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Knee joint and the muscles acting upon it János Hanics M.D.

Knee joint and the muscles acting upon it

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Page 1: Knee joint and the muscles acting upon it

Knee joint and the muscles

acting upon it

János Hanics M.D.

Page 2: Knee joint and the muscles acting upon it

Knee joint:

Type: Pivot-hinge joint = Trochoginglymus

Movements:

-Flexion, extension

- Medial and lateral rotation (only in flexed position)

Description of a joint:

- Bony components

- Additional features

- Articular capsule

- Reinforcing ligaments

- Description of movements

- Muscles of actions

Page 3: Knee joint and the muscles acting upon it

L M

L

LM

M

L M

Bony components – additional featuresFemoro-patellar

joint

Femoro-tibial

joint

incongruences

Page 4: Knee joint and the muscles acting upon it

The two membranes are separated by fatty deposits

Articular capsule

Page 5: Knee joint and the muscles acting upon it

Infrapatellar fat pad

Articular capsule

Page 6: Knee joint and the muscles acting upon it

Tendon of quadriceps femoris muscle

Patellar ligament

Medial patellar

retinaculum

Lateral

patellar

retinaculum

Infrapatellar fat pad

Reinforcing ligaments 1/3

Page 7: Knee joint and the muscles acting upon it

Reinforcing ligaments 2/3

popliteal m.

Page 8: Knee joint and the muscles acting upon it

Reinforcing ligaments 3/3

Cruciate ligaments

Page 9: Knee joint and the muscles acting upon it

400

100

„active rotation”

Flexion - extension

Description of movements

Page 10: Knee joint and the muscles acting upon it

Obligatory terminal/final rotation (50)

/”passive rotation”/

During the last 100 of movement before

complete extension.

Reasons:

1) The anterior cruciate ligament

shorter than the posterior.

2) The medial condyle longer by

2 cm than lateral.

(the joint is „screwed home”)

Page 11: Knee joint and the muscles acting upon it
Page 12: Knee joint and the muscles acting upon it

The muscles acting upon the knee joint

Flexor muscles of the leg:

(max. 130°)

m. semimembranosus,

A) m. semitendinosus,

m. biceps femoris,

B) m. gracilis,

C) m. sartorius,

m. popliteus,

D) m. plantaris

m. gastrocnemius.

Extensor muscles of the leg:( max. 180°)m. quadriceps femoris,m. tensor fasciae latae

Medial rotator muscles of the leg:

(10°)

m. semimembranosus,

m. semitendinosus,

m. gracilis,

m. sartorius (they are also flexors).

Lateral rotator muscles of the leg:

(40°)

m. biceps femoris (also flexor),

m. tensor fasciae latae (also extensor).

Page 13: Knee joint and the muscles acting upon it

m. quadriceps femoris,

m. tensor fasciae latae,

m. sartorius

Page 14: Knee joint and the muscles acting upon it

m. semimembranosus,

m. semitendinosus,

m. biceps femoris,

Short head of the biceps

Long head of the biceps

Short head of the biceps

Long head of the biceps

Page 15: Knee joint and the muscles acting upon it

m. gracilis

Page 16: Knee joint and the muscles acting upon it

Common insertion - of the sartorius, gracilis,

semitendinosus muscles - just below the

medial condyle of the tibia

Superficial pes anserinus

Deep pes anserinus

Insertion of the semimembranosus muscle,

below the superficial pes anserinus

„pes anserinus” = „leg of goose”

Page 17: Knee joint and the muscles acting upon it

m. popliteus, m. plantaris, m. gastrocnemius

Page 18: Knee joint and the muscles acting upon it

Femoral triangle Adductor canal

Page 19: Knee joint and the muscles acting upon it
Page 20: Knee joint and the muscles acting upon it

„NeVA rule”Popliteal fossa

Page 21: Knee joint and the muscles acting upon it
Page 22: Knee joint and the muscles acting upon it
Page 23: Knee joint and the muscles acting upon it
Page 24: Knee joint and the muscles acting upon it

Köszönöm megtisztelő

figyelmüket!!!

Thank you for your attention!!!