Knee iRA/tRA Flashcards
What is the Q angle? What is normal Q angle?
angle from line of ASIS to mid patella and patella to tibial tubercle
~ 13.5 degrees (+/- 4.5 deg)
Q angle is _____ w/ genuverum
less
Q angle is ____ w/ genuvalgus
more
What part of the patella contacts femoral condyle in full flexion?
medial border or “odd” facet
What blends with PCL posteriorly?
knee joint capsule
When is MCL taut and when is it least taut? What is a good position for mobilizations?
taut - extension
least taut - 30 deg of flexion - good for mobilizations
What is the function of the MCL?
- checks/limits genu valgus
- prevents lateral rotation (w/ knee extended)
When is the LCL least taut?
30 deg of flexion
What is the function of the LCL?
- checks/limits varus force
T/F - The ACL is more vascularized in the distal portion vs the proximal portion
false - proximal > distal portion for vascularization
What is the function of the ACL in all planes?
Sagittal - stabilize knee and resist anterior tibial torsion
Frontal - varus and valgus angulation (minimal)
Horizontal - tibial rotation
What is the function of the PCL?
pulls condyles posteriorly during extension
What muscles additionally flex the knee with stationary foot?
- gastroc and plantaris
What are the medial rotators of the knee?
- semimembranosus
- semitendinosus
- popliteus
- gracilis
- sartorius
What are the lateral rotators of the knee?
biceps femoris
A/PROM of knee flexion
AROM - 135
PROM - 160
Resting and closed packed position of the knee
resting - 30 deg flexion
closed - full extension
T/F: Hoffa’s fat pad is not a pain generator
false - it is highly vascularized and innervated so it is a pain generator
What is Hoffa’s fat pads function?
space decreases as knee flexes due to increase in pressure
reservoir for reparative cells
A/PROM knee IR and ER
60-70 total
What part of patella contacts trochlea with an extended knee?
inferior patella
What part of patella contacts trochlea with 30 deg flexion?
mid-patella contacts trochlea
What part of patella contacts trochlea with full flexion
superior and superiolateral patella contacts trochlea
spinal roots of knee extensors
L2-L4
spinal roots of knee flexors
L5-S2