2. Anatomy of the Knee Joint
Largest and most
superficial
Hinge type of
synovial joint
Flexion and
extension
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3. Articulations, Articular Surfaces
and Stability
3 articulations:
Femorotibial articulations (lateral and medial)
Femoropatellar articulation
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Femorotibial
Femoropatellar
4. Articular surfaces
2 femoral condyles
the adjacent surfaces of the
superior aspect of the tibial
condyles
anterior surface of the distal end
of the femur where the two
condyles join
adjacent surfaces on the
posterior aspect of the patella
Stability
Quadriceps femoris - Inferior
fibres of vastus medialis and
lateralis
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5. Joint Capsule
Fibrous capsule
It covers the joint on
the lateral, medial and
posterior aspect
Synovial membrane
Lines the inner
surface of capsule
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9. Movements
Flexion – Hamstrings, short head of biceps,
gracilis, sartorius, gastrocnemius, popliteus
Extension – Quadriceps femoris
Medial rotation – Semitendinosus,
semimembranosus, long head of biceps when
FLEXED ;popliteus when non-bearing knee is
EXTENDED
Lateral rotation – Biceps femoris when knee is
FLEXED
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10. Locking and Unlocking
Locking is a mechanism that allows the knee to
remain in the position of full extension
Locking occurs as a result of medial rotation of
femur during last stage of extension
Locking is produced by quadriceps femoris
Unlocking occurs as a result of lateral rotation of
femur during initial stage of flexion
Unlocking is produced by popliteus muscle
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12. Blood Supply
10 vessels that form
the periarticular
genicular anastomoses
around the knee
Innervation
Articular branches
from femoral, tibial, and
common fibular nerves
Obturator and
saphenous nerves
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Hinge movements are combined with gliding & rolling and with a rotation about a vertical axis.
Well constructed
Function is impaired when it is hyperextended (eg in body contact sports-ice hockey)
In the anterior aspect it is replaced by the quadriceps femoris tendon, patella, ligamentum patellae
Capsule is attached superiorly to the lateral and medial condyles of femur just above the articular margins
Inferiorly it is attached to the articular margins of condyles of tibia
The capsule on the posterolateral aspect, near the lateral condyle of tibia presents an opening for tendon of popliteus muscle
Synovial membrane is continuous with the synovial membrane of suprapatellar bursa
Synovial membrane is separated from the ligamentum patellae by the infrapatellar pad of fat
This part of synovial membrane extends into the joint cavity as infrapatellar fold which is attached to the intercondylar fossa of femur
Alar folds extends from the lateral margins of infrapatellar fold