Knee Joint Flashcards
THE KNEE JOINT
•primarily a _____ type of synovial joint
hinge
largest joint in body Is???
Knee joint
Knee joint
Articulation -____,_____ and _____
femur
tibia and patella
Knee joint
Femur articulates with tibia=———- joint
Femur articulates with patella=_________ joint
tibiofemoral
patellofemoral
Articulating bones of the knee joint
•Femur:
______________(medial and lateral)
•Tibia:
____________(medial and lateral tibial plateaus)
______ bears most of weight
Enlarged femoral condyles
Enlarged tibial condyles
Tibia
Plateaus are _____ for ______
receptacles
femoral condyles
Articulating bones of the knee joint
Patella
_______ type of bone
Imbedded in ______________ tendon
Sesamoid
quadriceps and patellar
Sesamoid bone means
floating bone
Patella Serves as a pulley in improving ________, resulting in greater mechanical advantage in ________
angle of pulling
knee extension
Fibula is Not part of knee joint
T/F
F
Fibula is Not part of knee joint
Fibula Does not articulate with patella but articulates with femur
T/F
F
Fibula Does not articulate with femur or patella
The medial and lateral tibial plateaus are (smooth or rough?) (superior or Inferior?) surfaces of the ___ with which the medial and lateral femoral condyles articulates
Rough
Inferior
tibia
The knee joint is strong mechanically
T/F
F
relatively weak mechanically
Stability of the knee joint
depends on:
Ligaments connecting _____ and ___ bones
Strength and action of surrounding muscles and tendons
Most important in stabilizing the knee joint are the ________ muscles
femur and tibia
quadriceps femoris
In the quadriceps femoris, the (Inferior or superior?) fibers of _______ and _____ are particularly important in stabilizing knee joint
Inferior
vastus medialis and lateralis
The articular capsule invest the knee joint
T/F
T
The fibrous capsule of the knee joint is deficient on the _________ to allow for the passage of the tendon of the _______ muscle to attach to the _____
lateral condyle
popliteus
tibia
The _____ and _____ serve as a capsule for the knee joint anteriorly
patella and patellar ligament
Synovial membrane of knee joint
Is (limited or extensive?) and lines the (internal or external?) aspect of the fibrous capsule
Attaches to the periphery of the _____ and the edges of the _____
Extensive
Internal
patella
menisci
Ligaments of the knee joint
Are grouped into 2:
__________ ligaments
_________ ligaments
Extracapsular
Intra-articular
The fibrous capsule of knee joint is strengthened by 5 extracapsular ligaments
_______ ligament
________ ligament
________ ligament
_________ ligament
_________ ligament
Patellar
Fibular collateral
Tibial collateral
Oblique popliteal
Arcuate popliteal
The patellar ligament
Weak or Strong?
(Thin or thick?)
(fibrous or serous?) band
Strong
Thick
Fibrous
The patellar ligament
Proximal or Distal?) part of ____ tendon ((anterior or posterior?) ligament of knee joint
Distal
quadriceps
anterior
Patellar ligament
Passes from apex and adjoining margins of patella to ______
Blends with _______ and ________
tibial tuberosity
medial and lateral patellar retinacula
medial and lateral patellar retinacula-
Aponeurotic expansions of ______ and _____ and overlying (superficial or deep?) fascia
vastus medialis and lateraliS
Deep
Patellar Retinacula supports articular capsule of knee (medially or laterally?)
Laterally
Fibular collateral ligament
Strong or weak?
(rounded or flat?)
____like
Strong
Rounded
Cord
Fibular collateral ligament
Extends inferiorly from ______ of ____ to ____ of ____
lateral epicondyle; femur
head of fibula
Tendon of popliteus passes (superficial or deep?) to fibular collateral ligament
Deep
Tendon of popliteus Separates fibular collateral ligament from _______
lateral meniscus
Tendon of __________ is split into two parts by lateral collateral ligament
biceps femoris
Tibial collateral ligament
Extends from ______ of _____ to ____ and (superior or inferior?) part of ___
Weak or Strong?
(Round or flat?)?band
Strong
Flat
medial epicondyle of femur
medial condyle; superior
Tibial collateral ligament
At its ____ it is firmly attached to the _______
midpoint
medial meniscus
Which is weaker and more often damaged
Tibial or fibular collateral ligament
Compared with fibular collateral ligament, tibial collateral ligament is weaker and more often damaged
____ collateral ligament and ____ meniscus are often torn during contact sports
Tibial
medial
Oblique popliteal ligament
Expansion of tendon of _____ that strengthens fibrous capsule (anteriorly or posteriorly?)
Arises posterior to _______
Attaches to _____ part of (anterior or posterior ?) aspect of fibrous capsule
semimembranosus
posteriorly
medial tibial condyle
central
Posterior
The arcuate popliteal ligament
Strengthens fibrous capsule (anteriorly or posteriorly?) Arises from (anterior or posterior?) aspect of \_\_\_\_\_\_ Passes (superior or inferior?) (Medially or laterally?) over tendon of \_\_\_\_\_ and spreads over posterior surface of knee joint
Posteriorly
Posterior
fibular head
Superior
Medially
popliteus
Intra-articular ligaments of the knee joint
These are ligaments within knee joint
There are 3:
______ ligaments
_________ ligaments
Tendon of _____ muscle
Cruciate
Menisci
popliteus
Cruciate ligaments ( ______ and _____ )
Menisci (____ and _____)
anterior and posterior
medial and lateral
The cruciate ligaments
Located in _____ part of joint (within or outside ?) articular capsule of joint
The fibers ——— _____ like letter ___ joining _____ and ____
centre
Within
crisscross obliquely; X
femur and tibia
Anterior cruciate ligaments
Arises from ________ area of ____ just posterior to attachment of ______
Attaches to _______ of _____
anterior intercondylar
tibia
medial meniscus
lateral condyle of femur
Which is weaker
ACL or PCL
ACL
ACL Has a relatively GOOD blood supply
T/F
F
Has a relatively poor blood supply
ACL
____ when knee is flexed and ___ when fully extended
Prevents (anterior or posterior?) displacement of femur on tibia and hyper_______ of knee joint
Slack
taut
Posterior
extension
When knee is flexed at a right angle, _____ cannot be pulled ____riorly because it is held by ACL
tibia
ante
Posterior cruciate ligament (PCL)
Arises from ______ area of _____
Attaches to ______ of the ____
posterior intercondylar
tibia
medial condyle; femur
PCL becomes ____ during flexion of knee joint
taut
PCL
Prevents (anterior or posterior?) displacement of femur on tibia or (anterior or posterior?) displacement of tibia on femur
Also helps prevent hyper____ of knee joint
anterior
Posterior
flexion
In weight bearing flexed knee, _____ is main stabilizing factor for femur (eg ______)
PCL
walking downhill
The menisci
Are _______ shaped plates of ______ on articular surface of _____
crescentic
fibrocartilage
tibia
The menisci
Deepens articular surface of tibia and acts like ________
shock absorbers
The menisci
Thicker at (internal or external?) margins where they attach to ________ of knee joint
Ends are firmly attached to _________ of ____
external
fibrous capsule
intercondylar area of tibia
The coronary ligaments attach margins of ______ to ____
The transverse ligament joins ______ of _____
menisci
tibial condyles
anterior edges ; menisci
The transverse ligaments allows the menisci ________ during _______
move together during knee movements
The medial meniscus
Is ___ shaped
Broader (anteriorly or posteriorly?) than (anteriorly or posteriorly?)
Anterior end attaches to _______ of ______, (anterior or posterior?) to attachment of ACL
C
posteriorly
anteriorly
anterior intercondylar area of tibia
Anterior
The medial meniscus
Posterior end attaches to ______ of ______ (anterior or posterior?) to attachment of PCL
posterior intercondylar area of tibia
Anterior
The medial meniscus firmly adheres to __________ ligament
tibial collateral
The lateral meniscus
Almost _______ shaped
circular
Which is larger and which is more freely mobile
Medial meniscus, lateral meniscus
medial meniscus is larger
Lateral meniscus is more freely movable
________ separates lateral meniscus from fibular collateral ligament
Tendon of popliteus
The posterior meniscofemoral ligament-
Strong tendinous slip
Joins lateral meniscus to _______ and ______
PCL and medial femoral condyle
Patello-femoral Joint
Articulation of ______ and ____
patella and femur
Posterior surface of patella is covered with (thin or thick?) _______ cartilage
Thick
hyaline
Patella slides within trochlear groove
T/F
T
Functions of Patello-femoral Joint
(1) Increases angle of pull of ______ muscle on _____, (improves or degrades ?) the ratio of motive:resistive torque by ____%
(2) Centralizes ______ of quadriceps into a —————
(3) Some protection of (anterior or posterior?) aspect of knee
quadriceps; tibia
Improves; 50
divergent tension
single line of action
Anterior
When the knee is fully _____ with the leg and foot __________, the knee locks
Because of (medial or lateral?) rotation of the femur on the tibia
In this position, the thigh and leg muscles can ____ without making the knee joint too unstable
To unlock the knee the ______ contracts rotating the femur (Medially or laterally?) so that (flexion or extension?) of the knee can occur
extended
on the ground
Medial
relax
popliteus
Laterally
Flexion
Flexion and extension and some rotation (when knee is _____)
(Flexion or extension?) - hamstrings
(Flexion or Extension?) - quadriceps
Medial rotation- ____,______,______
Lateral rotation- _______
Neither will occur unless knee is flexed _____ degrees or (< or >?)
flexed
Flexion
Extension
popliteus, semitendinosus and *semimembranosus
biceps femoris
20-30
>
Blood supply of knee joint
Genicular branches of :
______ artery
_____ artery
Anterior and posterior ____ branches of the _______
artery
Anterior and posterior branches of ________ areteries
The _____ genicular branches of the ____ artery penetrates the fibrous capsule of the knee joint and supplies the
Cruciate ligaments
Synovial membrane
Peripheral margins of the menisci
Femoral
Popliteal
recurrent; anterior tibial recurrent
circumflex fibular
middle
popliteal
INNERVATION of knee joint
Branches of:
_______ nerve
______ nerve
______ nerve
_______ nerve
Obturator
Femoral
Tibial
Common fibular
Bursar around the knee joint
About _____ bursae
Subcutaneous bursae – ——— and ——— bursae are present at the convex surface of the joint allowing the skin to be able to move freely during movements of the knee
10-12
prepatellar and infrapatellar
Many bursae are around knee joint
T/F
T
4 bursae communicate with the synovial cavity of the knee joint- ______,_____,_____,____ bursa
suprapatellar, popliteus, anserine and gastrocnemius
The _____ bursa is especially important because an infection of this bursa will spread to the knee cavity
suprapatellar
Ligament sprains (occurs when foot is _______________)
fixed to the ground
Knee replacement (total knee replacement arthroplasty – ____ and _____ components cemented to the ends of the bones
plastic and metal
Arthroscopy of the knee joint- allows ____ of the ____ of the joint cavity
visualization
interior
Bursitis in the knee region-
prepatellar bursitis- caused by friction between ______ and _____ lead to a condition known as _________
skin and patella
housemaids knee
Patellofemoral syndrome
????
Check online
Knee deformities- osteoarthritis accelerates the degenerative wear and tear of the ______
menisci
Genu varum and genu valgum result in deviation of the _____ from the midline
tibia
Genu varum- tibia diverted (medially or laterally ?)
Genu valgum- tibia diverted (medially or laterally ?)
medially
laterally