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What are the major features of the medial collateral ligament?------1) wide, band-like ligament 2) 2 major portions: Deep and Superficial 3) continuous with the capsule what does the MCL resist?------VALGUS (and some fibers resist medial and lateral rotations at knee) what are the attachments of the Anterior Cruciate Ligament (acl)?------Prox: medial aspect of lateral femoral condyle Distal: Posterior aspect of intercond
What are the major features of the medial collateral ligament?------1) wide, band-like ligament 2) 2 major portions: Deep and Superficial 3) continuous with the capsule what does the MCL resist?------VALGUS (and some fibers resist medial and lateral rotations at knee) what are the attachments of the Anterior Cruciate Ligament (acl)?------Prox: medial aspect of lateral femoral condyle Distal: Posterior aspect of intercond
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What are the major features of the medial collateral ligament?------1) wide, band-like ligament 2) 2 major portions: Deep and Superficial 3) continuous with the capsule what does the MCL resist?------VALGUS (and some fibers resist medial and lateral rotations at knee) what are the attachments of the Anterior Cruciate Ligament (acl)?------Prox: medial aspect of lateral femoral condyle Distal: Posterior aspect of intercond
Copyright:
Attribution Non-Commercial (BY-NC)
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Scarica in formato TXT, PDF, TXT o leggi online su Scribd
What are the major features of Medial Collateral Ligament?
------1) Wide, band-like
ligament 2) 2 major portions: Deep & Superficial 3) Continuous with the capsule What does the MCL resist?------VALGUS (and some fibers resist medial and lateral rotation) What is the function of the MCL?------To stabilize the knee against valgus stress and resist rotational and anterior forces on tibia. What are the major features of the Lateral Collatoral Ligament?------1) Rounded, p encil-like ligament. 2) Easy to palpate 3) NOT continuous w/ capsule What does the LCL resist?------VERUS (and extreme rotations at knee) What are the attachments of Anterior Cruciate Ligament (ACL)?------Prox.: Medial a spect of lateral femoral condyle Distal: Anterior aspect of intercondylar eminence of tibia. What are the functions of the ACL?------1) STABILIZE knee from displace tibia Ante riorly on femor "anterior drawer" 2) Draws tight on excessive Valgus, Extension and restrains IR. What are the attachments of Posterior Cruciate Ligament (PCL)?------Prox: Lateral aspect of medial femoral condyle at intercondylar notch. Distal: Posterior aspect of intercondylar eminence of tibia. What are the functions of the PCL?------Prevent displacement of tibia posteriorly "posterior drawer" What do the PCL and ACL do together?------Hold knee together and allow normal move ments What makes up the terrible triad?------1) Medial collateral ligament 2) medial meniscus 3) anterior cruciate ligament What is closed packed position for leg at knee?------Full extension with ER Patella surface--Posterior what texture? Anterior: what texture?------Posterior: smoothe Anterior: rough for attachment of fibers and entrance of blood vessels Surface of femur--Define CAM-shaped------Radius greater in some places than in oth ers. Effects axis of motion Knee is more stable in which position: flexion or extension?------Flexion Restoring flexion of knee at last 10 degrees: easy or hard? Why?------It is hard because you have to move joint surfaces further. Patella is developed where?------Quadriceps tendon Functions of the Patella------1) redirect the line of pull of the quads 2) prevents excessive wear on the tendon 3) Increases efficiency of the quads in extending leg Patella: Medial base ------Point of attachment of Vastus Medialis Patella: Lateral base------Point of attach: Vastus Lateralis Ligaments that reinforce capsule: Anterior------Medial and Lateral Retinaculae Ligaments that reinforce capsule: Laterally------Iliotibial band Ligaments that reinforce capsule: Medially------Medial Collateral ligament Synovium------1) Inside Joint cavity but by passes intercondylar space. 2) Exclude s the cruciate ligaments from being intrasynovial Which gets more injured: Posterior cruciate or Anterior cruciate ligaments?------A nterior Pronation of foot--combo of what move?------Mostly Eversion, some lateral rotation and dorsiflexion. Supination of foot--combo of what move?------Mostly Inversion, some medial rotatio n and plantar flex. Medial meniscus has what shape and where does it attach?------"C" shaped and it at taches anteriorly and posteriorly on the intercondylar eminence. Medial meniscus: How is stability reinforced?------The deep portion of the medial collateral ligament Which is more susceptible to injury: Medial or Lateral Meniscus? Why?------Medial meniscus b/c it is much less mobile and medial condyle more mobile than lateral condyle. More likely to be caught & torn Lateral meniscus has what shape and where does it attach?------"O" shape. Major a ttachment posteriorly from popliteus tendon. What is Condromalacia of patella?------The cartalege softening and fibrillation. Motion of knee: What are the 2 main mechanisms?------Sliding and Rocking Knee as "Hinge" joint. Does it occur around single axis?------No. The axis is co nstantly changing throughout range of flexion. "Screw Home Mechanism" describes what?------The fact that at terminal knee extensi on, the tibia EXTERNALLY rotates on femur approx. 15 degrees. That makes it scr ew home or "lock" knee What is the effect of the Screw Home Mechanism?------To allow a person to stand fu lly extended for long time w/o use of muscle power or knee collapsing into knee flexion Reason 1 why Screw Home Mechanism occurs------As knee moves to full EXTENSION the ANTERIOR movement of tibia is stopped by the ACL. Reason 2 why Screw Home Mechanism occurs------B/c ACL is attached to LATERAL femor al condyle, motion is stopped. Reason 3 why Screw Home Mechanism occurs------B/c medial femoral condyle is longer than lateral condyle and not fixed by ACL, it will continue to move POSTERIORLY on tibia--causes EXT Rot. What two lines form the Q angle?------1) line from ASIS to center of patella 2) line following line (direction of fibers) of patellar tendon Why is Q angle significant?------1) Abnormal biomechanics of patella are attribute d to excessive Q angles. 2) Can result in retro patellar pain To work with Q angle, what do you need to strengthen?------ER at hip and VMO True or false: The lateral meniscus has an attachment to lateral collateral liga ment------False Both menisci are attached to what?------Synovial and fibrous layers of the joint c apsule True or false: The medial meniscus is anchored firmly to the tibial collatoral l igaments?------True Mensici are most likely to be torn when knee is flexed or extended?------Flexed What is one of 3 main functions of Menisci?------1) Joint nutrition (synovial flui d & lub) What is second of 3 main functions of Menisci?------2) Increase surface area for w eight distribution What is third of 3 main functions of Menisci?------3) Increase stability of knee Common severe athletic injury to knee would result in tearing of which 2 ligamen ts and 1 meniscus?------Medial collateral and anterior cruciate ligaments. And of ten: medial meniscus Rupture of which ligament can result from automibile accident where person crash es into "dashboard"?------Posterior cruciate