Knee and Leg Anatomy Flashcards
Inferior to this groove in the lateral condyle is its weight bearing portion
Sulcus terminale
Largest sesamoid bone in the body
patella
Failure of superolateral portion to fuse, often confused with a fracture
bipartite patella
Bone with the thickest articular cartilage (up to 5 mm)
Patella
Traction apophysitis at open tibial tubercle apophysis
Osgood-Schlatter
Insertion site of the band of iliotibial tract
Gerdy’s tubercle
Nerve that can be injured in fibular fractures
Peroneal nerve
Compartment pressure diagnostic of compartment pressures
Absolute: >30-40 mmHg
Fracture characterized by complete disruption of tibiofibular syndesmosis with diastasis caused by external rotation of the talus and transmission of force to proximal fibula, resulting in high fracture of fibula
Maisonneuve fracture
3 articulations in the knee
Medial and lateral femorotibial joints, patellofemoral joint
What type of joint is femorotibial joint
Condyloid (hinge) joint
What type of joint is patellofemoral joint
Sellar (gliding) joint
Three compartments of the knee
Medial
Lateral
Patellofemoral
Static stabilizers of the medial knee
Superficial and deep medial collateral ligaments
Posterior oblique ligament
Dynamic stabilizers of the lateral knee
Semimebranosus, vastus medials, medial gastrocnemius, PES tendons
Static stabilizers of the lateral knee
Lateral collateral ligament, iliotibial band, arcuate ligament
Dynamic stabilizers of the lateral knee
popliteus, biceps femoris, lateral gastrocnemius
Primary movements of the knee
Extension and flexion
Structure that can become fibrotic or impinged on, causing knee pain in Hoffa syndrome
Infrapatellar fat pad
Anterior structures of femorotibial joint
Anterior cruciate ligament
Transverse meniscal segment
Ligamentum mucosum
Infrapatellar fat pad
Posterior structures of the femorotibial joint
Posterior cruciate ligament
Meniscofemoral ligament
Oblique popliteal ligament
Lateral and posterolateral structures of the femorotibial joint
Layer I (Superficial) - iliotibial band, biceps femoris Layer II (Middle) - lateral patellofemoral ligament, lateral patellar retinaculum Layer III (Deep) - lateral collateral ligament, fabellofibular ligament, popliteus muscle and tendon, popliteofibular ligament, capsule, arcuate ligament
Ligament of the knee that serves as the primary restraint to varus stress
Lateral collateral ligament
Artery that passes between the superficial and deep lamina of the third layer of the posterolateral corner
inferior lateral geniculate artery
Medial structures of the femorotibial joint
Layer I (Superficial): sartorius, fascia Layer II (Middle): Superficial medial collateral, posterior oblique ligament, medial patellofemoral ligament, medial patellar retinaculum, semimembranosus Layer III (Deep): Deep Medial collateral, capsule
Primary restraint of the knee to valgus force
Superficial medial collateral ligament
Dominant type of collagen in meniscus of the knee
Type I collagen
Enumerate the microscopic characteristics of the three layers of meniscus
Superficial layer - finely woven collagen fiber
Surface layer - randomly oriented fibers
Middle (deepest layer) - circumferential, radial fibers
Will tears 2 mm from the capsular junction of the knee heal?
Yes.
Red zone: <3 mm from CJ (most tears will heal)
Red/white zone: 3-5 mm (some will heal)
White zone: >5 mm from CJ (most will not heal)
Meniscus of the knee that is C-shaped, less mobile
Medial meniscus
Meniscus of the knee that is round shaped, more mobile
Lateral meniscus
Source of nutrition of the central avascular 2/3 of the menisci
Synovial fluid
Primary function of patellofemoral joint
Extension of the knee
Structures that comprise the patellofemoral joint
Quadriceps tendon, patellar tendon, patellofemoral ligaments, patellotibial, patellomeniscal, patellar retinaculum
Primary stabilizer of patella
patellofemoral ligament
Dynamic stabilizers of the patellofemoral joint
Quadriceps femoris, adductor magnus, ITB, vastus medialis and lateralis
Which is stronger, anterior OR posterior tibiofibular ligament?
Anterior tibiofibular ligament
Most sensitive test for ACL tear
Lachman test - flex knee 20-30 degrees, then exert anterior force on tibia. Laxity indicates ACL injury
Contents of the anterior compartment of the leg
deep peroneal nerve
anterior tibial artery and vein
Tibialis anterior, Extensor Hallucis Longus,
Extensor digitorum longus, peroneus tertius
Mnemonic (magjowa)
DaPAT Every Hour Landi, Every Day Lambing, Parating Terno, Together Always,
Contents of the lateral compartment of the leg
Superficial peroneal nerve
Peroneus longus
Peroneus brevis
Mnemonic (kabit)
Super Pretty
Pero Longing sa Partner ng iBa
Contents of the superficial posterior compartment
Soleus
Gastrocnemius
Plantaris
Mnemonic (Superficial fling)
Sobrang Gastos magPlay
Contents of the deep posterior compartment of the leg
Posterior tibialis Flexor hallucis longus Flexor digitorum longus Popliteus Tibial nerve
Posterior tibial artery and vein
peroneal artery and vein
Mnemonic (Deep relationship - wedding level)
Muscles:
Flex ang Hand, Flex ang Digits, Post ng Post ng Prenup
Wala na ako maisip haha
Septum dissected in anterolateral approach fasciotomy
Intermuscular septum between anterior and lateral compartment
Septum dissected in medial approach in fasciotomy
Intermuscular septum between the superficial and deep posterior compartments
Insertion of all the muscles of the superficial posterior compartment of the leg
Calcaneus
Components of sural nerve
Medial sural (tibial nerve) Lateral sural (peroneal nerve)
Artery that supplies the lateral compartment of the leg
Peroneal artery
Compartment of the knee most commonly involved in osteoarthritis
Medial compartment
Softening or wear and tear of the articular cartilage of the patella
Chondoromalacia patellae
Structure in contact with the iliotibial tract in ITB syndrome
Common with runners and cyclists
Iliotibial band syndrome
Inflammation of the prepatellar bursa due to trauma or overuse (i.e. prolonged kneeling)
Housemaid’s knee
Terrible triad in injury of the knee
Meniscal tear, ACL rupture, MCL rupture
Most common knee tumor in adolescents
osteosarcoma
Most common knee tumor in adults
chondrosarcoma
Most common benign knee tumor in young adults
giant cell tumor
Age at which genu varum is physiologic
Ages 0-2
Age at which genu valgum is physiologic
Ages 2-5
Pathologic genu varum
Blount’s disease