Knee Joint Flashcards
Which ligament of the knee resists a valgus stress?
Medial collateral ligament
Which ligament of the knee resists a varus stress?
Lateral collateral ligament
low medial arch of the foot is known as? What type of stress does it place through the knee?
pes planus
Valgus
abnormally high arch of the foot is known as? What type of stress does it place through the knee?
Pes cavus
Varus
Supination is made from which three movements?
Tri plantar motion
Planterflexion, inversion, adduction
Pronation is made from which three movements?
Tri plantar motion
Dorsiflexion, eversion, abduction
The M.C.L extends from/to?
The medial condyle of the femur to the medial condlye of the tibia
The L.C.L extends from/to?
Lateral condlye of the femur to the head of the fibula
Which ligament binds the minisci anteriorly?
Transverse interminiscal ligament
Which ligament binds the minisci to the tibial plateau?
Coronary ligaments
Which ligament helps to stabilize the patella inferiorly?
Patella Ligament
The patella ligament runs from/to?
Apex of the patella/tibial tuberoisty
What is the between the M.C.L and the L.C.L?
The M.C.L are enclosed within the joint capsule and fuses with the medial menisici
What are the menisci made of?
Fibrocartilage
Name a type of meniscal injury?
bucket handle tear
The meniscis are prone to a bucket handle tear at which point?
Within the concavity of the C.shape
Which ligament prevents anterior displacement of the tibia on the femur?
ACL
Which ligament prevents POSTERIOR displacement of the tibia on the femur?
PCL
The nerve to Sartorious is?
Anterior division of the femoral nerve L2/3
All of the following muscles share the same innervation as Soleus, except:
Tibialis posterior
Popliteaus
Tibialis anterior
Gastrocnemius
Tibialis anterior
The saphenous nerve is a branch of which nerve?
Femoral nerve
Which nerve innervates the gracilis?
Obturator nerve
The lateral compartment of the leg is supplied by which artery?
Peroneal
which vein drains the posterior lower leg?
Posterior tibial
what is the nerve root to the superior gluteal nerve?
L4 to S1
what is the nerve root to the Inferior gluteal nerve?
L5 to S2
what is the nerve root to the femoral nerve?
L2 to L4
what is the difference between osteoarthritis and rheumatoid arthritis?
- osteoarthritis is an autoimmune condition
- osteoarthritis affects multiple joints
- osteoarthritis affects single joints
- osteoarthritis has systemic symptoms
3.
What is the nerve root of the Tibial nerve?
L4 to S3
What type of joint is the tibiofemoral joint?
Synovial hinge
What type of joint is the patellofemoral joint?
Synovial gliding
Describe the following ROM of flexion, ext, int rotation and external rotation of the knee.
Flexion 140 degrees
Extension 5 to 15 degrees
Internal rotation 30 degrees
External rotation 40 degrees
Which ligaments restrict external rotation of the knee
Cruciate ligaments
Oblique popliteal ligaments
The oblique popliteal ligament extends from/to?
Medial condyle of the tibia to the lateral condyle of the femur
Which structures run through the intercondylar fossa of the knee?
Popliteal artery (medial) Popliteal vein (intermediate) Tibial nerve (lateral)
Which bursa is associated with hosuemaids knee?
Prepatellar bursitis
Name 4 bursa of the knee?
Suprapetellar bursa
Prepatellar bursa
Infrapatella bursa
Deep infrapatella bursa
What is the nerve root level of the tibial nerve?
L4 to S3
What is the nerve root level of the peroneal nerve?
L4 to S2
Which nerve/level supplies the piriformis?
Nerve to the Piriformis
S1/2
Which nerve supplies the obturator internus/level?
Nerve to the obturator internus.
L5 to S1
Which nerve supplies the obturator externus/level?
Obturator L3/4
What is meant by the fabella?
Little bean
Where is the fabella located?
tendon of the lateral head of the gastrocnemius muscle
What is the correct name for the Patella tendon?
Ligamentum patellae
What is another name for the surface that the patella glides upon?
Trochlear groove
What structure covers the ends of bones within a synovial joint?
Hyaline cartilage
The popliteus muscle is responsible for what action?
Unlocking the knee
Which adductor muscle has an attachment to the adductor tubercle?
Adductor magnus
What structure attaches to the Gerdy’s tubercle?
IT Band
What are the TWO main joint actions for the gastrocnemius muscle?
Knee flexion
Plantarflexion
Describe the screw home mechanism of the knee
Tibia rotates externally and the femur rotates externally to enter the closed packed position.
During the last 30 degrees of knee extension, the tibia (open chain) or femur (closed chain) must externally or internally rotate, respectively, about 10 degrees.
This slight rotation is due to inequality of the articular surface of femur condyles.
Rotation must occur to achieve full extension and then flexion from full extension
What is the difference between the medial and lateral condylar surfaces of the femur?
The medial surface of the femur is larger
The lateral condyle of the femur is more anterior, to prevent lateral displacement of the patella
The lateral meniscis is larger in comparison to the medial
Which nerve when injured causes drop foot
Deep peroneal nerve
Which nerves supply the anterior knee?
Femoral and obturator
Nerve to the lateral compartment of the knee
Superficial peroneal
Nerve to the posterior compartment of the knee
Tibial
What are the lymph nodes of the knee called?
Popliteal
What are varicose veins and how do they form?
The valves of the veins become lax and weakened, allowing venous blood to back flow. The blood pools and collects causing the veins to adopt a warped, bulging appearance .
What is dvt?
What type of heat does it produce?
Venous blood that has clotted and attached to the vein wall, causing a blockage.
Producing swelling and heat
If the clot becomes dislodged it can cause a heart attack or lungs.
Vivid
What is the medial term for a heart attack?
Myocardial infraction
What is the medial term for a blood vessel which blocks the lungs?
pulmonary embolus.
Myocardial infraction creates a referal pain down which arm?
Left
What is compartment syndrome?
Which is this dangerous?
What type of heat does it produce?
Bleeding /swelling within the muscle
Compressive force through the arteries/nerves
Cold
inflammation of a vein is called?
Phlebitis
A full thickness tear to the PCL results in what type of sign?
Sag sign
A full thickness tear to the M.C.L, the A.C.L and the medial menisci is known as?
The unhappy triad