Popliteal Fossa And Knee Flashcards

1
Q

Superior border of popliteal fossa

A

Semimembranosus, semitendinosus medially
Biceps femoris laterally

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2
Q

Inferior border of popliteal fossa

A

Medial and lateral heads of grastrocnemius

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3
Q

Roof of popliteal fossa

A

Fascia Lata
Pierced by small saphenous vein and posterior femoral cutaneous nerve

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4
Q

Floor of popliteal fossa

A

Popliteal surface of femur, capsule of knee joint and popliteal ligament, popliteus and fascia

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5
Q

Contents of popliteal fossa

A

Popliteal artery and vein
Tibial nerve
Common peroneal (fibular) nerve
Popliteal lymph nodes

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6
Q

The 4 branches of the common peroneal nerve

A
  1. Sural communicating nerve - joins the sural nerve below gastrocnemius
  2. Lateral cutaneous nerve of the calf - supplies skin over the upper peroneal and extensor components
  3. Superior and inferior genicular nerves - travels with the arteries to supply the capsule of the knee and lateral ligament
  4. Recurrent genicular nerve - perforates tibialis anterior to supply the capsules of the superior tibiofibular joint and knee joint
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7
Q

What does the sciatic nerve divide into

A

Common peroneal nerve
Tibial nerve

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8
Q

Where does the common peroneal nerve run

A

Runs down laterally
Lies on the neck of fibula

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9
Q

Where does the tibial nerve run

A

Runs vertically down the fossa
Disappears between the head of gastrocnemius

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10
Q

What do the motor branches of the tibial nerve supply

A

All muscles arising in the popliteal fossa - plantaris, both heads of gastrocnemius, soleus, popliteus
Posterior compartment of the leg - flexor hallucis longus, flexor digitorum longus, tibialis posterior and intrinsic muscles of the foot

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11
Q

What are the sensory branches of the tibial nerve

A

Sural nerve - runs lateral to small saphenous vein, inferior to lateral malleolis, supplies lateral foot
Medial calcaneal, medial and lateral plantar nerves - entire sprain of foot and posterior leg

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12
Q

The course of the popliteal artery

A

Extends from hiatus in adductor Magnus to fibrous arch in soleus
Enters fossa on medial side of femur
Deep and medial to sciatic nerve
Lateral to tibial nerve
Passes under fibrous arch in soleus
Divided into anterior and posterior tibial arteries

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13
Q

Origin of popliteus

A

Triangular area on posterior surface of tibia above the soleal line

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14
Q

Insertion of popliteus

A

Lateral surface of lateral condyle of femur and lateral meniscus

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15
Q

Nerve supply of popliteus

A

Branch of tibial nerve

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16
Q

Action of popliteus

A

Popliteus unlocks the knee joint from full extension at the commencement of flexion

17
Q

What type of joint is the knee joint

A

Largest synovial joint
Modified hinge - small amount of rotation in flexed position

18
Q

Bones involved in the knee

A

Medial and lateral femoral condyles
Medial and lateral tibial condyles
Patella

19
Q

Knee capsule posterior margins/attachments

A

Proximal margins of femoral condyles and intercondylar fossa
Attachment to the lateral condyle is interrupted by an aperture for passage tendon
Posterior border runs anterior to the cruciate ligaments

20
Q

Knee capsule medial margins

A

Articular margin of femur and tibia

21
Q

Knee capsule lateral margins

A

Proximal to groove for popliteus tendon, surrounds head of the fibula

22
Q

Knee capsule anterior margins/attachments

A

Capsular attachment on femur is deficient above the level of the patella
Permits the suprapatellar bursa to be in full communication with the joint

23
Q

Attachments of medial collateral ligament

A

For medial femoral epicondyle to upper part of medial surface of tibia

24
Q

What ligaments cross the medial collateral ligament

A

Sartorius, gracilis, semitendanosus

25
Attachments of acl
From anterior part of tibial plateau, to posteromedial aspect of lateral femoral condyle
26
Actions of ACL
Limits extension and anterior draw Is taut on knee locking
27
Attachments on PCL
From posterior part of tibial intercondylar to anterior lateral aspect of medial femoral condyle
28
With regards to cruciate ligaments what is the pneumonic AL PM
Anterior goes Laterally Posterior goes Medially
29
What are the 4 anterior bursa of the knee
Suprapatellar, prepatellar, deep infrapatellar, subcutaneous infrapatellar
30
What are the 4 posterior bursa of the knee
Gastrocnemius, semimenbranosus, popliteus, anserine
31
What is the blood supply of the knee
Contributors are the 5 genicular branches of popliteal artery Middle genicular artery supplies the cruciate ligaments
32
Nerve supply of the knee
Femoral nerve Sciatic nerve - genicular branch of tibial and common peroneal components Obturator nerve
33
What does the ACL prevent
Prevents forward displacement of tibia on femur
34
What does the PCL prevent
Backwards displacement of tibia on femur
35
What causes lateral rotation of knee
Bíceps femoris
36
What causes medial rotation of knee
Semimembranosus and semitendinosus