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6/3/2014 1
Anatomy of the Knee Joint
Anatomy of the Knee Joint
Largest and most
superficial
Hinge type of
synovial joint
Flexion and
extension
6/3/2014 2
Articulations, Articular Surfaces
and Stability
3 articulations:
Femorotibial articulations (lateral and medial)
Femoropatellar articulation
6/3/2014 3
Femorotibial
Femoropatellar
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
6/3/2014 4
Joint Capsule
Fibrous capsule
It covers the joint on
the lateral, medial and
posterior aspect
Synovial membrane
Lines the inner
surface of capsule
6/3/2014 5
Extracapsular Ligaments
Patellar ligament
Medial collateral ligament
Lateral collateral ligament
Oblique popliteal ligament
Arcuate popliteal ligament
6/3/2014 7
6/3/2014 8
Intra-articular Ligaments
Cruciate ligament
Anterior cruciate ligament
Posterior cruciate ligament
Menisci
Medial meniscus
Lateral meniscus
6/3/2014 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
6/3/2014 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
6/3/2014 11
6/3/2014 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
6/3/2014 13
Bursae
Suprapatellar
Popliteus
Anserine
Gastrocnemius
Semimembranosus
Subcutaneous prepatellar
Subcutaneous infrapatellar
Deep infrapatellar
6/3/2014 14
6/3/2014 15

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Anatomy of the knee joint

Editor's Notes

  1. 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)
  2. 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