibia?
malleolar
inferior
What are the tuberosities of the calcaneous?
medial (weight bearing)
lateral
What are the 3 cuneiform bones?
medial
middle
lateral
What are the articulating surfaces of the patellofemoral joint?
posterior patella
patellar surface of distal femur
What type of joint is the patellofemoral?
nonaxial modified plane synovial joint
Movements are permitted by the patellofemoral joint?
gliding
What are the ligaments of the patellofemoral joint?
capsule
patellar tendon/ligament
patellar retinaculum
Where does the patellar ligament attach and what does it do?
attaches between patellar apex to tibial tuberosity
transfers force from quadriceps to enable knee extension
Where is the patellar retinaculum and what does it do?
aponeurotic extensions of vastus medialis and lateralis and overlying fascia
strengthens the capsule and supports the patellofemoral joint
What is the blood supply to the patellofemoral joint?
anastomosis of genicular branches of femoral, popliteal and anterior tibial arteries
What nerves innervate the patellofemoral joint?
branches of obturator, femoral, tibial and common fibular nerves
What joint is considered the knee joint proper?
the tibiofemoral joint
What are the articulating surfaces of the tibiofemoal joint?
medial and lateral tibial plateaus
medial and lateral femoral condyles
What is the classification of the tibiofemoral joint?
uniaxial modified hinge synovial joint
What are the movements permitted by the tibiofemoral joint? In what plane and axis?
flex-ex: medial lateral axis and sagittal plane
medial lateral rotation: mechanical axis
What are the ligaments of the tibiofemoral joint?
capsule (shared with patellofemoral joint)
medial collateral ligament (MCL)
lateral collateral ligament
anterior cruciate ligament (ACL)
posterior cruciate ligament (PCL)
oblique popliteal ligament
arcuate popliteal ligament
coronary ligament
patellimeniscal ligament
transverse ligament
meniscofemoral ligament
What does the MCL limit?
limits valgus stress, extension and lateral rotation
What does the lateral collateral ligament of the knee limit?
checks varus stress, extension and lateral rotation
What does the ACL limit?
prevents tibia from moving anterior on femur and limits hyperextension
What does the PCL limit?
prevents tibia from moving posterior on femur, limits hyperflexion and hyperextension and is the primary stabilizer at 90 degrees of knee flexion
What does the oblique popliteal ligament limit?
limits extension and valgus on an extended knee
What does the arcuate popliteal lig. limit?
limits extension and varus on an extended knee
What does the coronary lig limit?
holds minisci to tibial plateaus