FEMUR & KNEE Flashcards
TIBIOFEMORAL JOINT (knee joint) - type
synovial, hinge, diarthrosis, biaxial
TIBIOFEMORAL JOINT - articular surfaces
convex medial & lateral femoral condyles
concave medial & lateral superior articular surfaces of tibia (tibia plateau)
TIBIOFEMORAL JOINT - major knee ligaments
INTRACAPSULAR:
-anterior cruciate ligament (ACL)
-posterior cruciate ligament (PCL)
~medial & lateral menisci
EXTRACAPSULAR:
-medial collateral ligament (MCL)
-lateral collateral ligament (LCL)
~fibrous capsule
~patellar
tibiofemoral joint - ANTERIOR CRUCIATE LIGAMENT
from medial aspect of lateral femoral condyle to anterior aspect of tibial intercondylar eminence
-resists anterior translation & medial rotation of tibia on femur
-TAUT in HYPEREXTENSION
tibiofemoral joint - POSTERIOR CRUCIATE LIGAMENT
from posterior aspect of intercondylar eminence to lateral aspect of medial femoral condyle
-resists posterior translation of tibia on femur
-TAUT in HYPERFLEXION
tibiofemoral joint - MEDIAL COLLATERAL LIGAMENT (MCL)
(tibial collateral ligament)
resists VALGUS forces
tibiofemoral joint - LATERAL COLLATERAL LIGAMENT (LCL)
(fibular collateral ligament)
resists VARUS forces
tibiofemoral joint - MENISCUS
acts to disperse weight evenly & reduce friction with movement
medial & lateral meniscus
MEDIAL: attached to MCL & semimembranosus muscle/ tendon
LATERAL: attached to PCL & popliteus muscle
TIBIOFEMORAL JOINT - movements
-flexion
-extension, hyperextension
-rotation (internal/external)
-rolling
-gliding
tibiofemoral joint - BURSAE
SUPRAPATELLA
PREPATELLA
INFRAPATELLA
SEMIMEMBRANOSUS
tibiofemoral joint - END FEELS
NORMAL:
-flexion: soft tissue/ bony approximation
-extension: elastic/ firm
ABNORMAL:
-boggy: joint effusion, ligamentous pathology
-springy block: loose body (displaced meniscus)
tibiofemoral joint - OPEN KINETIC CHAIN
flexion: tibia rolls & glides on posterior femur
extension: tibia rolls & glides on anterior femur
tibiofemoral joint - CLOSED KINETIC CHAIN
flexion: femur rolls & glides on posterior tibia (squatting)
extension: femur rolls & glides on anterior tibia (moving from squat to standing)
GENU VALGUM
Q angle greater than 22° in women & 18° in men
“knocked knees”
GENU VARUM
Q angle less than 0°, distal tibia points medially
“bow legs”
GENU RECURVATUM
hyperextension of knee
PATELLOFEMORAL JOINT - type
synovial, plane, diarthrosis, triaxial
PATELLOFEMORAL JOINT - function
-patella = small bone in front of knee, embedded in quadriceps tendon
-sesamoid bone
-acts to INCREASE BIOMECHANICAL LEVERAGE of quadriceps muscle
-slides in groove of femur as knee flexes & extends
-“floats” -> dependant on proper muscle balance to maintain central position