knee 1 Flashcards

1
Q

What is the largest joint of the knee complex?

A

The tibiofemoral joint.

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2
Q

Name the 3 joints of the knee and what type of joint they are?

A

Tibiofemoral- complex joint, patellofemoral- compound joint, proximal tibiofibular- simple joint.

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3
Q

The knee complex is the most common site of what type of impairment?

A

Permanent.

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4
Q

There are large forces at what 2 joints in the knee complex and this is due to what?

A

Tibiofemoral and patellofemoral due to very long levers.

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5
Q

What is the posterior compartment of the knee and what is the anterior compartment of the knee?

A

Posterior- tibiofemoral joint. Anterior- Patellofemoral joint.

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6
Q

What are the femoral condyles like?

A

Egg shaped and separted by a fossa.

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7
Q

Will the radius of the femoral condyles be larger anterior or posterior?

A

Anterior

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8
Q

What will the significance of egg shaped femoral condlyes be?

A

They will need a variable socket to articulate with the tibia and that is what the menisci are for.

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9
Q

What is conjoint rotation of the knee?

A

Screw home mechanism which is external rotation seen in the last few degrees of knee extension.

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10
Q

Conjoint rotation pivots around what?

A

The lateral femoral condyles during extension.

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11
Q

What femoral condyles have what type of angulation and why?

A

Posterior angulation to increase flexion and decrease extension of the knee

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12
Q

What will valgus and varus mean?

A

Valgus- distal part bent outward, knocked kneed. Varus- distal part bent inward, bowlegged.

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13
Q

Which femoral condyle will have the longer larger articulare surface? Why?

A

Medial. It allows for conjoint rotation.

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14
Q

The medial femoral condyle will also have a larger epicondyle, but why?

A

This will affect the axis of the knee.

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15
Q

What will the angle of the medial femoral condyle be like?

A

It will be more oblique than the lateral.

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16
Q

Which femoral condyle will extend more distally and what can this lead to?

A

Medial and this causes valgus of the knee.

17
Q

What is the pivot point of conjoint rotation?

A

The shorter smaller articular surface of the lateral femoral condyle.

18
Q

What will the angle of the lateral femoral condyle be like?

A

Less oblique A-P.

19
Q

The tibial femoral rotation of the skrew home mechanism happens when?

A

The last 15-0 degrees of extension of the knee.

20
Q

What is femoral torsion?

A

anetversion ( degree to which an anatomical structure is rotated forwards (towards the front of the body) or backwards (towards the back of the body) respectively, relative to some datum position)

21
Q

What is the normal femoral torsion or anteversion?

A

10-20 degrees.

22
Q

What is an anteverted femur?

A

one rotated forward more than 20 degrees.

23
Q

What will an anteverted femurs impact be on the knee?

A

Medial orientation.

24
Q

What is a medial orentation of the the patella aka?

A

Squinting patella.

25
Q

What is a common compensation for a anteverted femur?

A

Genu valgum.

26
Q

What is a retroverted femur?

A

One that has femoral torsion or anteversion of 10 degrees or less.

27
Q

What is the impact on the knee for a retroverted femur?

A

Lateral orientation.

28
Q

What is the common compensation for a retroverted femur?

A

Genu varum.

29
Q

What is the superior surface of the tibial condyles like?

A

Flat with tibial spines.

30
Q

What is the purpose of the tibial spines?

A

Attachment site for ACL and menisci, and to resist side to side translation and rotation.