Knee Joint Task Allocation

1. Activity 1 : Bones
(Use articulated skeletons & bone sets, models, plastinated specimens & prosection photos)

Wai Kit
1.1. Review the features in the articulating surfaces of the knee joint:
1.1.1. Distal Femur:
1.1.1.1. Lateral and medial condyles and intercondylar fossa
1.1.2. Proximal tibia
1.1.2.1. Lateral and medial tibial plateau
1.1.2.2. Intercondylar tubercles
1.1.2.3. Intercondylar eminence
1.1.2.4. Lateral & medial condyles of tibia
1.1.2.5. Anterolateral ( Gerdy) tubercle
1.1.2.6. Tibial tuberosity

Niva
1.2. Identify the patella
1.2.1. Identify its apex and margins
1.2.2. Identify the medial and lateral areas and its subdivisions in its posterior articular surface
1.2.2.1. In which movements does these different facets come in contact with the femur?
1.2.2.2. Why is patellar movements examined in full extension?

Matt
1.2.3. What types of bone is it?
1.2.3.1. How does this explain the fact that when it fractures, bony union does not take place easily
1.2.4. In what clinical condition does it simulate a fracture?

Pikky
1.3. Why does patella have a natural tendency to displace laterally?
1.4. What normally prevents a lateral patellar displacement?

2. Activity 2 : Muscles, Fascia & Ligaments
(Use articulated skeletons & bone sets, models, plastinated specimens & prosection photos)

Jeevi
2.1. List & identify the muscles that flex and extend the knee joint.
2.2. Identify the collateral ligaments
2.2.1. How are they different in shape and attachments from each other?
2.2.2. Which structure runs deep to each collateral lig.?
2.2.3. What is found between the lateral ligament & meniscus?
2.3. Explain why a tear of Medial Collateral ligament is associated with medial meniscus tear
2.4. What structures crosses the MCL?
2.4.1. What intervenes between these structures?
2.5. How will you test the stability of the collateral ligaments?

Ian
2.6. Identify the patella tendon.
2.6.1. What are its attachments?
2.6.1.1. What are the clinical applications of this?
2.6.2. When the knee joint is locked which is the only ligament which is not taut?
2.7. Draw a schematic diagram to show the following features and attachments of the upper surface of the tibia: Attachments of the medial and lateral menisci, ACL PCL Shapes of medial and lateral meniscus Transverse ligaments Tibial Spines

PC
2.8. How does the medial meniscus differ from the lateral in shape, attachments and functions?
2.9. Enumerate the functions of the menisci
2.10. What are the different types of Meniscal tears?

Mitch
2.11. Identify the ACL and PCL
2.12. Identify their attachments
2.13. What are the functions?
2.14. What are the components of O‟Donahue‟s Triad/ Terrible Triad?
2.14.1. Demonstrate the mechanism of injury
http://rad.usuhs.edu/medpix/medpix.html?mode=case_viewer&imid=18313&pt_id=6681&quiz=&th=&table=card&showall=#pic

3. Activity 3 : Joints
(Use articulated skeletons & bone sets, models, plastinated specimens & prosection photos)

Ran
3.1. Functionally knee joint is a modified hinge joint – Explain how in relation to shifting of its axes of movement
3.1.1. Briefly discuss the key factors that contribute to the stability of the knee joint.
3.2. Identify the knee joint line
3.2.1. What is the normal “Q” angle of the knee joint ?
3.2.1.1. How does it differ between sexes?
3.3. What obstetric history is present in a person with “ genu recurvatum”?
3.3.1. What is “genu valgum” and “genu varum”?
3.3.1.1. How does these conditions predispose to the degenerative changes in the knee?

Dean
3.4. Demonstrate and explain on an articulated knee, the locking and unlocking of the knee joint.
3.4.1. Which muscle is involved in unlocking?
3.5. Identify the clinically important bursae around the knee joint.
3.5.1. Which of these communicates with the knee joint?
3.5.1.1. How is this clinically important?
3.5.2. What is „Housemaid‟s knee‟?
3.5.3. What is „Clergyman‟s knee‟?

4. Activity 4 : Surface Anatomy
http://www.sportsdoc.umn.edu/Clinical_Folder/Knee_Folder/Knee_Exam/lachmans.htm

Bert
4.1. How will you test for Anterior/Posterior Instability of the Knee joint?
4.2. Demonstrate the Anterior and Posterior drawer signs and the Lachman‟s test.

5. Activity 5 : Procedural Anatomy
5.1. Where will you do an aspiration of the knee?

6. Activity 6 : Radiology
{Refer to radiological images in textbooks & Clinical Imaging software Radiology 2; http://www.radiologyassistant.nl/en/42764e8fe927e }
6.1. Study the following :
6.2. Review of X-ray of the Knee joint (AP & lateral views)
6.3. MRI of the Knee joint : Coronal and Axial images


Task allocation :
1. Wai Kit
2. Niva
3. Matt
4. Pikky
5. Jeevi
6. Ian
7. PC
8. Mitch
9. Ran
10. Dean
11. Bert