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Knee - subjective portion
Knee notes for exam 3
60
Health Care
Graduate
11/23/2012

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Cards

Term
Mm of knee (6)
Definition
quadriceps, hamstrings, popliteus, gastrocnemius, sartroius, gracilis
Term
Roots:quadriceps
Definition
L2-4
Term
Roots of hamstrings
Definition
L5, S1-2
Term
Roots of popliteus
Definition
L5, S1
Term
Roots of gastrocnemius
Definition
L5, S1
Term
Roots of Sartorius
Definition
L2-3
Term
Roots of gracilis
Definition
L2-4
Term
Bursae of knee (5)
Definition
suprapatellar, subpopliteal, gastrocnemius, prepatellar, infrapatellar
Term
Dermatome: ant medial thigh
Definition
L2-3
Term
Dermatome: nt lateral thigh
Definition
L4
Term
Dermatome: lat thigh
Definition
L5
Term
Dermatome: post thigh
Definition
L5-S2
Term
Peripheral nn of semitendinosis/semimembranosis
Definition
sciatic (tibial)
Term
Peripheral nn of biceps femoris
Definition
sciatic (fibular)
Term
Peripheral nn of popliteus/gastrocnemius
Definition
tibial
Term
peripheral nn of quadriceps femoris/sartorius
Definition
femoral
Term
Peripheral nn of gracilis
Definition
obturator
Term
Angle at which lateral condyle become congruent with lateral tibia
Definition
30º flex
Term
Primary motion of tibial external rotation
Definition
ant glide of medial plateau
Term
Arc of knee ext with greatest ext rotation ("sliding")
Definition
last 10-15º of ext
Term
Arthrokinematics in last 5º of knee ext
Definition
pure spin & rock
Term
Symptoms referred TO the knee (viscerogenic)
Definition
prostatitis, PID
Term
Symptoms referred TO the knee (spondylogenic)
Definition
L3-S3 spinal dysfxn (discs, tumors, fx, stenosis)
Term
Symptoms referred TO the knee (other joints)
Definition
hip/SI, femoral tumor, biomechanical dysfxn of foot/ankle
Term
Symptoms referred FROM the knee (capsular)
Definition
arthritis (traumatic, immobilization, OA, RA, AS, Reiter's, gout, infective)
Term
Symptoms referred FROM the knee (non-capsular) (7)
Definition
meniscal tear, patellar fx, grade 2 quad/hamstring tear, loose bodies, myositis ossificans, hemarthrosis, ligt injury/adhesion
Term
Symptoms referred FROm the knee (unrestricted) (4)
Definition
tendonitis, bursitis, patellofemoral dysfxn, some meniscal injuries
Term
Traumatic ask-fors in hx (7)
Definition
mech of trauma (varus, valgus, hyperext, rot); effusion (immediate/delayed); ability to continue fxn; ability to WB; sounds (cracking, popping, tearing); locking; previous episodes
Term
What locking/unlocking in pt hx indicates
Definition
meniscus tear
Term
What "pop" in pt hx indicates
Definition
ACL lesion
Term
Atraumatic ask-fors in hx (7)
Definition
onset (gradual or sudden); previous episodes; previous trauma; other jt involvement; twinges; effusion; patellofemoral complaints
Term
Look-fors in observation (4)
Definition
effusion (extent, position); deformity (valgus, varus, recurvatum); position of pain/sx (flexed, varus, valgus, recurvatum); quad wasting
Term
Function of patellofemoral jt (3)
Definition
transmit force of quads to tibia; ↑ angle of pull of patellar tendon; assist prevention of ant emoral shear in WB
Term
Regions/facets of patella (5)
Definition
superior, infereior, medial, lateral, odd
Term
Contact of patella & femur - full ext
Definition
no contact
Term
First contact of patella on femur
Definition
10-20º flex
Term
Patellar contact at 90º knee flex
Definition
superior pole
Term
Point of contact of odd facet & femur
Definition
135º flex only
Term
Angle of least contact between patella and femur
Definition
20º flex to full ext (↑ pressure in this arc >> ↑ risk of articular damage)
Term
Optimal position of load bearing c minimal risk of articular damage
Definition
30-45º and 80-90º flex
Term
Mm that act at patella (5)
Definition
IT band, vastus lateralis, vastus intermedius, VMO, rectus femoris
Term
Tib-fem jt classification
Definition
complex modified ovoid
Term
Knee jt capsular pattern
Definition
flex>ext
Term
Knee jt close-packed position:
Definition
WB full ext c ER of tibia
Term
Incongruence of knee jt surfaces allow for _____ but predispose knee to _____
Definition
mobility;
sprains/strains
Term
Which femoral condyle is shorter?
Definition
lateral
Term
Which femoral condyle is circular?
Definition
lateral
Term
"Medial condylar articular surface is almost ______ as large as lateral..."
Definition
2x
Term
Shape of medial femoral condyle
Definition
oval; convex
Term
What dictates rotational component in flex/ext of knee?
Definition
shape of femoral condyles (medial > lateral)
Term
Purpose of menisci
Definition
deepen articular surface of tibia
Term
Menisci attached to ____ by:
Definition
tibia;
coronary ligts
Term
Medial meniscus has _____ appearance
Definition
semi-circular
Term
Which meniscus is more loosely attached?
Definition
lateral
Term
Lateral meniscus attached to: (4)
Definition
jt capsule,
transverse ligt,
PCL,
popliteus mm
Term
Which attached to jt capsule: MCL or LCL?
Definition
MCL
Term
Ligts of knee (7)
Definition
meniscofemoral,
meniscotibial,
MCL,
post oblique,
LCL,
ACL,
PCL
Term
Coronary ligt a.k.a....
Definition
meniscotibial ligt
Term
Role of post oblique ligt
Definition
reinforces post 1/3 of capsule
Term
3 arms of post oblique ligt
Definition
central, capsular, distal
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