LOWER LIMB: KNEE, KNEE JOINT, LEG AND POPLITEAL FOSSA Flashcards
Bones of leg
tibia
fibula
function of tibia
receives weight from femur and transmits to foot
tibia is second to femur in what aspects?
size and weight
Upper articulations of tibia
femur & head of fibula
lower articulations of fibula
talus & distal end of fibula
tibia articulates with fibula through
interosseous membrane
fibula forms ____________ of ankle
lateral malleolus
fibula is a part of knee joint
true or false
false
function of fibula
muscle attachment
stabilises anklejoint
compartments of leg
anterior
lateral
posterior
structures that divide leg into compartments
posterior intermuscular septa
interosseous membrane
divisions of posterior compartment
deep
superficial
muscles of anterior compartment of leg
tibialis anterior
extensor digitorum longus
extensor hallucis longus
fibularis (peroneus) tertius
lateral compartment muscles
fibularis (peroneus) longus
fibularis (peroneus) brevis
posterior compartment muscles
superficial - gastrocnemius
plantaris
soleus
deep - flexor digitorum longus
flexor hallucis longus
posterior tibialis
popliteus
functions of anterior compartment of muscles
dorsiflexion of ankle
extend toes
blood supply of anterior compartment
anterior tibial artery
venous drainage of anterior compartment
anterior tibial vein
innervation of anterior compartment
deep fibular (peroneal) nerve
function of superior extensor retinaculum
prevents stringing of muscles
action of lateral compartment muscles
eversion of foot
innervation of lateral compartment muscles
superficial peroneal nerve
largest compartment of leg
posterior compartment
posterior compartment divided into two parts by
transverse intermuscular septum
what forms a strong muscular mass in the calf
superficial posterior compartment muscles
action & function of superficial posterior compartment
plantarflexes the foot
supports & moves the weight of the body
contents of superficial posterior compartment
short saphenous vein
peroneal communicating branch of common peroneal nerve
medial cutaneous nerve
sural nerve
innervation of posterior compartment
tibial nerve
genu varum
medial angulation of legs
bones involved in genu varum
tibia & fibula
genu valgum
knees angle in & touch each other when legs are straightened
genu varum other names
bow-leggedness, bandiness, bandy leg, tibia vara
occupational cause of genu varum
jockeys
causes of genu varum
rickets
trauma
skeletal problems
infection
tumor
patella bone type
triangular sesamoid bone
apex of patella is connected to tibial tuberosity by
ligamentum patellae
patella separated from knee by
subcutaneous bursa
function of patella
protection of knee
improves leverage of thigh muscle
attachment site of quadriceps femoris
posterior surface of patella articulates with
femur condyles
largest and most complicated joint in our body
knee joint
what joints does knee joint consists
condylar joints:
tibiofemoral joint
patellofemoral joint
what type of joint is tibiofemoral joint
synovial hinge joint
what type of joint is patellofemoral joint
synovial plane gliding joint
capsule is absent in
front of the joint
purpose of the opening on the lateral tibial condyle
passage of the popliteus muscle tendon
extracapsular ligaments
ligamentum patella
medial collateral ligament
lateral collateral ligament
oblique popliteal ligament
ligamentum patella is continuation of
central tendon of quadriceps femoris
location of ligamentum patella
medial above to the lower border of patella below to the tibial tuberosity
attachments of medial collateral ligament
above to the medial condyle of femur
below to the medial surface of shaft of tibia
medial collateral ligament is firmly attached to
medial meniscus
attachments of lateral collateral ligament
above lateral condyle of femur
below head of fibula
structure that intervenes between the lateral collateral ligament and lateral meniscus
tendon of popliteus
oblique collateral ligament is a tendinous expansion derived from
semimembranosus muscles
function of oblique collateral ligament
strengthens posterior aspect of capsule
intracapsular ligaments
anterior cruciate ligament
posterior cruciate ligament
attachments of anterior cruciate ligament
anterior intercondylar area of tibia upward, backward and laterally
posterior part of medial surface of lateral femoral condyle
function of anterior cruciate ligament
prevents posterior displacement of femur on tibia
the acl when knee is flexed
slacks
when the knee is fully extended the acl is
taut
attachments of posterior cruciate ligament
posterior intercondylar area of tibia upward, forward and medially and below to the lateral surface of medial femoral condyle
the pcl when knee is fully flexed
taut
the pcl when knee is extended
slacks
what are meniscus
crescent shaped thick rubbery bands of cartilage
attachment of meniscus
tibia
function of meniscus
stabilises knee
shock absorbers
shape of medial meniscus
semicircular broad behind than front
attachments of medial meniscus
anterior horn - anterior intercondylar area of tibia
posterior horn - posterior intercondylar area of tibia
peripheral border - attached to capsule and medial collateral ligament
medial meniscus attaches to lateral meniscus by
transverse ligament
attachments of lateral meniscus
anterior horn- anterior intercondylar area in front of intercondylar eminence
posterior horn - posterior intercondylar area behind the eminence
peripheral border- separated from lateral collateral ligament by tendon of popliteus muscle.
joint disorders
dislocations
sprains
bursitis
arthritis
dislocations are due to tears in
medial collateral ligament or lateral collateral ligament
structure that is targeted in rheumatoid arthritis
synovial membrane of the knee joint
in osteoarthritis there is formation of
bone spurs
bones of popliteal fossa
femur
tibia
boundaries of popliteal fossa
superolaterally - biceps tendon
superomedially - semimembranosus; semitendinosus
inferolaterally and inferomedially - medial and lateral heads of gastrocnemius muscle
roof of popliteal fossa
fascia lata
fascia lata is pierced by
small saphenous vein
floor of popliteal fossa
popliteal surface of femur
capsule of knee joint
oblique collateral ligament
popliteus muscle
origin of popliteus muscle
anterior end of popliteal groove on lateral femoral condyle
insertion of popliteus muscle
triangular area on posterior surface of tibia
knee capsule
lateral meniscus
contents of popliteal fossa
common peroneal nerve
tibial nerve
popliteal vein
popliteal artery
fats
popliteal LNs
branches of popliteal artery
anterior tibial artery
posterior tibial artery
sural artery
medial superior genicular artery
medial inferior genicular artery
lateral superior genicular artery
lateral inferior genicular artery
middle genicular artery
short saphenous vein arises from
lateral side of dorsal arch of foot
short saphenous vein drains the
foot, ankle and back of leg
function of popliteal lymph nodes
drain tissue in leg, foot and knee joint
tibial nerve passes
vertically down the fossa
branches of tibial nerve
muscular (to muscles arising from popliteal fossa)
articular- 3 genicular nerve
sural nerve
common peroneal nerve passes
medial to biceps femoris
branches of common peroneal nerve
muscular -none in fossa
articular -3 genicular nerves
cutaneous - sural communicating nerve