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Smith - Knee and Ankle
2nd biomechanics exam
23
Medical
Professional
02/16/2013

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Term
femoral condyles
Definition
medial condyle is longer, narrower and deviates more from the midline than the lateral condyle
medial condyle facilitates the screw-home mechanism
Term
medial menisci
Definition
C-shaped
Term
lateral minisci
Definition
almost a complete circle
Term
knee joint
Definition
unstable joint in comparison to the ankle and hip joints
more stable in extension than flexion
ginglymus (hinged) joint
primarily a sagittal plane joint - flexion/extension
Term
roll and glide
Definition
the femur will roll and glide during knee flexion to allow the knee to flex without impinging on the posterior tibial plateu
allows the knee joint to get more flexion
is somewhat impeded by the cruciate ligaments
Term
screw-home mechanism
Definition
external rotation of the tibia on the femur during the last 15-20 degree of extension - OKC
internal rotation of the femur on the tibia - CKC
increases osseous stability of the knee joint
Term
anterior thigh muscle function
Definition
extend the knee in OKC motion
pull thigh over stationary tibia in CKC motion
Term
tensor fascia lata function
Definition
abducts and externally rotates the tibia on the femur in OKC
Term
posterior thigh muscle function
hamstrings (semimembranosus, semitendinosis, biceps femoris) and popliteus
Definition
strong knee joint flexors in OKC
action occurs mainly during swing phase
do very little in CKC
Term
muscle function during gait - contact phase
Definition
knee joint is flexed to absorb shock
hamstrings contract to flex the knee
quadriceps contract to keep knee from buckling - counteract the hamstrings
Term
muscle function during gait - midstance phase
Definition
quadriceps continue to contract and extend the knee - quad action is no longer needed when body mass passes over the knee joint
Term
muscle function during gait - propulsive phase
Definition
hamstrings start to flex the knee preparing for swing phase
Term
muscle function during gait - swing phase
Definition
hamstrings flex knee to allow foot to clear the ground
knee extends the rest of the phase preparing for contact
hamstrings contract to counteract the quads and keep the knee from fully extending
Term
most stable position for the ankle joint
Definition
dorsiflexion
Term
ankle joint axis
Definition
8 degrees from transverse plane
20-30 degrees from frontal plane
roughly perpendicular to sagittal plane
Term
ankle joint motion - OKC
Definition
dorsiflexion - foot moves toward the tibia
plantarflexion - foot moves away from the tibia
Term
ankle joint motion - CKC
Definition
dorsiflexion - tibia moves anterior over planted foot
plantarflexion - tibia moves posterior over planted foot
Term
ankle joint - ROM
Definition
dorsiflexion - 10 degrees or more
plantarflexion - 45 degrees or more
Term
ankle joint - minimum ROM needed for gait
Definition
dorsiflexion - 10 degrees
plantarflexion - 20 degrees
Term
ankle joint motion - swing phase
Definition
anterior group muscles dorsiflex the ankle to allow the toes to clear the ground
Term
most common rotational deformity encountered
Definition
tibial torsion
Term
intrauterine fetal position
Definition
promotes internal leg rotation, which must be corrected for proper gait to occur
Term
adult malleolar positioning
Definition
18-23 degrees of external rotation
anything less than this is called "internal tibial torsion"
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