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1

    Introduction

    Patello - Femoral joint

    Articulating surfaces

    Menisci

    Ligaments

    Synovial membrane and Bursae

    Blood supply, Innervation and Lymphatic drainage

    Biomechanics

    Applied anatomy


                                                       2
INTRODUCTION


    Largest joint

    Compound and complex

    Modified hinge joint

    3 Joints

    2 condylar and 1 saddle



Complicated

                                             3
RELATIONS




            4
POPLITEUS




            5
PATELLOFEMORAL JOINT



           
               Type
           
               Articular surfaces




                                    6
TIBIOFEMORAL JOINT


    Type

    Articular surfaces
           −   Tibial plateau
           −   Femoral
               surface




                                                     7
TIBIAL INTERCONDYLAR AREA




                            8
MENISCI



    Gen. Charact.

    Medial meniscus

    Lateral meniscus

    Blood supply

    Innervation

    Functions




                                 9
MENISCI contd.....
Ligaments associated with menisci




                                    10
STRUCTURE OF MENISCI AND
COMPRESSION ARTICULAR MECHANICS




                                  11
MENISCAL TEARS




                 12
LIGAMENTS OF KNEE JOINT
   1. FIBROUS CAPSULE




                          13
2. OBLIQUE POPLITEAL LIGAMENT




                                14
3. COLLATERAL LIGAMENTS




                          15
COLLATERAL LIGAMENTS
       contd....




                       16
4. CRUCIATE LIGAMENTS




                        17
CLINICAL TESTS




ANTERIOR DRAWER TEST    POSTERIOR DRAWER TEST




                       LACHMAN'S TEST

                                                18
5. ARCUATE POPLITEAL LIGAMENT




                                19
6. LIGAMENTUM PATELLAE




                         20
SYNOVIAL MEMBRANE




                    21
BURSAE AROUND KNEE JOINT
     ANTERIOR BURSAE




                           22
LATERAL & MEDIAL BURSAE




                          23
POSTERIOR BURSAE




                   24
BLOOD SUPPLY




               25

    Innervation

    Lymphatic drainage




                         26
BIOMECHANICS




               27

    Flexion and Extension

    Conjunct rotations

    Accessory Movements

    Closed packed position




                             Passive Knee Flexon
                                                   28
ARTICULAR KINEMATICS




                       29
LOCKING AND UNLOCKING




    Ligaments associated with
    menisci




                                   30
MOVEMENTS AT KNEE WHILE WALKING

    Flexion – Extension




                                  31
MOVEMENTS AT KNEE WHILE WALKING contd....
 SCREWHOME

                 SCREW




               UNSCREW




                                            32
LOADING AT KNEE JOINT
    AND 'Q' ANGLE




                        33
ARTICULAR MECHANICS
 
     Friction




                      34
SOFT TISSUE MECHANICS
PRIMARY AND SECONDARY RESTRAINS




                                  35
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
BAKER'S CYST




               37
ARTHROSCOPY PORTS




                    38
DISCOID LATERAL MENISCUS




                           39
MRI – CORONOL SECTION
POSTERIOR KNEE DISLOCATION




                             40
DISCUSSION




             41

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knee joint Rishi Pokhrel