Knee Anatomy & Biomechanics Flashcards

1
Q

T/F: the knee is one of the most injured joints in the body

A

T

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2
Q

what are the 3 categories of knee injuries?

A

sprain, strains, tendinopathies
contusions
meniscal or ligamentous

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3
Q

which femoral condyle is longer? what does this cause?

A

medial
valgus (slight)

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4
Q

which tibial plateau is smaller and more mobile?

A

lateral

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5
Q

the patello-femoral joint is dependent on BOTH ______ and ____ restraints for function and stability

A

dynamic and static

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6
Q

the patella is embedded in the ____ tendon

A

quad

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7
Q

which meniscus is more tightly bound and C shaped?

A

medial

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8
Q

which meniscus is O shaped and more mobile?

A

lateral

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9
Q

purpose of menisci?

A

stability
shock absorption
lubrication

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10
Q

what portion of the menisci are innervation and have blood supply?

A

outer 1/3
anterior and posterior horns

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11
Q

which ligaments are inside the capsule and which are outside?

A

inside - ACL & PCL
outside - MCL & LCL

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12
Q

which ACL bundle is taut in flexion? extension?

A

flexion - anteromedial
extension - posterolateral

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13
Q

what are the main motions checked by the ACL?

A

anterior tibial translation
posterior femoral translation
TIBIAL IR (valgus moment)

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14
Q

most of the PCL is taut in _____

A

flexion

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15
Q

what are the main motions checked by the PCL?

A

posterior tibial translation
anterior femoral translation
TIBIAL IR
secondary for varus/valgus forces

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16
Q

if the PCL is injured, pt will lose motion!!! about _____ deg

A

15

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17
Q

T/F: the MCL has good blood supply

A

T

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18
Q

which position isolates the MCL?

A

25-30 deg knee flexion

19
Q

what motions does the MCL resist?

A

valgus stress
tibial ER
anterior tibial translation

20
Q

which mm does the LCL blend with?

A

biceps femoris

21
Q

what motions does the LCL check?

A

varus stress, esp. at 35 deg flexion
tibial ER

22
Q

what is in the posterior acuate complex/posterior corner?

A

arcuate ligament
LCL
popliteus tendon

23
Q

which bursa of the knee has a fat pad that can restrict motion when swollen?

A

infrapatellar

24
Q

what is a plica?

A

loose synovial fold from fetal development

25
which plica tends to be the most symptomatic?
medial patellar plica (quads turn off and patella gets stuck when it's swollen)
26
what is the roll and glide during a squat? (tibiofemoral joint)
roll posterior glide anterior
27
what is the roll and glide during kicking a ball? (tibiofemoral joint)
roll and glide anterior
28
what is open pack position of the tibiofemoral joint?
25 deg flexion
29
what is closed pack position of the tibiofemoral joint?
full extension
30
capsular pattern tibiofemoral joint
flexion > extension
31
the tibia rotates _____ to unlock the knee
IR (ER to lock)
32
how is the knee unlocked?
popliteus produced relative tibial IR
33
what is a normal Q angle?
13-18 deg
34
increased Q angle is associated with
femoral anteversion external tibial torsion laterally displaced tibial tubercle genu valgum
35
genu valgum is associated with
coxa varum foot pronation
36
open pack position of the patello-femoral joint
full knee extension
37
closed pack position of the patello-femoral joint
full knee flexion
38
as the knee extensions, the patella moves _____
superiorly
39
causes of lateral patellar subluxation
VL stronger VM shortened lateral patellar retinaculum short ITB flat lateral intercondylar groove
40
what sulcus angle indicates lateral patellar sublux?
>150 deg
41
what type of joint is the proximal tibio-fibular joint?
plane
42
when the knee flexes the fibular moves ____
anteriorly
43
during ankle DF, the proximal fibula _____rotates and moves ____
ER slightly upwards