Knee - Passive Structures Flashcards

1
Q

what is the function of the meniscus?

A

distribute weight bearing forces
increase joint congruency
shock absorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

does the medial meniscus have greater or less mobility

A

less mobility due to greater ligamentous restraint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the connections to the medial meniscus

A

MCL, ACL, PCL and semimembranosus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the connections to the lateral meniscus

A

ACL, PCL, popliteus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

where and when is the meniscus typically stressed?

A

at the posterior horn in the stance phase of walking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how does the meniscus deform in regards to compression?

A

deforms peripherally with compression which disperses stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

how is compression stress absorbed?

A

as circumferential tension –> hoop stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

a tear in the meniscus reduces ability to do what?

A

resist hoop stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

MOI of meniscus

A

axial rotation of condyles over flexed and weight bearing knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how does the meniscus effect contact area and joint stress in the knee

A

increases contact area and reduces joint stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what happens when there is a partial or complete tear

A

local stress is significantly increase on the meniscus and underlying articular cartilage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

anterior cruciate ligament

A

primary restraint to anterior translation of tibia on femur

resists knee hyperextension, varus and valgus stresses, tibial rotation medially and laterally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

posterior cruciate ligament

A

primary restraint to posterior translation of tibia on femur

resists varus and valgus stress, tibial rotation medially

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

medial collateral ligament

A

primary restraint to valgus force and lateral tibial rotation

also resists anterior translation of tibia on femur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

lateral collateral ligament

A

primary restraint to varus stress

also resist tibial rotation laterally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

iliotibial tract

A

assists ACL in resisting anterior translation of tibia on femur

17
Q

what 3 factors are associated with non-contact injuries of the ACL

A

strong activation of quad over moderately flexed or nearly extended knee

marked valgus collapse of the knee

excessive ER of the knee

18
Q

what position also is a common MOI for the ACL

A

excessive hyperextension with foot firmly planted

19
Q

what is the MOI of the PCL

A

high-energy trauma – MVA or contact sports

falling onto fully flexed knee with ankle plantar flexed
dashboard injury

posterior sag sign **