LL4. knee/ankle/foot Flashcards
what type of joint is knee joint
→ hinge type synoival joint
where is knee joint most stable
- Most stable in extension
- condyles sit better in plateau
function of menisci
2 menisci on which condyles of femur rest = increases area of contact
function of cruciate ligaments
cruciate ligaments bind the femur to tibia to prevent sliding
function of collateral ligaments and patella
further reinforce joint to help quad femoris
patella structure
- sesamoid bone
- sits front of knee joint in patellofemoral groove of femur
- attaches to quadriceps tendon (s) and patellar ligament (i)
patella function
- leg extension = enhances leverage that quad tendon exurts on femur increasing efficiency
- protection = protects anterior aspect of knee joint from trauma
- reduces friction in tendon
most common dislocation of patella
- most commonly dislocates laterally
- because femur is at an angle due to femoral neck
- vastus medialis and lateral condyle prevents patella moving laterally
what is Patellar ligament and its attachment
a continuation of the quadriceps femoris tendon distal to the patella.
It attaches to the tibial tuberosity.
describe the condyles of the femur
- lateral (bigger)
- acts as resistance to prevent patella moving laterally
- medial
function of medial and lateral menisci
- fibrocartilage structures
- deepen articular surface of tibia to increase stability of joint
- act as shock absorbers by increasing surface area
difference between medial and lateral menisci
- medial meniscus
- wider
- fixed to the tibial collateral ligament and the joint capsule
- less mobile
- lateral meniscus
- circular
- smaller
- does not have any extra attachments, rendering it mobile
which meniscus is fixed to the medial collateral ligament
medial = lateral is more mobile
function of medial and lateral collateral ligaments
- extension = taut (tight)
- prevents side to side movement of tibia on femur
- stabilise the hinge motion of the knee, preventing excessive medial or lateral movement
difference between medial (tibial) and lateral (fibular) collateral ligaments
- medial (tibial) = wide and flat
- attachments:
- medial epicondyle of femur
- medial miniscus
- attachments:
- lateral (fibular) = thinner and rounder
- attachments:
- lateral epicondyle of femur
- head of fibula
- attachments:
function of cruciate ligaments
connect femur and tibia and prevent dislocation
structure and function of ACL
from anterior intercondylar area of tibia → medial aspect of lateral femoral condyle
- prevents anterior dislocation of tibia onto femur
- Prevents posterior rolling of femur on tibia
what movement would cause damage to ACL
force to lateral aspect + medial twist movement = damage
structure and function of PCL
from posterior intercondylar area of tibia → lateral aspect of medial femoral condyle
- prevents proximal dislocation of tibia on femur
- Prevents anterior rolling of femur on tibia (downhill)
blood supply to knee joint
genicular anastomoses around knee from femoral and popliteal arteries
function of popliteus
lateral condyle → round
Unlocks the knee
Rotates femur laterally
Assists in flexion
muscles allowing extension of knee
Produced by the quadriceps femoris, which inserts into the tibial tuberosity.