WK2- femur, tibia and knee joint Flashcards
what is the longest bone in the body?
femur
list what features are in the proximal end of the femur 9
head of femur
fovea wapitis femoris
greater trochanter
trochanteric fossa
lesser trochanter
intertrochanteric line
intertrochnateric crest
quadrate tubercle
neck
what is angle of inclination and what is the range of degrees and the average in an adult. what is the word for decreased range and increased?
the femur is bent so the long axis of the head and neck lies at an angle to the shaft. this decreases with age.
average range= 113 to 136
adult average/norm= 125
decreased= coxa vara (old age)
increased= coxa valga (child)
what is angle of femoral torsion
proximal end of femur forms a 12 degree angle with the transverse axis when superimposed to improve angle for the hip joint.
range 10-15 degrees
features of the distal end of femur 6
intercondylar notch/fossa
medial and laterial condyles
supracondylar line
popliteal surface
medial and lateral epicondyles
adductor tubercle
what is the articular surface of the hip joint?
the head of femur and lunate surface of the acetabulum
what movements can the hip joint do? 7
flexion, extension, abduction, adduction, medial and lateral rotation and circumduction.
extracapuslar ligaments of the hip joint 4
iliofemoral ligament
pubofemoral ligament
ischiofemoral ligament
acetabulum labrum ligament
intracapsular ligaments in the hip joint 2
transverse ligament
head of femur ligament
anterior surface is ….. compared to the posterior surface
smooth, compared to posterior that is roughened markings
posterior has what lines in the superior 1/3, middle 1/3 and inferior 1/3?
superior: spiral, pectineal, gluteal tuberosity
middle: linea aspera and lips
inferior: medial and lateral supracondylar line
how to identify difference between medial and lateral distal end of femur
medial is more uniformly curved
where is the pit for gastrocnemius and groove for popliteus?
lateral femoral condyle
what is covered by hyaline articular cartilage in the hip joint?
femoral head and lunate surface of acetabulum
what is the acetabular labrum
a ring of fibrocartilage that attaches to the acetabular rim
what is the articular fibrous capsule
the external boundary of the intracapsular structures
what are the intracapuslar structures of the hip joint? 5
transverse acetabular ligament
acetabular labrum
ligament of the head of femur
femoral head
lunate surface of acetabulum
non articular surfaces are covered with what?
synovial membrane
what does the iliofemoral ligament do in the hip? how is it orientated and what does it attach to?
restricts over extension, adduction, abduction and medial and lateral rotation
anterior ligament in a y shape
attaches to AIIS and intertrochanteric line
what does the pubofemoral ligament do in the hip? how is it orientated and what does it attach to?
restrict abduction
anterior ligament
attaches to superior pubic rams, fibrous capsule and iliofemoral ligament
what does the ischiofemoral ligament do in hip? orientation and what does it attach to?
restricts medial rotation
posterior ligament
attached to adjacent to acetabular rim and spirals anteriorly to attach to the greater trochanter.
what part of the patella is non articular ?
apex (lower 1/5th) is non articular
base of patella has what orientation?
slopes anteroinferiorly
what does the patella surface have?
small foraminae and stria
patella has what ossification centres?
only primary
patellofemoral articulation allows for what
the pull of quad muscle to be directed anteriorly over the knee to the tibia without tendon wear
what ligaments in the knee prevent side to side movement?
medial and lateral collateral ligaments
what makes up the knee joint complex 9
articular surface
fibrous capsule and thickenings
synovial membranes
patella ligament
collateral ligaments
menisci
meniscofemoral ligaments
cruciate ligaments
bursae
extracapsular structures of the knee
lateral and medial patellar retinaculum
fibrous capsule
arcuate popliteal ligament
oblique popliteal ligament
patella ligament
bursae of the knee 4
anterior:
suprapatella bursa (intracapsualar)
prepatella bursa (extracapsular)
superficial infrapatella bursa
deep infrapatella bursa
which ligament is the weakest in the knee?
ACL
movements of the knee 4
flexion, extension , medial rotation, lateral rotation
intracapsular ligaments of the knee
posterior cruciate ligament
anterior “
posterior meniscofemoral lig
anterior “
extra capsular ligs in knee
patella lig, medial collateral lig, lateral “, transverse ligament ?