Knee joint

Changed by Henry Knipe, 4 Oct 2014

Updates to Article Attributes

Body was changed:

The knee joint is a modified hinge joint between the femur, tibia and patella. It is the largest synovial joint in the body; and allows flexion and extension of the leglower limb as well as some rotation in the flexed position.

Summary

  • location - two: two condylar joints between femur and tibia; saddle joint between patella and femur
  • blood supply -: main supply are the genicular branches of the politealpopliteal artery
  • nerve supply -: branches from the femoral, tibial, common peroneal and obturator nerves
  • movement - flexion: flexion to 150 degrees, extension to 5-10 degrees hyperextension,; rotation whilst in the flexed position to 10 degrees actively and 60 degrees passively 

Gross Anatomy 

Articulations 

Two condylar joints between the femur and tibia:

  • medially -: between a narrow and curved femoral condyle, and an oval tibial articular surface with a long anteroposterior length
  • laterally -: between a wide and flat femoral condyle; and a circular tibial articular surface
  • the knee menisci are shaped accordingly 

Saddle joint between between the patella and femoral condyles: 

  • the patella is divided into lateral, middle and medial areas by ridges
  • in extension -: the lateral patella surface articulates with the lateral femoral condyle
  • in flexion -: the medial patella surface articulates with the medial femoral condyle and the middle patella surface faces the intercondylar notch
Attachments
Relations 

Blood Supply

The knee is supplied by anastamoses of:

  • five genicular branches of the popliteal artery (main supply)
    • medial and lateral superior genicular arteries encircle the femoral condyle
    • medial and lateral inferior genicular arteries encircle the tibial condyle
    • middle genicular artery - supplies the anterior and posterior cruciate ligaments 
  • descending branch of the lateral circumflex femoral artery
  • descending genicular branch of the femoral artery
  • circumflex fibular branches of the posterior tibial artery
  • anterior and posterior recurrent branches of the anterior tibial artery 
  • -<p>The <strong>knee joint </strong>is a modified hinge joint between the femur, tibia and patella. It is the largest synovial joint in the body; and allows flexion and extension of the leg as well as some rotation in the flexed position.</p><h4>Summary</h4><ul>
  • +<p>The <strong>knee joint </strong>is a modified hinge joint between the <a title="Femur" href="/articles/femur">femur</a>, <a title="tibia" href="/articles/tibia">tibia</a> and <a title="patella" href="/articles/patella">patella</a>. It is the largest synovial joint in the body and allows flexion and extension of the lower limb as well as some rotation in the flexed position.</p><h4>Summary</h4><ul>
  • -<strong>location</strong> - two condylar joints between femur and tibia; saddle joint between patella and femur</li>
  • +<strong>location</strong>: two condylar joints between femur and tibia; saddle joint between patella and femur</li>
  • -<strong>blood supply</strong> - main supply are the genicular branches of the politeal artery</li>
  • +<strong>blood supply</strong>: main supply are the genicular branches of the <a title="Popliteal artery" href="/articles/popliteal-artery">popliteal artery</a>
  • +</li>
  • -<strong>nerve supply</strong> - branches from the femoral, tibial, common peroneal and obturator nerves</li>
  • +<strong>nerve supply</strong>: branches from the femoral, tibial, common peroneal and obturator nerves</li>
  • -<strong>movement</strong> - flexion to 150 degrees, extension to 5-10 degrees hyperextension, rotation whilst in the flexed position to 10 degrees actively and 60 degrees passively </li>
  • +<strong>movement</strong>: flexion to 150 degrees, extension to 5-10 degrees hyperextension; rotation whilst in the flexed position to 10 degrees actively and 60 degrees passively </li>
  • -<li>medially - between a narrow and curved femoral condyle, and an oval tibial articular surface with a long anteroposterior length</li>
  • -<li>laterally - between a wide and flat femoral condyle; and a circular tibial articular surface</li>
  • +<li>medially: between a narrow and curved femoral condyle, and an oval tibial articular surface with a long anteroposterior length</li>
  • +<li>laterally: between a wide and flat femoral condyle; and a circular tibial articular surface</li>
  • -<li>in extension - the lateral patella surface articulates with the lateral femoral condyle</li>
  • -<li>in flexion - the medial patella surface articulates with the medial femoral condyle and the middle patella surface faces the intercondylar notch</li>
  • +<li>in extension: the lateral patella surface articulates with the lateral femoral condyle</li>
  • +<li>in flexion: the medial patella surface articulates with the medial femoral condyle and the middle patella surface faces the intercondylar notch</li>
  • -<li>Ligaments<ul>
  • -<li><a href="/articles/medial-collateral-ligament-of-the-knee">Medial collateral ligament</a></li>
  • -<li><a href="/articles/lateral-collateral-ligament-of-the-knee">Lateral collateral ligament</a></li>
  • -<li><a href="/articles/anterior-cruciate-ligament">Anterior cruciate ligament</a></li>
  • -<li><a href="/articles/posterior-cruciate-ligament">Posterior cruciate ligament</a></li>
  • -<li><a href="/articles/meniscofemoral-ligament">Meniscofemoral ligament</a></li>
  • -<li><a href="/articles/posterolateral-ligamentous-complex">Posterolateral ligamentous complex</a></li>
  • +<li>ligaments<ul>
  • +<li><a href="/articles/medial-collateral-ligament-of-the-knee">medial collateral ligament</a></li>
  • +<li><a href="/articles/lateral-collateral-ligament-of-the-knee">lateral collateral ligament</a></li>
  • +<li><a href="/articles/anterior-cruciate-ligament">anterior cruciate ligament</a></li>
  • +<li><a href="/articles/posterior-cruciate-ligament">posterior cruciate ligament</a></li>
  • +<li><a href="/articles/meniscofemoral-ligament">meniscofemoral ligament</a></li>
  • +<li><a href="/articles/posterolateral-ligamentous-complex">posterolateral ligamentous complex</a></li>
  • -<li><a href="/articles/knee-menisci">Knee menisci</a></li>
  • -<li>Knee capsule</li>
  • -<li>Knee synovial membrane</li>
  • +<li><a href="/articles/knee-menisci">knee menisci</a></li>
  • +<li>knee capsule</li>
  • +<li>knee synovial membrane</li>
  • -<li>Knee bursae</li>
  • -<li><p><a title="Anterior knee fat pads" href="/articles/anterior-knee-fat-pads">Anterior knee fat pads</a></p></li>
  • +<li>knee bursae</li>
  • +<li><p><a href="/articles/anterior-knee-fat-pads">anterior knee fat pads</a></p></li>
  • -<li>five genicular branches of the <a title="Popliteal artery" href="/articles/popliteal-artery">popliteal artery</a> (main supply)<ul>
  • +<li>five genicular branches of the <a href="/articles/popliteal-artery">popliteal artery</a> (main supply)<ul>
  • -<li>middle genicular artery - supplies the <a title="Anterior cruciate ligament" href="/articles/anterior-cruciate-ligament">anterior</a> and <a title="Posterior cruciate ligament" href="/articles/posterior-cruciate-ligament">posterior</a> cruciate ligaments </li>
  • +<li>middle genicular artery supplies the <a href="/articles/anterior-cruciate-ligament">anterior</a> and <a href="/articles/posterior-cruciate-ligament">posterior</a> cruciate ligaments </li>
  • -</ul><p> </p><p> </p>
  • +</ul>

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