Knee Region Flashcards
What type of joint is the knee joint?
Modified Hinge Joint
How many DOF does the knee joint have?
2 DOF (Flexion, Extension)
OPP of Knee Joint
25 degrees Flexion
CPP of Knee Joint
Extension with ER of Tibia
What type of joint is the patella?
Modified Plane Joint
Functions of the Patella
Increases quad leverage
Protects the anterior portion of femur
Provides gliding mech for quads
Facets of the Patella
Base
Apex
Medial
Lateral
Odd
Patellar loading during walking
0.3 x BW
Patellar loading during climbing the stairs
2.5 x BW
Patellar loading during descending stairs
3.5 x BW
Patellar loading during squats
7 x BW
What is the screw home mechanism during OKC
During last 20 degrees of ext, Tibia will ER over Femur (OKTER)
What is the screw home mechanism during CKC?
During last 20 degrees of ext, Femur will IR over the Tibia (CKFIR)
What is attached to the Medial Meniscus?
ACL, MCL, and Semimem
What is attached to the Lateral Meniscus?
PCL and Popliteus
The functions of cruciate ligaments
Anteroposterior and rotary stabilizers
OI of ACL
O: Ant. Spine of Intercondylar Eminence
I: Lateral Femoral Condyle
OI of PCL
O: Post Spine of Intercondylar Eminence
I: Medial Femoral Condyle
Orientation of ACL
Posterior, Lateral, Superior (PLS)
Orientation of PCL
Superior, Anterior, Medial (SAM)
Primary and Secondary Restraints of Anterior Translation
Primary: ACL
Secondary: MCL and LCL
Primary and Secondary Restraints of Posterior Translation
Primary: PCL
Secondary: MCL and LCL
Primary and Secondary Restraints of Valgus Force
Primary: MCL
Secondary: ACL and PCL
Primary and Secondary Restraints of Varus Force
Primary: LCL
Secondary: ACL and PCL
Genu Varum measurement
2 or more fingers can fit between the knees when ankles are together
4 cm or 1.6 inches
Genu Valgum measurement
Knees touch and ankles do not
9 -10 cm or 3.5 to 4 in
Genu Recurvatum
Hyperextended knee
Lower patella
Patella Baja
Higher Patella
Patella Alta
Normal ROM for Knee flexion
0-135 degrees
Normal ROM for Knee extension
0-15 degrees
Normal ROM for IR of Tibia on Femur
0-20 to 30 degrees
Normal ROM for ER of Tibian on Femur
0-30 to 40 degrees
Affected Structures During Abduction Test (Knee Extended)
MCL
ACL
PCL
POL
PMC
Semimembranosus
Medial Quad Expansion
Affected Structures During Abduction Test (20-30 degrees flexion)
MCL
PCL
POL
PMC
Affected Structures During Adduction Test (Knee Extended)
LCL
ACL
PCL
PLC
ITB
Lat Gastrocnemius
Arcuate-Popliteus Complex
Biceps Fem Tendon
Affected Structures During Adduction Test (20-30 degrees flexion)
LCL
PLC
ITB
Biceps Fem Tendon
Arcuate-Popliteus complex
What do you call an audible snap or palpable jerk during pulling the tibia forward in Drawer’s sign?
Finochietto Jumping Sign
Tests for One Plane Anterior Instability
Active Drawer Test
Drawer Test
Tests for One Plane Medial Instability
Abduction (Valgus Stress Test)
Tests for One Plane Lateral Instability
Adduction (Varus Stress) Test
Functions of Meniscus
Lubrication
Shock absorption
Deepens tibial plateau
Medial Meniscus
Deeper
Less mobile
Prone to injury
Crescent-shaped
Attached to ACL, MCL, Semimem
Lateral Meniscus
Shallow
More mobile
O-shaped
Attached to PCL and popliteus
Valgus/Varus contact without rotation
Collateral ligament
Patellar dislocation/subluxation
Valgus/Varus contact with rotation
Collateral & Cruciates
Meniscus tear
Blow to tibial tubercle, or fall on flexed knee, foot plantar flexed
PCL injury
Hyperextended knee with foot planted
PCL Injury
Contact hyperextension
ACL injury
ACL and PCL
Non-contact hyperextension
ACL
PCL
Non-contact deceleration
ACL
Non-contact deceleration with Tibia in IR
ACL
Turning away with tibia in opposite direction
Patellar dislocation
Compressive rotation
Meniscus
Hyperflexion
Meniscus
ACL
Forced medial rotation
Lateral meniscus
Forced lateral rotation
Medial meniscus
MCL and PCL (possibly)
Patellar dislocation
Dashboard injury
Isolated PCL
PCL and Posterior Capsule
Genu Varum
Bowlegs
4 cm (1.6 in) between the knees when ankles are together
Genu Valgum
Knock-knees
Knees touch and ankles do not
9-10 cm (3.5-4 in) in between the ankles