Knee Complex Flashcards
What is unhappy triad
An injury where there was a force applied on the lateral side which caused an excessive Valgus force
Unhappy Triad Ligaments affected
Medial Collateral ligament
media meniscus
Anterior Cruciate Ligament
What does Medial Collateral Ligament limit
Valgus Force
25 degrees of flexion: Almost 80% protection against valves stress
Proximal attachment of MCL
Medial Epicondyle of Femur
Distal Attachment of MCL
Ant: Middle superior aspect of medial tibia posterior to pes anserine
Post: distally to Medial Posterior joint capsule, medial meniscus and tendon of semimembranosus muscle
MCL ANTERIOR PORTION IS TAUT DURING
FLEXION
MCL POSTERIOR PORTION IS TAUT DURING
EXTENSION
LATERAL COLLATRAL LIGAMENT LIMITS
VARUS FORCE
KNEE EXTENSION
PROXIMAL ATTACHMENT OF LCL
LATERAL EPICONDYLE OF FEMUR
DISTAL ATTACHMENT OF LCL
HEAD OF FIBULA AND MERGES WITH THE TENDON OF BICEPS FEMORIS
OBLIQUE POPLITEAL LIGAMENT PROXIMAL ATTACHMENT
POSTEROMEDIAL TIBIA NEAR SEMIMEMBRANOSUS INSERTION
DISTAL ATTACHMENT OF OBLIQUE POPLITEAL LIGAMENT
POSTEROLATERAL FEMUR NEAR LATERAL GASTROCNEMIUS HEAD
OBLIQUE POPLITEAL LIGAMENT LIMITS
HYPEREXTENSION ON POSTERIOR KNEE
ARCUATE POPLITEAL LIGAMENT LIMITS
HYPEREXTENSION AND ROTATIONAL FORCES
ACL LIMITS
ANTERIOR TRANSLATION OF TIBIA ON FEMUR
POSTERIOR TRANSLATION OF FEMUR ON TIBIA
HYPEREXTENSION
RESIST VALGUS VARUS AND AXIAL ROTATION
ACL PROXIMAL ATTACHMENT
ANTERIOR INTERCONDYLAR TIBIAL FOSSA BEHIND ANTERIOR ATTACHMENT OF MEDIAL MENISCUS
DISTAL ATTACHMENT OF ACL
POSTEROMEDIAL ASPECT OF LATERAL FEMORAL CONDYLE
C-SHAPED, ATTACHES TO MCL
MEDIAL MENISCUS
CIRCULAR, NOT ATTACHED TO LCL BC OF THE TENDON OF POPLITEUS
LATERAL MENISCUS
TRUE OF FALSE MEDIAL MENISCUS IS MORE SECURELY ANCHORED THAN LATERAL MENISCUS
TRUE
LIGAMENT OF HUMPREY MOTION IT LIMITS
ANCHORS LATERAL MENISCUS
LIGAMENT OF WRISBURG
STABILIZES LATERAL MENISCUS
EXTERNAL 1/3 ARE VASCULARIZED
RED ZONE
INNER 2/3 ARE ESSENTIALLY AVASCULAR
WHITE ZONE
NARROW JUNCTION B/W RED AND WHITE ZONE
PINK ZONE
PES ANSERINUS TENDONS INCLUDE
SARTORIUS
SEMITENDINOSUS
GRACILIS
SERVES AS CONTINUATION OF QUADRICEPS TENDON AND PROTECTS KNEE
PATELLAR LIGAMENT/TENDON
PATELLAR LIGAMENT/TENDON PROXIMAL AND DISTAL ATTACHMENT
APEX OF PATELLA, TIBIAL TUBEROSITY
IF THERE IS TIGHTNESS IN THE ILIOTIBIAL BAND THE PATELLA WILL TRACK MORE (MEDIAL AND LATERAL)
LATERAL
KNEE FLEXORS
PRIMARY: HAMSTRINGS
GRACILIS
GASTROCNEMIUS
PLANTARIS
SECONDARY: SARTORIUS
KNEE EXTENSORS
QUADRICEPS MUSCLES
2ND: TENSOR FASCIA LATAE
KNEE ER
BICEPS FEMORIS
KNEE IR
SEMITENDINOSUS
SEMIMEMBRANOSUS
GRACILIS
POPLITEUS
2ND: SARTORIUS
ARTHRO FOR TIBIOFEMORAL JOINT DURING FLEXION OKC
ROLL AND SLIDE POSTERIOR
ARTHRO FOR TIBIOFEMORAL JOINT DURING EXTENSION OKC
ROLLS AND SLIDE ANTERIOR
ARTHRO FOR TIBIOFEMORAL JOINT DURING FLEXION CKC
ROLLS POSTERIOR
SLIDES ANTERIOR
ARTHRO FOR TIBIOFEMORAL JOINT DURING EXTENSION CKC
ROLLS ANTERIOR
SLIDES POSTERIOR
TIBIOFEMORAL IR AND ER
SPINS
DURING FLEXION PATELLA SLIDES
INFERIOR
DURING EXTENSION PATELLA SLIDES
SUPERIOR
OKC OF TIBIA ON FEMUR SCREWHOME MECHANISM
ER 10-20 DEGREES ON FIXED FIBULA