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The Knee Anatomy
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The Bones
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The knee is comprised of 3 bones
Femur Patella Tibia The Fibula has no bearing on the knee
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The Femur
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15 segments of the Femur Head Fovea Capitis Neck Greater Trochanter
Intertrochanteric Line Lesser Trochanter Gluteal Tuberosity Linea aspera Pectineal Line Body Medial/Lateral Epicondyle Medial/Lateral condyle Patellar Grove Intercondylar Fossa
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Patella – Body’s largest sesamoid bone
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4 Segments of the Patella
Base – superior pole Apex – inferior pole Medial Articulating Facet Lateral Articulating Facet
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Tibia
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6 segments of the Tibia Medial Condyle Lateral Condyle
Intercondylar Eminance Tibial Tuberosity Shaft Medial Malleolus
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Muscles
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Refer to Handout The knee uses muscles from both the upper leg and lower leg Hamstring to flex the knee Gastrocnemius to the flex knee
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Ligaments
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Posterior Cruciate Ligament (PCL)
Purpose: Keep the Tibia from translating posteriorly (bkwrds) 120% to 150% wider than ACL; is Primary stabilizer of knee Medial Collateral Ligament (MCL) Purpose: Prevent excessive Valgus (lateral) force Anterior Cruciate Ligament (ACL) Purpose: Stabilizing against – Tibia from translating forward Internal rotation of tibia on femur External rotation of tibia on femur Hyperextension of tibiofemoral joint Lateral Collateral Ligament (LCL) Purpose: Prevent excessive Varus (medial) force
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Origin / Insertion of Ligs
PCL – O: 2 bands; Posterior aspect of tibia I: Medial Femoral condyle MCL – O: Medial condyle of Femur I: Neck of the Tibia ACL – O: Anteriormedial Tibial condyle I: Lateral Femoral condyle LCL – O: Lateral condyle of Femur I: Head of Fibula
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Anterior View
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Origin /Insertion: Quadriceps Tendon - O: Quadriceps becomes tendon I: Superior aspect of Patella Patellar Ligament - O: Anterior Inferior Patella I: Tibial Tuberosity.
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Patella and Patellar Lig
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Mensicii
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Meniscii Purpose: Act as “shock absorbers” for the knee, and provide structural integrity. Purpose: Limit extremes of flexion and extension in knee Medial Meniscus – more of a crescent shape, wider posteriorly than anteriorly Lateral Meniscus – more of a “c” shape
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ROM Flexion & Extension Internal & External Rotation (from the hip)
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Knee Joint
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The End…
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