Knee Flashcards

1
Q

function of swing phase

A

knee flexes to shorten lower extemity and helps to clear the foot

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2
Q

function in stance phase

A

knee in slight flexion for shock absorption, conservation of energy and transmission of forces through LE

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3
Q

Why does the knee rarely function independently

A

2/3 of the muscles that cross the knee also cross either the hip or the ankle

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4
Q

knock knees

A

genu valus
coxa vara
compression on lateral side

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5
Q

bow legs

A

genu varum, coxa valgum, compression on medial side

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6
Q

back knees , hyperextension

A

genu recurvatum

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7
Q

femur on tib

A

convex on concave- opposite -closed chain

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8
Q

tib on femur

A

concave on convex- same - open chain

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9
Q

function of meniscus

A

reduce compressive stress, provide stability, aid in lubrication, provide proprioception

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10
Q

motion of meniscus

A

glide ant with ext

glide post with flex

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11
Q

where is the blood supply of meniscus greatest

A

peripherally

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12
Q

compression forces on knee walking, ascending stairs?

A

3x, 4x

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13
Q

meniscus ______ the area of joint contact

A

triples

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14
Q

_________ increases peak contact pressure at knee by 230% and increase risk of arthritis

A

a complete lateral meniscectomy

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15
Q

damage to the medial side of meniscus can be bad why

A

MCL attaches there

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16
Q

arthrokinematics of closed chain

A

fib on tib - convex on concave - opposite

ext- ant. fib roll, post. fib slide

17
Q

arthrokinematics of open chain in knee

A

tib on fib - concave on convex - same

ext- ant slide, ant roll

18
Q

what is the screw home mechanism

A

w/ open chain, tib rolls ant, slides ant during ext and tib externally rotates 10 degrees

19
Q

What is the screw home mechanism driven by? 3 things

A

shape of medial femoral condyle- it extends further ant. so tib follows lateral curved path into ext
tension in ACL
lateral pull of quad
NOTE popliteus unlocks

20
Q

Ligament restraint in flexion

A

PCL

21
Q

Ligament restraint in extension

A

ACL

22
Q

Ligament restraint in axial rot

A

MCL LCL PCL ACL

23
Q

ligament restraint in valgus

A

MCL primarily, ACL and PCL

24
Q

ligament strain in varus

A

LCL primarily ACL and PCL

25
Q

ACL injury without contact

A

valgus force; axial rotation: twisting medially with planted foot

26
Q

Excess anterior tibial slid is a sign of

A

acl tear

27
Q

patella glides ______ with flexion

A

inferiorly

28
Q

patella glides ____ with extension

A

superiorly

29
Q

function of patella

A

increase mechanical leverage of quad

distributes compressive forces

30
Q

contact points of patella to femur as you move knee into flexion

A

20 - inferior patella
45 medial patella
90 superior patella

31
Q

contact of patella and femur increases with knee flexion

max?

A

60-90 degrees

32
Q

Where is the patellar bodies thickest hyaline cartilage

A

30-70 degrees of flexion

33
Q

To avoid pain in squat, what knee angle degree will you perform a squat in?

A

0-45 degrees

34
Q

What type of joint is the knee

A

condyloid 2 degrees of freedom