Developmental Anomalies

Question 1

a patella in which the superior lateral portion of the bone remains unossified

Answer 1

Patella Emarginata

Question 2

􀁸 a patella in which the superior lateral portion ossifies independently
􀁸 occurs in about 3% of the population
􀁸 the clinical significance of this type of patella is to be able to recognize it and not confuse it with a fracture
of the patella

Answer 2

Bipartite or Tripartite Patella

Question 3

this is a condition in which there is a softening and fissuring of the articular cartilage on the posterior
aspect of the patella
􀁸 it is common in young adults
􀁸 the usual cause is by trauma, overuse or muscle weakness which causes a misalignment of the patella
􀁸 most frequent complaint is of dull pain around or under the patella that worsens with exercise
􀁸 pain may intensify when going from a position of flexion to extension at the knee joint

Answer 3

Chondromalacia

Question 4

this is the connective tissue investment (deep fascia) of the thigh region
􀁸 it provides a dense sheath for the thigh and prevents the thigh muscles (quadriceps) from bulging
outward during contractions of the muscles

Answer 4

Fascia Lata

Question 5

function of the fascia lata

Answer 5

enhance the effectiveness of the contraction of the quadriceps

Question 6

fascia lata attaches proximally to the…….and distally to the……….

Answer 6

pelvic bone, tibia

Question 7

the thickened lateral aspect of the fascia lata

Answer 7

iliotibial tract

Question 8

iliotibial tract receives insertions from the …………… and…………….

Answer 8

tensor

fascia lata and gluteus maximus muscles

Question 9

an opening found in the proximal anterior aspect of the fascia lata that allows the
great saphenous vein to reach its termination at the femoral vein**

Answer 9

saphenous opening

Question 10

􀁸 this is an overuse syndrome which occurs at the distal end of the iliotibial band where it repetitively rubs
over the lateral condyle of the femur, thus irritating and inflaming the bursae located here
􀁸 patients will describe a stinging pain at the lateral aspect of the knee
􀁸 this pain appears to get worse when running up and down hills or climbing stairs
􀁸 often it is overuse of the gluteus maximus muscle which is pulling on the iliotibial tract to cause the
problem

Answer 10

Iliotibial Band Syndrome (ITBS)

Question 11

great saphenous vein reaches its termination at the**

Answer 11

femoral vein