Exam 4 Part 2 Knee joint Flashcards
The knee joint is formed from the articulation of the:
Femur, tibia, & patella
During development, 3 separate joints become continuous w/ each other & form a single, large knee cavity
- B/t patella & femur
- B/t lateral condyles of the femur & tibia
- B/t medial condyles of the femur & tibia
Articulating surface of the tibial condyles are also known as?
Lateral & medial tibial plateaus
Joint b/t the FEMUR & TIBIA is classified as?
Ginglymus (hinge) w. some degrees of rotation when joint is flexed
Joint b/t the PATELLA & FEMUR is classified as?
Plane gliding
Nerve supply to the knee joint?
Femoral
Obturator
Common fibular
Tibial
Bursae that lies b/t the patella & the skin
Subcutaneous PREpatellar
Bursae that lies b/t the tibial tubercle & the skin
Subcutaneous INFRApatellar
Bursae found b/t the ligamentum patella & the tibial tubercle
Deep infrapatellar
Bursae that lies b/t the femur & the common tendon of insertion of the quadriceps
Suprapatellar
Extrinsic ligaments of the knee joint (4)
- Ligamentum Patella
- Lateral (fibular) collateral
- Medial collateral
- Oblique & Arcuate Popliteal
- Anterior lig. of the knee joint & represents the original distal common tendon of insertion of the quadriceps
- Runs from the apex of the patella to the tibial tubercle
- Important part in maintaining the alignment of the patella relative to the articular surface of the femur
Ligamentum Patella
- Located on the lateral side of the joint
- superficial & separate from the articular capsule of the joint
- Attaches from the lateral epicondyle of the femur (proximally) to the head of the fibula (distally)
- Functions as a wall & prevents lateral movement (abduction) at the joint
Lateral (fibular) Collateral
- Medial side of the knee joint
- Blends w/ the articular capsule & directly attaches to the medial meniscus
- Attaches the medial epicondyle of the femur (proximally) & to the medial side of the tibia, just below the medial condyle (distally)
Medial (Tibial) Collateral
- Found on the posterior aspect of the knee joint
- They both function as walls to prevent HYPERextension of the joint
- They also stabilize the posterior aspect of the knee joint
Oblique & arcuate popliteal
Intrinsic ligaments of the knee joint (7)
- Anterior Cruciate
- Posterior Cruciate
- Menisci or semilunar Cartilages
- Medial Meniscus
- Lateral Meniscus
- Coronary Lig.
- Transverse lig. of the knee
- These are 2 VERY strong lig. which cross each other like an X in the center of the knee joint
- Named Ant. & post. according to their tibial attachments
- They are main bonds b/t the femur & tibia
Cruciate Ligaments (Ant. & Post.)
- Well developed blood supply from time of birth until 18 months old
- Nutrition is supplied to the menisci of an adult through blood vessels in the peripheral portion & by diffusion from the synovial fluid for the central portion of the menisci
Menisci or Semilunar Cartilages
Main functions of the menisci are to:
- Deepen the articulating surface
- Act as a shock absorber
- Act as a mechanoreceptor to increase positional sense of the knee joint
- Weaker of the 2 cruciate lig. runs from the lateral condyle of the femur (proximally) to the anterior intercondylar area of the tibia (distally)
- prevents anterior displacement of the tibia under the femur & thus functions like a ROPE
Anterior Cruciate
- Stronger of the cruciate lig.
- Runs from the medial condyle of the femur (proximally) to the posterior intercondylar area of the tibia (proximally)
Posterior Cruciate
- āCā Chaped & firmly adheres to the tibial collateral lig.
- Its less mobile on the surface of the tibia
Medial Meniscus
- Nearly circular in shape & smaller than medial meniscus
- More freely movable on the surface of the tibia
Lateral Meniscus
- Ass. w/ the menisci
- Are a portion of the joint capsular lig. whch attaches to the edge of the menisci & helps to hold them in place
Coronary Ligaments
Joins the anterior edges of the medial & lateral menisci & allows them to work together
Transverse Ligament of the knee
Nerve supply to the knee joint
Femoral
Obturator
common fibular ; tibial