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18-lower extremity 2

AB
roles of the knee. the knee...transmits loads, participates in motion, aids in the conservation of momentum and provides a force couple for activities involving the leg
the knee is the...joint in the human bodylargest and most complex joint
the knee is a...composed of..is a two-joint structure composed of the tibiofemoral joint and the patellofemoral joint
the knee motion occurs...simultaneously in three planes but the motion in one plane is much greater than the other planes
although many muscles produce forces on the knee, at any instance in time...one muscle group predominates
genu varumsmall or negative Q angle
genu valgum Q angleQ angle>17 degrees
the...joint is the main joint in the kneetibiofemoral joint
the largest range of motion of the knee is in thesagittal plane (i.e. flexion-extension)
motion in sagittal plane is from0-140 degrees of flexion
motion in transverse plane(internal-external rotation) is influenced by the position of the joint in the sagittal plane
motion in frontal planeabduction-adduction) is similarly affected by joint flexion
motion in transverse plane. with the knee in full extension, rotation isalmost completely restricted by the interlocking of the femoral and tibial condyles
motion in transverse plane. interlocking of the femoral and tibial condyles occurs bche medial femoral condyleis longer than the lateral femoral condyle
motion in transverse plane. the range of motion...as knee is flexed reaching a max of...with the knee in this position external rotation ranges from...and internal rotation from...these motions together are referred to as the...the range of motion increases as the knee is flexed reaching a maximum of 90o–with the knee in this position, extneral rotation ranges from 0 to ~45oand internal rotation from 0 -~30o • these motions together are referred to as the “screw home mechanism
motion in frontal plane is influenced by...sagittal plane motion
motion in frontal plane. ...precludes almost all motion in frontal planefull extension of the knee precludes almost all motion in the frontal plane
motion in frontal plane. passive abduction/adduction increases withpassive abduction/adduction increases with knee flexion up to 30obut only reaches a few degrees
motion in frontal plane. with the knee flexed beyond 30, motion in frontal plane...with the knee flexed beyond 30o, motion in the frontal plane decreases because of soft tissue


nahant, MA

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