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knee joint Rishi Pokhrel
1.
1
2.
Introduction Patello - Femoral joint Articulating surfaces Menisci Ligaments Synovial membrane and Bursae Blood supply, Innervation and Lymphatic drainage Biomechanics Applied anatomy 2
3.
INTRODUCTION
Largest joint Compound and complex Modified hinge joint 3 Joints 2 condylar and 1 saddle Complicated 3
4.
RELATIONS
4
5.
POPLITEUS
5
6.
PATELLOFEMORAL JOINT
Type Articular surfaces 6
7.
TIBIOFEMORAL JOINT
Type Articular surfaces − Tibial plateau − Femoral surface 7
8.
TIBIAL INTERCONDYLAR AREA
8
9.
MENISCI
Gen. Charact. Medial meniscus Lateral meniscus Blood supply Innervation Functions 9
10.
MENISCI contd..... Ligaments associated
with menisci 10
11.
STRUCTURE OF MENISCI
AND COMPRESSION ARTICULAR MECHANICS 11
12.
MENISCAL TEARS
12
13.
LIGAMENTS OF KNEE
JOINT 1. FIBROUS CAPSULE 13
14.
2. OBLIQUE POPLITEAL
LIGAMENT 14
15.
3. COLLATERAL LIGAMENTS
15
16.
COLLATERAL LIGAMENTS
contd.... 16
17.
4. CRUCIATE LIGAMENTS
17
18.
CLINICAL TESTS ANTERIOR DRAWER
TEST POSTERIOR DRAWER TEST LACHMAN'S TEST 18
19.
5. ARCUATE POPLITEAL
LIGAMENT 19
20.
6. LIGAMENTUM PATELLAE
20
21.
SYNOVIAL MEMBRANE
21
22.
BURSAE AROUND KNEE
JOINT ANTERIOR BURSAE 22
23.
LATERAL & MEDIAL
BURSAE 23
24.
POSTERIOR BURSAE
24
25.
BLOOD SUPPLY
25
26.
Innervation Lymphatic drainage 26
27.
BIOMECHANICS
27
28.
Flexion and Extension Conjunct rotations Accessory Movements Closed packed position Passive Knee Flexon 28
29.
ARTICULAR KINEMATICS
29
30.
LOCKING AND UNLOCKING
Ligaments associated with menisci 30
31.
MOVEMENTS AT KNEE
WHILE WALKING Flexion – Extension 31
32.
MOVEMENTS AT KNEE
WHILE WALKING contd.... SCREWHOME SCREW UNSCREW 32
33.
LOADING AT KNEE
JOINT AND 'Q' ANGLE 33
34.
ARTICULAR MECHANICS
Friction 34
35.
SOFT TISSUE MECHANICS PRIMARY
AND SECONDARY RESTRAINS 35
36.
APPLIED ANATOMY
Very common joint for a variety of pathologies Traumatic pathologies Degenerative joint conditions Bursitis Bakers cyst Meniscal tears Ligament tears Arthroscopic surgery Discoid lateral meniscus Dislocation 36
37.
BAKER'S CYST
37
38.
ARTHROSCOPY PORTS
38
39.
DISCOID LATERAL MENISCUS
39 MRI – CORONOL SECTION
40.
POSTERIOR KNEE DISLOCATION
40
41.
DISCUSSION
41
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