Slideshow: Knee Joint

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The Knee Joint

Transcript of Slideshow: Knee Joint

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The Knee Joint

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The Knee Joint

Is the largest synovial joint in the body

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The Knee Joint

Found at the junction of the thigh and the leg

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The Knee Joint

Consists of 3 distinct articulationsto form a complex hinge joint

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The Knee Joint

Consists of 3 distinct articulationsto form a complex hinge joint

•Medial Tibiofemoral joint

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•Patellofemoral joint

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The Knee Joint

Consists of 3 distinct articulationsto form a complex hinge joint

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The Knee Joint

Anterior View

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The Knee Joint

Anterior View

Femur

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The Knee Joint

Anterior View

Fibula

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The Knee Joint

Anterior View

Tibia

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The Knee Joint

Anterior View

Patella

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The Knee Joint

Lateral View

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The Knee Joint

Lateral View

Femur

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The Knee Joint

Lateral View

Tibia

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The Knee Joint

Lateral View

Fibula

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The Knee Joint

Lateral View

Patella

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The Knee Joint

Medial View

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The Knee Joint

Medial View

Patella

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The Knee Joint

Medial View

Femur

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The Knee Joint

Medial View

Tibia

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Ligaments of the Knee Joint

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The knee joint is stablised on either side by collateral

ligaments

Medial view

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Medial Collateral Ligament

Medial view

Arises from the medial epicondyle of the Femur

Wide insertion onto the proximal aspect of the medial Tibia

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Medial Collateral Ligament

Medial view

Resists forces that push the knee medially

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Lateral Collateral Ligament

Lateral view

Arises from the Lateral Epicondyle of the Femur

Cord-like structure that inserts anterior to the Apex of the Fibular head

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Lateral Collateral Ligament

Lateral view

Stabilises the lateral side of the knee

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Cruciate Ligaments

Anterior view with the Knee Joint flexed

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Anterior Cruciate Ligament

Arises from the anterior aspect of the Intercondylar

area of the Tibia

Inserts onto the medial aspect of the

Lateral Femoral Condyle

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Anterior Cruciate Ligament

Stabilises the Knee by preventing forward

movement of the Tibia relative to the Femur

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Posterior Cruciate Ligament

Posterior View

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Posterior Cruciate Ligament

Posterior View

Attaches to the lateral aspect of the Medial Femoral Condyle and

the Intercondylar Notch

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Posterior Cruciate Ligament

Posterior View

Attaches to the lateral aspect of the Medial Femoral Condyle and

the Intercondylar Notch

Distal part of the Ligament attaches to the posterior aspect of the

intercondylar Region of the Tibia and the adjacent posterior Tibia

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Posterior Cruciate Ligament

Posterior View

Prevents backward movement of the

Tibia relative to the Femur

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Oblique Popliteal Ligament

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Oblique Popliteal Ligament

Arises as an extension from the lateral side of semimembranosustendon

Attaches to medial aspect ofLateral Femoral Condyle

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Oblique Popliteal Ligament

Blends with posterior joint capsule

Forms part of floor of the popliteal fossa

Function: primary stabiliser of the Posterolateral Knee

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Arcuate Popliteal Ligament

Fibres blend with the joint capsule and run from Lateral Femoral Condyle and adjacent intercondylar area of posterior Tibia

to

Head of the Fibula

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Arcuate Popliteal Ligament

Stabilises posterior aspect of the Knee

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Patellar Ligament(Patellar Tendon)

Attaches the lower pole of Patella to the

Tibial Tuberosity

It is the continuation of the tendon of

Quadriceps Femoris

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Patellar Ligament(Patellar Tendon)

Attaches the Patella to the Tibia

It is the continuation of the tendon of

Quadriceps Femoris

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Muscles and Tendons around the Knee Joint

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SartoriusGracilis

Semitendinosus

Means ‘Goose’s Foot’Comprises 3 conjoined

tendons

Pes Anserinus

Medial view

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Semimembranosus

Divides into a series of slips at the level of the knee and has a complex attachment

Most fibres attach to the posterior aspect of the Medial Tibial Condyle

Some fibres form a strong expansion and pass obliquely upwards to the Lateral Femoral Condyle to form the oblique

Popliteal Ligament

Posterior view

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Biceps Femoris

The Long and Short Heads unite to form a tendon that inserts onto the

head of the Fibula

Posterior view

long head

short head

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Iliotibial Tract

Attaches to Gerdy’s Tubercle

on the anterior aspect of theLateral Tibial Condyle

Tensor Fasciae Latae

Gerdy’s Tubercle

Proximally it receives two muscles•Tensor Fasciae Latae•Gluteus Maximus

Iliotibial Tract

Anterior view

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Quadriceps Femoris

Patella

Patellar Ligament

Quadriceps Femoris comprises 4 muscles•Rectus Femoris•Vastus Lateralis•Vastus Intermedius•Vastus Medialis

Extends and stabilises the knee during gait

Anterior view

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Menisci

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2 crescent-shaped intra-articular fibrocartilaginous structures situated one on each Tibial Facet

Superior view of proximal right tibia

Medial Meniscus

Lateral Meniscus

anterior

posterior

Menisci

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Menisci Each Meniscus has an anterior and posterior horn through which the Meniscus gains attachment to the tibial plateau

Medial Meniscus

Lateral Meniscus

Anterior horns

Posterior horns

Superior view of proximal right tibia

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Menisci are wedge-shaped in cross-section

The Menisci widen and deepen the

Tibial articular surface that receives the Femoral Condyles