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Other structures of the knee and leg
Other structures of the knee and leg <ul><li>Fibular collateral ligament </li></ul><ul><ul><li>Seated with knee flexed </l...
Other structures of the knee and leg <ul><li>Tibial collateral ligament </li></ul><ul><ul><li>Seated with knee flexed </li...
Other structures of the knee and leg <ul><ul><li>Medial meniscus can be palpated just above the edge of the medial tibial ...
Other structures of the knee and leg <ul><li>Prepatella bursa </li></ul><ul><ul><li>Housemaid’s bursa or carpenter’s knee ...
Other structures of the ankle and foot <ul><li>Deltoid ligament </li></ul><ul><ul><li>Locate the  medial malleoulus  and  ...
Other structures of the ankle and foot <ul><li>Plantar Calcaneonavicular ligament  (Spring lig.) </li></ul><ul><ul><li>Pas...
Extensor retinacula <ul><li>Supine </li></ul><ul><li>Ask pt. to dorsiflex his ankle and extend his toes </li></ul><ul><li>...
Peroneal retinacula <ul><li>Ask pt. to evert his foot </li></ul><ul><li>Locate the peroneal tendons b/w the  lateral malle...
Flexor retinaculum <ul><li>Ask pt. to dorsiflex and invert the foot </li></ul><ul><li>Locate  medial malleouls   and  medi...
Plantar aponeurosis <ul><li>Seated or supine </li></ul><ul><li>Crossing the ball of the foot, draw an imaginary triangle e...
Other structures of the ankle and foot <ul><li>Calcaneal bursae </li></ul><ul><ul><li>Impalable </li></ul></ul><ul><ul><li...
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Leg&Foot 4

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Leg&Foot 4

  1. 1. Other structures of the knee and leg
  2. 2. Other structures of the knee and leg <ul><li>Fibular collateral ligament </li></ul><ul><ul><li>Seated with knee flexed </li></ul></ul><ul><ul><li>Located the head of the fibula and lateral epicondyle </li></ul></ul><ul><ul><li>Slide finger b/w these points </li></ul></ul>
  3. 3. Other structures of the knee and leg <ul><li>Tibial collateral ligament </li></ul><ul><ul><li>Seated with knee flexed </li></ul></ul><ul><ul><li>Locate medial epicondyle </li></ul></ul><ul><ul><li>Slide distally to the joint space </li></ul></ul>
  4. 4. Other structures of the knee and leg <ul><ul><li>Medial meniscus can be palpated just above the edge of the medial tibial plateau with medial rotation of knee </li></ul></ul><ul><ul><li>Lateral meniscus is difficult to access </li></ul></ul>
  5. 5. Other structures of the knee and leg <ul><li>Prepatella bursa </li></ul><ul><ul><li>Housemaid’s bursa or carpenter’s knee </li></ul></ul><ul><li>Subcutaneous infrapatella bursa </li></ul><ul><ul><li>Parson’s knee or Buddhist’s knee </li></ul></ul><ul><li>Pes anserine bursa </li></ul>
  6. 6. Other structures of the ankle and foot <ul><li>Deltoid ligament </li></ul><ul><ul><li>Locate the medial malleoulus and sustentaculum tali </li></ul></ul><ul><ul><li>Place finger b/w these points </li></ul></ul>
  7. 7. Other structures of the ankle and foot <ul><li>Plantar Calcaneonavicular ligament (Spring lig.) </li></ul><ul><ul><li>Passively invert the foot </li></ul></ul><ul><ul><li>Locate sustentaculum tali and navicular tubercle </li></ul></ul><ul><ul><li>Palpating b/w these bony landmarks </li></ul></ul>
  8. 8. Extensor retinacula <ul><li>Supine </li></ul><ul><li>Ask pt. to dorsiflex his ankle and extend his toes </li></ul><ul><li>Palpate an inch proximal to the medial malleolus for the broad fibers of the sup. extensor retinaculum </li></ul><ul><li>Locate the inferior extensor retinaculum by moving distally to the level of the malleouls </li></ul>
  9. 9. Peroneal retinacula <ul><li>Ask pt. to evert his foot </li></ul><ul><li>Locate the peroneal tendons b/w the lateral malleouls and lateral calcaneus </li></ul>
  10. 10. Flexor retinaculum <ul><li>Ask pt. to dorsiflex and invert the foot </li></ul><ul><li>Locate medial malleouls and medial side of the calcaneus </li></ul>
  11. 11. Plantar aponeurosis <ul><li>Seated or supine </li></ul><ul><li>Crossing the ball of the foot, draw an imaginary triangle extending down to the heel </li></ul><ul><li>Within this triangle, explore the superficial layers of tissue along the sole of the foot </li></ul>
  12. 12. Other structures of the ankle and foot <ul><li>Calcaneal bursae </li></ul><ul><ul><li>Impalable </li></ul></ul><ul><ul><li>Can be thick or imflamed from tight shoes and, especially, from high heels </li></ul></ul>

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