The Knee Flashcards
What tendon passes over the knee joint with the patella?
Quadriceps tendon
The tendon of biceps femoris passes over the knee to attach to which bone?
The fibula
Sartorius, gracilis, semimembranous and semitendinous all pass over what side of the knee
Medial
What type of joint is the knee joint?
Modified hinge joint
What bones are involved in the knee joint?
Proximal condyle of the femur, superior surface of the tibia and the patella anteriorly
What are the three articulations of the knee joint?
- Femoropatellar
- Femerotibial x2
Does the fibula articulate in the knee joint?
No
What parts of the femur are involved in the knee joint?
- Patellar surface
- Lateral and medial condyles
What is the name of the deep indentation between the lateral and medial condyles of the femur?
Intercondylar fossa/notch
What parts of the tibia are involved in the knee joint?
- Lateral and medial condyles
What is the name of the non articular ridge that separates the condyles of the tibia?
Intercondyle eminence
What parts of the patella are involved in the knee joint?
It’s lateral and medial facets that attach to the femur
What tendon is the patella enclosed within?
Quadriceps tendon
What does the anterior knee capsule fuse with?
- Quadriceps tendon
- Patella
- Ligamentum patellae
What does the posterior knee capsule enclose?
Follows the articular surface of the condyle of the femur and encloses the intercondylar fossa
Where does the synovial membrane attach to the patella and femur?
Around the margin of the articular surface
Where does the synovial membrane attach to the tibia?
Attaches round the medial and lateral condyles but dips into the intercondyle membrane
What is the name of the structure that covers the inner surface of the fat pads on either side of the patellar ligament?
Alar folds
What is the infrapatellar synovial fold?
A fold of synovial membrane that hands down and connects the intercondylar fossa to the intercondylar eminence on the tibia
What are bursae?
Expansions of the synovial membrane of the knee
What is the main function of bursae?
To help lubricate the movement of the tendons around the knee joint
What are the three extracapsular ligaments of the knee?
- Oblique popliteal ligament
- Arcuate popliteal ligament
- Medial and lateral collateral ligaments
What are the intracapsular ligaments of the knee?
Anterior and posterior cruciate ligaments
Name the two popliteal ligaments of the knee
- Oblique popliteal ligament
- Arcuate ligament
What is the name of the ligament that reinforces the posterior knee capsule?
Oblique popliteal ligament
What ligament of the knee forms an arch over popliteus that strengthens then posterolateral joint capsule?
Arcuate ligament
What is the main function of the medial collateral ligament?
To prevent adduction and abduction of the knee joint
Where does the medial collateral ligament proximally attach?
The medial epicondyle of the femur
Where does the medial collateral ligament attach distally?
The medial condyle and superior medial surface of the tibia
What ligament of the knee has a rope-like appearance and is very strong?
Lateral collateral ligament
What is the main function of the medial collateral ligament?
To attach the femur to the tibia
What is the name of the wedge shaped pieces of fibrocartilage that rest on the tibial condyles?
Menisci
Where does the lateral collateral ligament proximally attach?
The lateral epicondyle of the femur
Where does the lateral collateral ligament distally attach?
The lateral side of the head of the fibula
What ligament of the knee has the two split bands of the biceps femoris tendon running either side of it?
Lateral collateral ligament
What ligaments in the knee are usually taute at all times?
Cruciate ligaments
What ligaments of the knee maintain contact between femoral and tibial articular surfaces when the knee is flexed?
Cruciate ligaments
What ligaments of the knee are intracapsular but extrasynovial?
Cruciate ligaments
What structure do the cruciate ligaments attach to?
Intercondylar eminence of the tibia
Which cruciate ligament prevents hyperextension of the knee and limits medial rotation of the femur when the foot is planted?
Anterior cruciate ligament
Which cruciate ligament prevents the femur from sliding anteriorly on the tibia when the knee is flexed?
Posterior cruciate ligament
What band of the anterior cruciate ligament limits flexion of the knee?
Anteromedial band
Which band of the anterior cruciate ligament limits extension of the knee?
Posterolateral band
What are the proximal and distal attachment of the anterior cruciate ligament?
Proximal - anterior intercodylar area of the tibia
Distal - lateral condyle of the femur
Which fossa is the anterior cruciate ligament found in?
Intercondylar fossa
What are the proximal and distal attachments of the posterior cruciate ligament?
Proximal - posterior intercondylar area of the tibia
Distal - lateral side of the medial condyle of the femur
What are the menisci closely associated with?
Medial and lateral condyles of the tibia
What is the role of the menisci?
To help with shock absorption in the knee
What shape is the medial meniscus?
C shaped
What shape is the lateral meniscus?
Circular
Which menisci is firmly attached to the tibial collateral ligament?
Medial meniscus
Which menisci is not tightly attached to the tibial condyle so is freely moveable?
Lateral meniscus
What is the name of the important anastomosis that surrounds the knee?
Periarticular genicular anastomosis
What is the main function of the periarticular genicular anastomosis?
To provide an alternative route for blood to pass from the thigh to the leg when the knee is flexed
Which of the 5 genicular branches of the knee doesn’t contribute to the periarticular genicular anastomosis, and what does it do instead?
The middle genicular branch doesn’t supply the anastomosis but instead supplies the cruciate ligaments in the knee joint