Knee Anatomy and Biomechanics

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Questions and Answers

During the descent phase of a squat, which type of muscle action is primarily occurring in the quadriceps?

  • Concentric
  • Isometric
  • Isokinetic
  • Eccentric (correct)

Which of the following best describes a functional closed-chain movement involving the knee joint?

  • Supine straight leg raise exercise
  • Standing calf raise exercise (correct)
  • Lying hamstring curl exercise
  • Seated knee extension exercise

What anatomical structure is located within the intercondylar notch of the distal femur?

  • Lateral collateral ligament (LCL)
  • Patellar tendon
  • Medial collateral ligament (MCL)
  • Anterior Cruciate Ligament (ACL) (correct)

Which description accurately defines the patella's composition?

<p>Sesamoid bone with thick hyaline cartilage posteriorly (A)</p> Signup and view all the answers

What is the primary function of the tibial tuberosity?

<p>Attachment site for the patellar tendon (C)</p> Signup and view all the answers

Which ligament has a direct attachment to the fibular head?

<p>Lateral collateral ligament (LCL) (A)</p> Signup and view all the answers

A patient presents with a Q angle of 25 degrees. What is the most likely implication of this measurement?

<p>Increased risk of lateral patellar tracking issues (A)</p> Signup and view all the answers

What is the clinical term for 'bowlegs,' characterized by a lateral angle greater than 180 degrees at the knee?

<p>Genu varum (C)</p> Signup and view all the answers

In a concentric contraction of the quadriceps during a leg extension exercise, what is the primary action occurring at the knee joint?

<p>Knee extension (C)</p> Signup and view all the answers

If an individual has a Q angle significantly higher than normal, which structure is most likely subjected to increased stress?

<p>Lateral patellar facet (A)</p> Signup and view all the answers

Which of the following describes the position of the knee in genu valgum?

<p>The knees are abnormally close together (A)</p> Signup and view all the answers

Where is the patella located in relation to the quadriceps tendon?

<p>Embedded within the quadriceps tendon (C)</p> Signup and view all the answers

Which part of the femur articulates with the tibial plateau?

<p>Condyles (A)</p> Signup and view all the answers

What is the clinical implication of observing a genu varum deformity in a patient?

<p>Increased risk of medial compartment osteoarthritis (B)</p> Signup and view all the answers

During knee extension, which action would be considered a concentric contraction for the quadriceps muscle group?

<p>Gradually straightening the leg against resistance (B)</p> Signup and view all the answers

What is the primary function of the hyaline cartilage located on the posterior aspect of the patella?

<p>To reduce friction between the patella and the femur (A)</p> Signup and view all the answers

How does an increased Q angle typically affect the alignment and forces acting on the patella?

<p>It increases the lateral pull on the patella, potentially leading to maltracking. (A)</p> Signup and view all the answers

Which movement would primarily engage eccentric contractions of the quadriceps femoris?

<p>Sitting down slowly in a chair (B)</p> Signup and view all the answers

What is a key characteristic that defines a functional closed-chain exercise for the lower extremity?

<p>The distal segment is fixed or weight-bearing. (A)</p> Signup and view all the answers

What is the primary anatomical feature located within the intercondylar notch of the femur?

<p>Attachment for the cruciate ligaments (D)</p> Signup and view all the answers

How does the Q angle influence patellofemoral joint mechanics?

<p>It affects the tracking of the patella in the trochlear groove. (C)</p> Signup and view all the answers

Which of the following is the clinical term for a condition characterized by the knees angling inward and touching when the ankles are separated?

<p>Genu valgum (B)</p> Signup and view all the answers

What muscle action occurs in the quadriceps during the upward phase of a squat exercise?

<p>Concentric (A)</p> Signup and view all the answers

Which of the following is a hallmark characteristic of closed-chain exercises?

<p>Distal segment is fixed (D)</p> Signup and view all the answers

Which anatomical structure provides a direct attachment site for the patellar tendon?

<p>Tibial tuberosity (B)</p> Signup and view all the answers

Lateral deviation with respect to alignment of the knee describes which condition?

<p>Genu Varum (C)</p> Signup and view all the answers

What is the consequence of a Q angle greater than 20°?

<p>Increased lateral force on the patella (A)</p> Signup and view all the answers

What is the role of hyaline cartilage on the posterior side of the patella?

<p>Reduce friction between the patella and the femur (C)</p> Signup and view all the answers

What movement is an example of a concentric action?

<p>Shortening a muscle while contracting (B)</p> Signup and view all the answers

What is the normal range for the Q angle?

<p>12° - 20° (C)</p> Signup and view all the answers

Which is NOT a part of the distal femur?

<p>Trochanters (D)</p> Signup and view all the answers

What is the articulation between the Tibia and the Femur referred to as?

<p>Tibiofemoral Joint (B)</p> Signup and view all the answers

The medial and lateral convex surfaces of the distal femur are called what?

<p>Condyles (A)</p> Signup and view all the answers

Which action describes someone rising from a lunge?

<p>Concentric (B)</p> Signup and view all the answers

Which action describes someone controlling their descent into a lunge?

<p>Eccentric (D)</p> Signup and view all the answers

Laterally, the fibular head articulates with which structure?

<p>Tibia (B)</p> Signup and view all the answers

On which structure is hyaline cartilage found?

<p>Posterior side of the patella (C)</p> Signup and view all the answers

The tibial plateau provides a concave surface for articulation between which two structures?

<p>Femur and Tibia (C)</p> Signup and view all the answers

The tibial condyles are on which structure?

<p>Proximal side of the Tibia (A)</p> Signup and view all the answers

Which of the following is true about females, with respect to the Q angle?

<p>Normal: ~12-20° (higher than males) (B)</p> Signup and view all the answers

Flashcards

Eccentric Muscle Action

Muscle lengthens under tension, like lowering into a squat.

Concentric Muscle Action

Muscle shortens under tension, like standing up from a squat.

Tibiofemoral Joint

The main knee joint, where the tibia and femur connect.

Functional Closed-Chain Movements

Movements where the foot is fixed, like a squat or lunge.

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Distal Femur Condyles

Rounded ends of the femur at the knee joint.

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Intercondylar Notch

Notch between the condyles of the femur.

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Femoral Epicondyles

Bony projections on the femur for ligament attachments.

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Patella

Triangular sesamoid bone within the quadriceps tendon.

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Patellar Articular Facets

Surfaces on the patella that articulate with the femur.

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Tibial Plateau

The top surface of the tibia that articulates with the femur.

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Tibial Tuberosity

Bony bump on the front of the tibia for patellar tendon attachment.

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Fibular Head

The top of the fibula, articulating with the tibia.

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Q Angle

Angle between the quadriceps tendon and patellar tendon relative to the tibial tuberosity.

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Pathological Q Angle

Angle > 20°, increasing lateral force on the patella.

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Genu Varum

Condition of bow-leggedness; lateral angle >180°.

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Genu Valgum

Condition of knock-knees; lateral angle is <175°.

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Study Notes

  • Study notes on knee anatomy, biomechanics, and functional considerations.

Key Concepts

  • Eccentric Muscle Actions: Muscles lengthen while contracting, exemplified by controlling the descent into a lunge.
  • Concentric Muscle Actions: Muscles shorten while contracting, exemplified by rising from a lunge.
  • Tibiofemoral Joint: The knee's primary joint, involving the articulation between the tibia and femur.
  • Functional Closed-Chain Movements: Movements where the distal segment is fixed, such as the foot being on the ground during a lunge.

Osteology (Bone Structures)

  • Distal Femur: Features medial and lateral convex condyles.
  • Intercondylar Notch: Separates the condyles, and it allows passage for the cruciate ligaments.
  • Epicondyles: Bony projections for ligament attachments.
  • Patella: A triangular sesamoid bone within the quadriceps tendon.
  • Patella: Includes medial, lateral, superior, and inferior articular facets.
  • Patella: Has thick hyaline cartilage posteriorly.
  • Proximal Tibia: Includes medial (larger) and lateral tibial condyles.
  • Tibial Plateau: Concave surface for femoral articulation.
  • Tibial Tuberosity: It is the attachment point for the patellar tendon.
  • Fibula: The fibular head articulates with the tibia, and it is the attachment point for the lateral collateral ligament (LCL).

Arthrology (Joint Structures)

  • Q Angle: Formed by the quadriceps tendon, patella tendon, and tibial tuberosity.
  • Normal Q Angle: Approximately 12-20° (typically higher in females).
  • Pathological Q Angle: Greater than 20°, increasing lateral force on the patella.
  • Genu Varum (Bowlegs): Lateral angle is more than 180°.
  • Genu Valgum (Knock Knees): Lateral angle is less than 180°.

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