Knee structure and movement Flashcards
What two joints make up the knee joint
The tibiofemoral and the patellofemoral
What condition causes a very pronounced tibial tuberosity
Osgood schaltters disease
Structure of the tibiofemoral menisci
Semilunar fibrocartilaginous structures on the medial and lateral tibial condylar surfaces
What are the outer border of the meniscus
Thick and convex and attached to the outer edges of the menisci via coronary ligaments
What are the inner edges of the menisci
Thin and concave to accommodate the femoral condyles
How are the lateral and medial meniscus differently shaped, and which one is more commonly injured
Lateral are nearly circular, more mobile than the medial meniscus, and may be a reason that its less commonly injured
The medial meniscus is C-shaped
What is the function of the menisci
Widen and deepen the tibial condylar surfaces to improve joint congruency
Shock absorption
Increase load distribution
How is the menisci commonly injured?
Commonly injured in sports that involve turning on a loaded limb
Often injured with collateral ligament sprain and ACL sprain
Medial more commonly injured
Function of the LCL
What type of stress is this?
Limits excessive adduction of the tibia on the femur (varus stress)
Function of the MCL
Limits excessive abduction of the tibia on the femur (valgus stress)
Functions of the ACL
Limits excessive anterior translation of the tibia on the femur
Also limits excessive internal rotation of the tibia on the femur
Also limits excessive extension of the knee
Functions of the PCL
Limits excessive posterior translation of the tibia on the femur
Limits excessive extension of the knee joint
What are the 2 mechanisms that cause ACL sprains
Contact - direct blow to the posterior knee
Non contact - rapid deceleration with the knee near full extension with internal rotation and valgus load
Patellofemoral joint articulating bones
Lateral and medial facets of the patella
Lateral and medial femoral condyles and trochlear groove of the femur
Diarthrodial joint subdivision of patellofemoral joint
Nonaxial irregular type synovial joint