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Chapter 9 Knee Injuries 11/29/2016 Chapter 9 Knee Injuries 11/29/2016

Chapter 9 Knee Injuries 11/29/2016 - PowerPoint Presentation

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Chapter 9 Knee Injuries 11/29/2016 - PPT Presentation

Introduction to Athletic Training amp Sports Medicine Mr Cronin 1 4 bones in the tibiofemoral joint Tibia Femur Fibula Patella Bones of the knee 11292016 Introduction to Athletic Training amp Sports Medicine Mr Cronin ID: 910690

amp knee 2016 medicine knee amp medicine 2016 introduction athletic training sports cronin hip etiology muscles femur rotate lateral

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Slide1

Chapter 9

Knee Injuries

11/29/2016

Introduction to Athletic Training & Sports Medicine - Mr. Cronin

1

Slide2

4 bones in the tibiofemoral joint

TibiaFemurFibulaPatella

Bones of the knee

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Introduction to Athletic Training & Sports Medicine - Mr. Cronin

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Slide3

“Shin” bone

Major weight bearing bone in the body.

Named after a Greek aulos fluteParts to know:

Medial CondyleMedial Tibial Plateau

Lateral Condyle

Lateral Tibial Plateau

Intercondylar Eminence

Tibial Tuberosity

Gerdy’s Tubercle

Shaft of the Tibia

Anterior Crest

Medial MalleolusFibular Notch

Tibia

Anterior View

Posterior View

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Introduction to Athletic Training & Sports Medicine - Mr. Cronin

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Slide4

“Thigh” bone

Strongest bone in the body.Longest bone in the body.

Parts to know:

Greater TrochanterHead of the Femur

Neck of the Femur

Lesser Trochanter

Shaft of the Femur

Linea Aspera

Lateral Condyle of the Femur

Lateral Epicondyle of the Femur

Medial Condyle of the Femur

Medial Epicondyle of the FemurPatellar Surface

Popliteal SurfaceIntercondylar Fossa

Femur

Anterior viewPosterior view

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Slide5

Largest sesamoid bone in the body.

Enclosed in quadriceps femoris tendon.

Illustration is of the right patellaParts to know:

BaseApex

Medial Facet

Lateral Facet

Patella

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Slide6

Ligaments of the Knee

Anterior Cruciate Ligament (ACL)Posterior Cruciate Ligament (PCL)

Medial Collateral Ligament (MCL)Lateral Collateral Ligament (LCL)

Meniscus of the KneeMedial Meniscus

Lateral Meniscus

Ligaments and Cartilage of the knee

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6

Slide7

Flexion

ExtensionMedial RotationLateral RotationRange of Motion

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Slide8

Rectus Femoris

OriginAnterior Inferior Iliac Spine (AIIS)

InsertionTibial Tuberosity via the patellar tendon

ActionExtend the knee

Flex the hip

Muscles of the knee

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8

Slide9

Vastus Lateralis

OriginLateral lip of linea aspera, gluteal tuberosity, and greater trochanter.

InsertionTibial Tuberosity via the patellar tendon.

Action

Extend the knee.

Muscles of the Knee

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Introduction to Athletic Training & Sports Medicine - Mr. Cronin

9

Slide10

Vastus Intermedius

OriginAnterior and lateral shaft of the femur.

InsertionTibial Tuberosity via the patellar tendon.

ActionExtend the knee.

Muscles of the Knee

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Introduction to Athletic Training & Sports Medicine - Mr. Cronin

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Slide11

Vastus Medialis

OriginMedial lip of the linea aspera.

InsertionTibial tuberosity via the patellar tendon.

ActionExtend the knee.

Muscles of the Knee

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Introduction to Athletic Training & Sports Medicine - Mr. Cronin

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Slide12

Semimembranosus

OriginIschial tuberosity.

InsertionPosterior aspect of medial condyle of tibia.

ActionFlex the knee

Medially rotate the flexed knee

Extend the hip

Assist in medially rotating the hip

Tilt the pelvis posteriorly

Muscles of the knee

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Slide13

Semitendinosus

OriginIschial tuberosity.

InsertionProximal, medial shaft of the tibia at pes anserinus.

ActionFlex the knee

Medially rotate the flexed knee

Extend the hip

Assist to medially rotate the hip

Tilt the pelvis posteriorly

Muscles of the Knee

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Introduction to Athletic Training & Sports Medicine - Mr. Cronin

13

Slide14

Biceps Femoris

OriginLong head: Ischial tuberosity.

Short head: Lateral lip of the linea aspera.Insertion

Head of the fibula.Action

Flex the knee

Laterally rotate the flexed knee

Long head: extend the hip

Long head: Assist to laterally rotate the hip

Tilt the pelvis posteriorly

Muscles of the Knee

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Introduction to Athletic Training & Sports Medicine - Mr. Cronin

14

Slide15

Sartorius

OriginAnterior Superior Iliac Spine

(ASIS)Insertion

Proximal, medial shaft of the tibia at the pes anserinusAction

Flex the hip

Laterally rotate the hip

Abduct the hip

Flex the knee

Medially rotate the flexed knee

Muscles of the Knee

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Introduction to Athletic Training & Sports Medicine - Mr. Cronin

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Slide16

Sartorius (posterior view)

Muscles of the Knee

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Slide17

Gracilis

OriginInferior ramus of the pubis

InsertionProximal, medial shaft of the tibia at pes anserinus

ActionAdduct hip

Medially rotate hip

Flex the knee

Medially rotate the flexed knee

Muscles of the Knee

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Introduction to Athletic Training & Sports Medicine - Mr. Cronin

17

Slide18

Popliteus

OriginLateral condyle of the femur

InsertionProximal, posterior aspect of the tibia

ActionMedially rotate the flexed knee

Flex the knee

Muscles of the Knee

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Introduction to Athletic Training & Sports Medicine - Mr. Cronin

18

Slide19

Gastrocnemius

OriginCondyles of the femur, posterior surfaces

InsertionCalcaneus via the Achilles tendon

ActionFlex the knee

Plantar flex the ankle

Muscles of the Knee

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19

Slide20

Plantaris

OriginLateral supracondylar line of the femur.

InsertionCalcaneus via the Achilles tendon

ActionPlantar flexion of the ankle

Flexion of the knee

Muscles of the Knee

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Slide21

Tensor Fascia Latae and the Iliotibial Band

OriginIliac crest, posterior to the ASIS

InsertionIliotibial tract (which then inserts on the tibial tubercle on the lateral aspect of the proximal tibia)

Action

Flex the hip

Medially rotate the hip

Abduct the hip

Muscles of the Knee

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Slide22

Valgus Test

Varus TestAnterior Drawer

Lachman’s TestPosterior Drawer Test

Godfrey’s Test/Posterior Sag Test

McMurray’s Test

Apley’s Compression Test

Apley’s Distraction Test

Patellar Apprehension Test

Patellar Grind Test/Clarke’s Sign

Assessment Tests

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Slide23

Ligament

Sprain MCL LCL ACL

PCLJumper’s KneeOsgood-Schlatter DisorderQuadriceps Strain

Hamstrings StrainPatellar Subluxation/DislocationChondromalacia patella

Meniscal Injuries

Bursitis

Iliotibial Band Friction Syndrome

Osteochondritis Dissecans

Knee Injuries & Conditions

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Slide24

Etiology

MCL InjuryPathologyTreatment

Medial Collateral Ligament Sprain

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Slide25

Etiology

LCL InjuryPathologyTreatment

Lateral Collateral Ligament Sprain

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Slide26

Etiology

ACL InjuryPathologyTreatment

Anterior Cruciate Ligament Sprain

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Slide27

Etiology

PCL InjuryPathologyTreatment

Posterior Cruciate Ligament Sprain

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Slide28

Etiology

PathologyTreatment

Jumper’s Knee (Patellar Tendinitis)

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Slide29

Etiology

Patella Tendon Rupture InjuryPathologyTreatment

Patella Tendon Rupture

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Slide30

Etiology

PathologyTreatment

Osgood-schlatter Disease/Shinding-Larsen-Johansson Disease

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Slide31

Etiology

Quad injuryPathologyTreatment

Quadriceps Strain

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Slide32

Etiology

Hamstring InjuryPathologyTreatment

Hamstrings Strain

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Slide33

Etiology

Patellar DislocationPathologyTreatment

Patellar Reduction

Patellar Subluxation/Dislocation

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Slide34

Etiology

PathologyTreatment

Chondromalacia Patella

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Slide35

Etiology

PathologyTreatment

Meniscal Injuries

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Slide36

Etiology

PathologyTreatment

Bursitis

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Slide37

Etiology

Ober’s TestPathologyTreatment

Runner’s Knee – Iliotibial Band Friction Syndrome

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Introduction to Athletic Training & Sports Medicine - Mr. Cronin

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Slide38

Etiology

PathologyTreatment

Osteochondritis Dissecans

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Slide39

For your Quiz

Students should be able to:Label the parts of the bones for the knee joint including the femur, tibia, patella and fibula.

Label the muscles that are involved with the knee joint.

Label the ligament and meniscal structures of the knee.Identify the different knee assessment tests and what they are used for.

Identify the different knee injuries and conditions and be able to define them.

Identify the different bones and their respective parts on the models of the bones.

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