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Main Joints - Coggle Diagram
Main Joints
Knee Joint
Action & Muscles
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Rotation
Medial (Inward): Locking mechanism (Inactive Rotation) - Knee is fully extended and locks owing to medial rotation of femur on tibia. (Semitendinosus, Semimembranosus, Gracilis, Sartorius, Popliteus)
Lateral (Outward): Unlocking Knee Joint - Unlocked by popliteus muscle through lateral rotation of femur on tibia. (Biceps Femoris)
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Articular Surface
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Patella: Posterior surface of patella (medial & lateral facet). (Articulate with patellar surface of femur (trochlear groove))
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Ligament
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Internal Ligaments
Posterior Cruciate Ligament: Attached at posterior intercondylar region of tibia & ascends anteriorly to attach to the anteromedial femoral condyle
Anterior Cruciate Ligament: Attached at anterior intercondylar region of tibia (blends with medial meniscus) & ascends posteriorly to attach to femur in intercondylar fossa. Prone to be injured
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Blood Vessles
Blood supply
Main arteries from Popliteal Artery: Superior medial & lateral genicular artery, Middle (Posterior) genicular artery, Inferior medial & lateral genicular artery
Genicular anastomosis: Around the knee that provides collateral circulation Formed by genicular branches of femoral artery and popliteal artery. Contributions from anterior tibial recurrent artery and descending branch of circumflex femoral artery
Bursae around knee joint - Fluid sac that reduce friction between tendons, ligaments, bone and skin
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Hip Joint
Action & Muscles
Flexor (Posterior Compartment): Extension of hip & flexion of knee - Gluteus maximus, Semimembranosus, Semitendinosus & Biceps femoris (hamstrings)
Extensor (Anterior Compartment): Flexion of hip and extension of knee - Iliopsoas, Rectus femoris, Pectineus
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Abduction: - Gluteus medius, Gluteus minimus, Piriformis and Tensor fascia latae
Adduction: - Adductors longus, Brevis & Magnus, Pectineus & Gracilis
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Ligament
Extracapsular Ligament
Pubo-femoral ligament: Arises from iliopubic eminence and blends with medial part of iliofemoral ligament, Spans between superior pubic rami and intertrochanteric line of femur, Prevents over abduction & extension of femur
Ischio-femoral Ligament: Attached to ischium & greater trochanter of femur (spirals superolaterally to femur neck), Located posteriorly, Prevents hyperextension of joint
Ilio-femoral Ligament: Attached to anterior inferior iliac spine (AIIS) to inter-trochanteric line, Y-shape, Prevent overextension, Injury site, Strongest
Ligamentum Teres Femoris: Ligament of femoral head carries branch of obturator artery, Transverse acetabular ligament bridging acetabular notch, Acetabular labrum on acetabular rim (easily dislocated), Limits adduction
Blood Vessels
Blood Supply
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Profunda Femoris Artery: - Main branch of femoral artery, Rise to circumflex artery
Medial Circumflex Femoral Artery: - Responsible for majority of arterial supply. Damage causes avascular necrosis of femur head
Obturator Artery (Acetabular Branch): - Runs in ligamentum teres femoris, More important in children
Nerve Supply
Femoral, Sciatic, Obturator, Superior Gluteal
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