Osteology of the distal femur, patella, tibia and fibula Flashcards

1
Q

What are the proximal (medial and lateral) and distal (medial and lateral) borders of the linea aspera?

A

Proximal medial = Pectineal line
Proximal lateral = Gluteal tuberosity
Distal medial = Medial supracondylar line
Distal lateral = Lateral supracondylar line

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2
Q

Where does the medial supracondylar line end?

A

Adductor tubercle

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3
Q

Where does the lateral supracondylar line end?

A

Lateral femoral condyle

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4
Q

What are the medial and lateral condyles of the femur?

A

Articulating surfaces of the distal femur to form the knee joint with the tibia and patella

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5
Q

What prevents the patella from displacing laterally in the trochlear groove?

A
  • More prominent lateral femoral condyle (than medial) = deeper trochlear groove
  • Vastus medialis obliquus (VMO)
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6
Q

What are the medial and lateral epicondyles and which one is bigger?

A

Bony elevations above the non-articulating surfaces of each condyle
-Medial epicondyle is larger

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7
Q

What type of bone is the patella?

A

Seasmoid

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8
Q

What are the superior and inferior attachments of the patella?

A
Superior = Quadriceps tendon
Inferior = Patellar ligament (patellar tendon)
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9
Q

What are the main functions of the patella?

A
  • Acts as a fulcrum (enables quadriceps to directly cross anterior aspect of the knee)
  • Protection
  • Reduce frictional forces (between quadriceps and femoral condyles)
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10
Q

What is the tibial plateau?

A

Flat surface on proximal tibia formed by the medial and lateral condyles
-this articulates with the femoral condyles

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11
Q

What is the intercondylar eminence?

A

Main site of attachment for ACL and menisci of knee located at the centre of the intercondylar area (between the medial and lateral intercondylar tubercles)

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12
Q

What is the shape of the tibial shaft?

A

Prism

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13
Q

What are the 3 borders of the tibial shaft?

A
  • Anterior (marked by tibial tuberosity)
  • Posterior (marked by soleal line)
  • Lateral border/interosseous border
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14
Q

What is the medial malleolus?

A

Bony projection in the distal medial aspect of the tibia

-articulates with tarsal bones to form ankle joint

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15
Q

What are the 3 articulations of the fibula?

A
  • Proximal tibiofemoral joint
  • Distal tibiofemoral joint
  • Ankle joint
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16
Q

Describe the route of the common peroneal/fibular nerve down the leg and what is its clinical importance?

A

Winds around the posterior and lateral surface of the neck of fibula
-Vulnerable to damage in proximal fibular fracture

17
Q

What is the lateral melleolus?

A

Bony projection in the distal lateral aspect of the fibula