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20 Cards in this Set

  • Front
  • Back

What measurements are needed for tibial plateau fx to be "non-displaced"

<3 mm step off


<5 mm gapping

What is in the anterior compartment of the leg?

Tibialis anterior


Extensor digitorum longus


Extensor hallucis longus


Peroneus tertius


Anterior tibial artery and vein


Deep peroneal nerve

What is in the lateral compartment of the leg?

Peroneus longus and brevis


Superficial peroneal nerve

What is in the superficial posterior compartment of the leg?

Soleus


gastrocnemius


plantaris tendon

What is in the deep posterior compartment of the leg?

Flexor digitorum longus


Tibialis posterior


Flexor hallucis longus


Posterior tibial artery and vein


Tibial nerve


Peroneal artery and vein

ACL bundle positions

Anteromedial- tight in flexion, lax in extension


Posterolateral- tight in extension, lax in flexion

What is in the superficial layer of the lateral femorotibial joint?

IT band


Biceps femoris

What is in the middle layer of the lateral femorotibial joint?

Lateral patellofemoral ligament


Lateral patellar retinaculum

What is in the deep layer of the lateral femorotibial joint?

Superificial lamina


-LCL


-Fabellofibular ligament (variably present)


Deep lamina


-Popliteus muscle/tendon (inserts anterior/distal to LCL)


-Popliteofibular ligament


-Capsule (extends 15 mm below joint line)


-Arcuate ligament

What is in the superficial layer of the medial femorotibial joint?

Sartorius


Fascia (blends w/ retinaculum anteriorly and capsule posteriorly)

What is in the middle layer of the medial femorotibial joint?

Superficial MCL (inserts 5-7 mm below joint line)


Posterior Oblique ligament


Medial patellofemoral lig


Medial patellar retinaculum


Semimenbranosus

What is in the deep layer of the medial femorotibial joint?

Deep MCL (meniscofemoral fibers and meniscotibial fibers)


Capsule (extends 15 mm below joint line)

What is function of medial patellofemoral ligament?

Primary restraint to lateral dislocation (most common)

Where does superficial peroneal nerve run

In lateral compartment of leg, crosses anteriorly 12 cm above lateral malleolus (can be injured in lateral ankle approach)

Where does sural nerve run?

Formed from medial sural cutaneous (tibial N) and lateral sural cutaneous (peroneal N)


Runs subcutaneously in posterolateral leg, crosses Achilles tendon 10 cm above insertion, then to lateral heel

What can be injured during lateral release of the patella?

Superior lateral geniculate artery

What is segond fracture associated with

ACL disruption

What is "Double PCL sign"

MRI for displaced bucket handle meniscus tear

What is the internervous plane and dangers for medial parapatellar approach to the knee?

IN:


-No planes, capsule is under skin


Dangers:


-Infrapatellar branch of saphenous nerve (neuroma may develop)

What is the internervous plane and dangers for posterolateral appraoch to the knee?


(Harmon)

IN:


-Gastrocnemius/solius/FHL (tibial)


-Peroneus longus/brevis (superf. peroneal)


Dangers:


-Lesser saphenous bein


-Post. tibial artery