tibia femur patellasflanagan/kin 338/2006/coursebook chapter 3.pdf · genu varu patella alta...
TRANSCRIPT
Tibi
a
Fem
ur
Pat
ella
Tibi
ofem
oral
Join
t
Pat
ello
fem
oral
Join
t
Wha
t are
the
cons
eque
nces
? St
ruct
ure
Func
tion
Fe
mur
M
edia
l con
dyle
ext
ends
furth
er d
ista
lly
M
edia
l con
dyle
is la
rger
L
ater
al b
orde
r of t
he tr
ochl
ear g
roov
e is
l
arge
r
T
roch
lear
gro
ove
is d
eepe
r inf
erio
rly
Tibi
a
C
ondy
les a
re sm
alle
r tha
n fe
mor
al c
ondy
les
Men
isci
Med
ial
Late
ral
Ant
erio
rLateral
Medial
Pos
terio
r
AC
L
Liga
men
ts
MC
LLC
L
PC
L
IT Band
Ant
erio
rLateral
Medial
Pos
terio
r
Liga
men
ts
Liga
men
tC
onne
cts
Res
train
s
AC
L
PC
L
MC
L
LCL
Ext
enso
rs
Flex
ors
IRE
R
Vas
tus
Med
ialis
Vas
tus
Late
ralis
Vas
tus
Inte
rmed
ius
Rec
tus
Fem
oris
TFL
(0-3
0°)
Bic
eps
Fem
oris
Gra
cilis
*
Sem
imem
bran
osus
Sem
itend
inos
us*
Sar
toriu
s*
Pop
liteu
sTF
L(4
5-14
5°)
Gas
trocn
emiu
s
Pla
ntar
is
* Pes
Ans
erin
e
Mot
ion
Prim
e M
over
(s)
Flex
ion
Ext
ensi
on
IR ER
Mus
cle
–Jo
int I
nter
actio
n
Pre
-P
atel
lar
Bur
saP
esA
nser
ine
Ant
erio
rLateral
Medial
Pos
terio
r
Fem
oral
Ner
veO
btur
ator
Sci
atic
(Tib
ial)
Ant
erio
rLateral
Medial
Pos
terio
r
Vasc
ular
Ant
erio
rLateral
Medial
Pos
terio
r
Pop
litea
lA
rtery
Gen
icul
arA
rterie
sG
enic
ular
Arte
ries
Infra
-P
atel
lar
Fat P
ad
Oth
er
Ant
erio
rLateral
Medial
Pos
terio
r
BO
NE
Frac
ture
Pat
ello
Fem
oral
Pai
nS
yndr
ome
Osg
ood-
Sch
latte
r’sD
isea
se
Fem
urTi
bia
Pat
ella
JOIN
T
Spr
ains
Men
isca
lTe
ars
Ost
eoch
ondr
alD
efec
ts
Plic
aO
steo
chon
driti
sD
isse
cans
MC
LA
CL
PC
LLC
L
Rot
atio
nal I
nsta
bilit
ies
Pop
litea
lC
yst
MU
SCLE
/TE
ND
ON
Stra
ins
Tend
initi
sIT
Ban
dFr
ictio
nS
yndr
ome
Qua
dC
ontu
sion
Myo
sitis
Oss
ifica
ns
BU
RSA
Pes
Ans
erin
eB
ursi
tis
Pre
pate
llar
Bur
sitis
NER
VE
Per
onea
lN
erve
Con
tusi
on
VASC
ULA
R
OTH
ER
Infra
pate
llar
Fat P
adC
ontu
sion
OB
SER
VATI
ON
Pat
ella
r Pos
ition
Tibi
o-Fe
mor
alA
lignm
ent
QA
ngle
Leg
Leng
thG
irth
Gen
uR
ecur
vatu
m
Gen
uV
algu
m
Gen
uV
aru
Pat
ella
A
ltaP
atel
la
Baj
a
Frog
-Eye
dP
atel
laS
quin
ting
Pat
ella
Bal
otta
ble
Pat
ella
BO
NE
Frac
ture
Pat
ello
Fem
oral
Pain
Synd
rom
e
Osg
ood-
Sch
latte
r’sD
isea
se
Fem
urTi
bia
Pat
ella
Pat
ella
r Glid
es Pat
ella
r Tilt
Cla
rke’
s
App
rehe
nsio
n
KNEE PALPATION GUIDE Anterior Structures Tibial Tuberosity Patellar Tendon Patella Quadriceps Tendon Quadriceps Muscle Group Sartorius Medial Structures Medial Tibial Plateau Medial Meniscus Medial Collateral Ligament Pes Anserine Tendon Semimembranosus Gracilis Medial Femoral Condyle Medial Femoral Epicondyle Medial Collateral Ligament Lateral Structures Lateral Tibial Plateau Lateral Collateral Ligament Iliotibial Band Fibular Head Lateral Collateral Ligament Popliteus Biceps Femoris Posterior Structures Popliteal Fossa Hamstring Muscle Group Heads of Gastrocnemius
JOIN
T
Spr
ains
Men
isca
lTe
ars
Ost
eoch
ondr
alD
efec
ts
Plic
a
Ost
eoch
ondr
itis
Dis
seca
ns
Pop
litea
lC
yst
AC
L
MC
LLC
L
PC
L
Ant
erio
r Dra
wer
Lach
man
’s
Pos
terio
r Dra
wer
God
frey’
s
Val
gus
Var
us
McM
urra
y’s
Apl
ey’s
Med
ial
Syn
ovia
lP
lica
Wils
on’s
Stu
tter
Bou
nce
Hom
e
Apl
ey’s
RO
TATI
ON
AL
INST
AB
ILIT
IES
Ant
ero-
Med
ial
Pos
terio
-M
edia
lA
nter
o-La
tera
l
Pos
terio
-La
tera
l
Cro
ssov
er
Piv
otS
hift
Slo
cum
ALR
I
FRD
Slo
cum
Dra
wer
Slo
cum
Dra
wer
Ext
erna
lR
otat
ion
Hug
hsto
n’s
Jerk
Mot
ion
Nor
mal
R
OM
Sta
tiona
ry
Arm
A
xis
of
Rot
atio
nM
ovin
g A
rm
Flex
ion
Ext
ensi
on
Inte
rnal
Rot
atio
nE
xter
nal
Rot
atio
n
Gon
iom
etry
Goniometry Worksheet
Subject 1 ______________
Subject 2 _______________
Evaluator A _____________
Evaluator B _____________
Evaluator A _____________
Evaluator B _____________
Knee
Extension
Flexion
IR
ER
MU
SCLE
/TE
ND
ON
Stra
ins
Tend
initi
sIT
Ban
dFr
ictio
nS
yndr
ome
Qua
dC
ontu
sion
Myo
sitis
Oss
ifica
ns
Nob
le’s
Obe
r’s
PRO
MAR
OM
KN
EE
HIP
KN
EE
HIP
Rec
tus
Fem
oris
Ham
strin
gs
BU
RSA
Pes
Anse
rine
Bur
sitis
Pre
pate
llar
Bur
sitis
NER
VE
Per
onea
lN
erve
Con
tusi
on
Myo
tom
esD
erm
atom
es
VASC
ULA
R
Dis
tal
Pul
ses
Dor
sal
Ped
is
Pos
terio
rTi
bial
Pop
litea
l
Kinesiology 338L Knee
Checklist History
General History
Specific to this Region Observation
General Inspection
Girth Measurements
Leg Length
Patellar Position
Tibiofemoral Alignment
Q-Angle
Calluses/Corns/Blisters Palpation Anterior Structures
Tibial Tuberosity
Patellar Tendon
Patella
Quadriceps Tendon
Quadriceps Muscle Group
Sartorius
Medial Structures
Medial Tibial Plateau
Medial Meniscus
Medial Collateral Ligament
Pes Anserine Tendon
Semimembranosus
Medial Femoral Condyle
Medial Femoral Epicondyle
Medial Collateral Ligament
Lateral Structures
Lateral Tibial Plateau
Lateral Meniscus
IT Band
Fibular Head
Lateral Collateral Ligament
Popliteus
Biceps Femoris
Posterior Structures
Popliteal Fossa
Hamstring Muscle Group
Heads of Gastrocnemius
Stress
Bone
Bump Test
Squeeze Test
Joint
PROM
Flexion
Extension
Internal Rotation
External Rotation
Joint Glides
Tibiofemoral
Patellofemoral
Special Tests Balottable Patella
Patellar Tilt
Clarke’s
Apprehension
Anterior Drawer
Lachman’s
Valgus
Varus
Godrey’s
Posterior Drawer
McMurray’s
Apley’s
Bounce Home
Stutter
Medial Synovial Plica
Wilson’s
Slocum Drawer
Crossover
Slocum ALRI
FRD
Hughston’s Jerk
Pivot Shift
External Rotation
Muscle/Tendon
A/P/RROM
Flexion
Extension
Internal Rotation
External Rotation
Special Tests
Noble’s
Ober’s
Nerve
DTR
S1/S2
L3/L4
L5/S1
Dermatomes
L1
L2
L3
L4
L5
S1
S2
Myotomes
L2
L3
L4
L5
S1
S2
Vascular
Distal Pulses
Doral Pedis A.
Post Tib A.
Popliteal