Week 4 - Lower Limb Flashcards
Angular Knee Deformaties
Genu Valgum (Knock-knee).
Genu Varum (Bow-legged).
Anterior Cruciate Ligament
ACL
Taut in EXTENSION.
Prevents posterior displacement of femur.
Lachman Test.
O = medial wall of lateral femoral condyle.
I = Intercondyloid eminence of tibia.
Posterior Cruciate Ligament
PCL
Taut in FLEXION.
Prevents anterior displacement of femur.
O = medial Femoral Condyle.
I = posterior aspect of TIBIAL Plateau.
Menisci
Medial:
C-shaped.
Attached to MCL.
Fixed.
Lateral:
Oval-shaped.
Attached to Popliteus tendon.
Mobile.
Connected anteriorly by transverse ligament.
Terrible Triad
Tibial Collateral Ligament,
Medial Meniscus.
Anterior Cruciate Ligament.
Popliteus
Key to the Knee.
O: Lateral femoral epicondyle.
I: Post proximal tibia.
Action: Laterally rotates femur on tibia.
Artery: Popliteal
Nerve: Tibial
Quadriceps Femoris
Muscles? Nerve? Action?
Rectus Femoris
Vastus (Medialis, Intermedius, Lateralis).
Action: Extend knee (L3-L4)
Nerve: femoral nerve (L2-L4).
Q-Angle
Quadriceps line of pull & patellar tendon intersection.
~15 degrees.
angle > in females.
Strengthen Vastus Medialis to counteract Lateralis.
Iliotibial Band
O: Iliac Crest.
I: Lateral tibial tract.
Thickening of fascia latae.
Action: Lateral stabilization of hip/knee. Pulls knee into hyper extension.
Nerve: Superior & inferior gluteal.
Artery: Superior gluteal.
Hamstrings
Semitendinosus.
Semimembranosus.
Biceps femoris.
Flex knee.
Sciatic Nerve (except for SH BF = CFN)
Pes Anserinus
Attachment site
Goose Foot
3 conjoined tendons from each thigh compartment.
1. Sartious
2. Gracilis
3. Semitendinosus
Anteromedial tibia. Superficial to MCL.
Knee Bursae
- Suprapatellar
- Subcutaneous prepatellar
- Deep infrapatellar
- Subcutaneous infrapatellar
Sural nerve
S1,S2
Cutaneous nerve formed by sciatic nerve in popliteal fossa. Lateral leg innveration. Runs alongside small saphenous vein.
Runs deep until Calcaneal (Achilles) tendon (base of gastronemious).
Sole of the foot Innervation.
Medial and Lateral plantar (Branch of tibial nerve)
Malleolus
(Ankle bone)
Lateral Malleolus from fibula.
Medial malleolus from tibia.