1

2

Introduction

Patello - Femoral joint

Articulating surfaces

Menisci

Ligaments

Synovial membrane and Bursae

Blood supply, Innervation and Lymphatic drainage

Biomechanics

Applied anatomy

3

INTRODUCTION

Largest joint

Compound and complex

Modified hinge joint

3 Joints

2 condylar and 1 saddle

Complicated

4

RELATIONS

5

POPLITEUS

6

PATELLOFEMORAL JOINT

Type

Articular surfaces

7

TIBIOFEMORAL JOINT

Type

Articular surfaces

Tibial plateau Femoral

surface

8

TIBIAL INTERCONDYLAR AREA

9

MENISCI

Gen. Charact.

Medial meniscus

Lateral meniscus

Blood supply

Innervation

Functions

10

MENISCI contd.....

Ligaments associated with menisci

11

STRUCTURE OF MENISCI AND

COMPRESSION ARTICULAR MECHANICS

12

MENISCAL TEARS

13

LIGAMENTS OF KNEE JOINT1. FIBROUS CAPSULE

14

2. OBLIQUE POPLITEAL LIGAMENT

15

3. COLLATERAL LIGAMENTS

16

COLLATERAL LIGAMENTS contd....

17

4. CRUCIATE LIGAMENTS

18

CLINICAL TESTS

ANTERIOR DRAWER TEST POSTERIOR DRAWER TEST

LACHMAN'S TEST

19

5. ARCUATE POPLITEAL LIGAMENT

20

6. LIGAMENTUM PATELLAE

21

SYNOVIAL MEMBRANE

22

BURSAE AROUND KNEE JOINT ANTERIOR BURSAE

23

LATERAL & MEDIAL BURSAE

24

POSTERIOR BURSAE

25

BLOOD SUPPLY

26

Innervation Lymphatic drainage

27

BIOMECHANICS

28

Flexion and Extension

Conjunct rotations

Accessory Movements

Closed packed position

Passive Knee Flexon

29

ARTICULAR KINEMATICS

30

LOCKING AND UNLOCKING

Ligaments associated with menisci

31

MOVEMENTS AT KNEE WHILE WALKING

Flexion – Extension

32

MOVEMENTS AT KNEE WHILE WALKING contd....

SCREWHOME

SCREW

UNSCREW

33

LOADING AT KNEE JOINTAND 'Q' ANGLE

34

ARTICULAR MECHANICS Friction

35

SOFT TISSUE MECHANICSPRIMARY AND SECONDARY RESTRAINS

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

37

BAKER'S CYST

38

ARTHROSCOPY PORTS

39

DISCOID LATERAL MENISCUS

MRI – CORONOL SECTION

40

POSTERIOR KNEE DISLOCATION

41

DISCUSSION