regional gross anatomy spot test 3 part 2 Flashcards
what are the 2 terminal branches of the popliteal artery?
anterior and posterior tibial arteries
what are the 5 genicualr branches of the popliteal artery?
middle genicualr - pierces the joint capsule to supply the cruciate ligaments of the knee
medial and lateral superior genicular arteries
medial and lateral inferior genicular arteries
what do the genicular arteries other than the medial genicualr artery form?
an anastamosis around the knee joint
explain the. course of the quadriceps tendon
it blends w/ the patella and then continues below the knee as the patellar tendon
what is the relationship of the tendon of biceps femoris w/ the knee?
the tend of biceps femoris comes around the lateral side of the knee as it heads down towards its distal attachment on the head of the fibula
what 4 muscle tendons are on the medial side of the knee?
sartorius
gracilis
semitendinosus
semimembranosis
what type of joint its the knee?
a modified hinge joint
what are the 3 distinct articulations of the knee?
single articulation between the patella and and the femur (femoropatellar)
two separate articulations between the femur and the tibia (via the medial and lateral condyles)
does the fibula articulate at the knee joint?
no
what are the 3 articular surfaces on the femur?
patellar surface - anteriorly
lateral condyle
medial condyle
what are the 2 articular surfaces on the tibia?
lateral condyle
medial condyle
what are the articular surfaces on the medial and lateral condyles of the tibia separated by?
a non articular ridge in the centre called the intercondylar eminence
how is the articular surface on the patella divided?
into larger lateral facet and smaller medial facet
explain the relationship of the patella and the quadriceps tendon
the patella is enclosed w/in the quadriceps tendon
what does the knee capsule fuse w/ superiorly?
the quadriceps tendon
what does the knee capsule fuse w/ inferiorly?
the patellar ligament
what are the alar folds?
indentations deep to the patellar ligament
what I the function of bursae in the knee?
helps lubricate movement of the many tends across the bone
how are the ligaments of the knee divided?
into intra capsular and extra capsular
what are the 4 extracapsular ligaments of the knee?
oblique popliteal ligament
arcuate popliteal ligament
medial collateral ligament
lateral collateral ligament
what are het 2 intracapsular ligaments of the knee?
anterior and posterior cruciate ligaments
which extracapsular ligament forms as an expansion of hte semimembranous tendon?
oblique popliteal ligament
which extracapsular ligament forms as a thickening of the capsule as it is pierced by popliteal muscle?
arcuate ligament
what movements do the collateral ligaments help to prevent?
abduction and adduction (side to side movements)
how do the medial and lateral collateral ligaments differ visually?
medial collateral - broad flat ligament
lateral collateral - more rope like
what is the unique feature of the circulate ligaments?
part of them are taught in every position of the knee joint
what is the function of the cruciate ligaments?
help hold the tibial and the femur together
what movement is limited as the cruciate ligaments wind around each other?
medial rotation
what does the ACL prevent?
hyperextension at the joint
what does the PCL prevent?
the femur sliding off the tibia esp when the knee is flexed
what are the 2 bands of the ACL?
anteromedial band
posterolaterla band
what does the anteromeidal band of the ACL help limit?
flexion
what does the posterolateral band of the ACL help limit?
extension
where are the medial and lateral menisci assoc w/?
medial meniscus - assoc w/ the medial condyle of the tibia
lateral meniscus - assoc w/ the lateral condyle of the tibia
what are the menisci made of?
fibrocartilage
what shape are the menisci?
wedge shaped
what is the function of the menisci?
help w/ shock absorption
help deepen the articular surface on the tibia
what shape is the medial meniscus?
c shaped
what is the unhappy triad?
tibial collateral ligament
medial meniscus
ACL
what is the area of attachment for the tibial collateral ligament?
the medial meniscus
what muscle allows the mobility of the lateral meniscus and why?
popliteus muscle because there are some fibres that attach on the lateral meniscus and so when popliteus contracts, it moves the lateral meniscus
which vessels contribute to the periarticular genicualr anastomosis?
the medial and lateral superior genicualr arteries
the medial and lateral inferior genicualr arteries
descending genicualr artery from the femoral artery
descending branch from the lateral circumflex femoral artery
branches from the anterior tibial recurrent artery
what is the organisation of the bone of the leg?
larger tibia located more medially and smaller fibula located more laterally and slightly posteriorly
what binds the tibia and fibula together?
the interoesseous membrane (tough connective tissue)
what is the deep layer of fascia in the leg?
the crural fascia
what forms the divisions of the leg that divides it into its compartments?
intermuscualr septae that extend down from the crural fascia