Knee Palpations Flashcards
How many anterior bone structure?
and what are they
8
- Tibial tuberosity,
- interior pole of patella,
- anterior patella,
- superior pole of patella,
- edges of patella on the lateral edges/ corners,
- superior lateral trochlear groove/ ridge,
- medial trochlear groove,
- femoral groove/ sulcus
How many anterior soft tissue structures?
name them
6
- infra patella tendon,
- anterior surface of patella,
- superior pole of patella,
- rectus fermoris,
- VMO,
- vastus lateralis,
How many posterior bone structure?
0
How many posterior soft tissue structures?
name them
6
- Semitendonousus,
- bicep femoris,
- medial head of gastrocnemius,
- lateral head of gastrocnemius,
- posterior capsule area of the knee,
- popliteal artery
How many medial distal bone structures?
2medial tibial plateau (joint line), tibial flair
How many medial distal soft tissue structures?
9medial meniscus, coronary fibers, medisotibal capsule, MCL, Pes group (3) (semitendonousus, gracilis, sartrius), semimembransus, pes bursa
How many medial posterior bone structures?
5medial femoral condyle, medial trochlear ridge, medial joint line/ tibial plateau, medial femoral epicondyle, adductor tubercle
How many medial proximal soft tissue structures?
6meniscofemoral portion of capsule, MCL, medial retinacular fibers, MPFL, plica, infrapatellar fat pad
How many lateral distal bone structures?
3lateral joint line, gerdy’s tubercle, fibular head
How many lateral distal soft tissue structures?
7lateral meniscus, lateral coronary ligament, lateral meniscotibal capsular fibers, LCL, anterior proximal tib fib ligament, posterior proximal tib fib ligament, peroneal nerve
How many lateral proximal bone structures?
3lateral ridge of trochlea, lateral femoral condyle, lateral femoral epicondyle
How many lateral proximal soft tissue structures?
8LCL, meniscofemoral capsule, ITB, bicep femoris tendon, lateral retinaculum, infrapatellar fat pad, popliteal tendon, ALL
Tibial Tuberosity (B)
Osgood-Schlatter Disease
Inferior Pole of Patella (B)
Sinding- Larsen- Johansson Syndrome
Anterior Patella (B)
Fracture; Bone Tendon Bone harvest site for ACL repair
Superior Pole of Patella (B)
Quad tendon attachment
Edges of patella on the lateral edges/ corners (B)
Bipartite patella (Superior lateral edge); physis doesn’t close (true bipartite); fracture
Superior Lateral Trochlear Groove/ Ridge (B)
Bony buttress to prevent the lateralisation of the patella. If dislocation/subluxation occurs, we may get OCD from inferior (retropatellar) surface of patella or from lateral trochlea. Also an OATS and Mosaicplasty harvest site (for articular cartilage procedures)
Medial Trochlear Groove (B)
DJD- can feel osteophytes, bone spurs
Femoral Groove/ Sulcus; Trochlear Groove (B)
patella tracks
Infrapatella Tendon (ST)
-itis, -osis, partial or full tear, Bone Tendon Bone ACL reconstruction
Anterior Surface of Patella (ST)
Prepatellar burisitis
Superior Pole of Patella (ST)
Quad insertion site; -osis, itis; partial/ full rupture; ACL repair (Bone Tendon Soft-Tissue)
Rectus Femoris (ST)
Myositis, -osis, inflammation, tears, stains
VMO (ST)
Myositis, -osis, inflammation, tears, stains
Vastus Lateralis (ST)
Myositis, -osis, inflammation, tears, stains
Semitendonousus tendon (ST)
Tendonditis, -osis, tears, stains
Bicep Femoris tendon (ST)
Tendonditis, -osis, tears, stains
Medial Head of Gastrocnemius (ST)
Myositis, -osis, strain, tear/ rupture
Lateral Head of Gastrocnemius (ST)
Myositis, -osis, strain, tear/ rupture, and Fabella may be present