ANATOMY
26
Lower limb – Joints
36.
The hip joint p678NM p607 Moore
a.
is flexed largely by sartorius and rectus femoris
F – strongest is iliopsoas
b.
is limited in full extension by the pubofemoral ligament
F - It limits abduction
c.
is only supplied by the obturator and sciatic nerves
F - Also femoral nerve
d.
has the ischiofemoral as it’s strongest ligament
F - it is the weakest. Iliofemoral is the strongest (and limits extension)
e.
derives it’s stability largely from it’s articular surfaces
T
37.
With regard to the knee joint p687NM p607 Moore
a.
the lateral meniscus is more ‘c’ shaped
F - Medial meniscus is more C shaped (“MC”)
b.
the tendon of popliteus is intra-articular
F - Sort of because it attaches to the lateral meniscus + lat fem condyle
c.
the medial collateral ligament is extra-articular
T - Mainly, yes but some fibres join the medial meniscus
d.
the medial collateral extends 8 cm beyond the joint line
Unsure
38.
Regarding knee joint Capsule (Moore 619)
a.
attaches to articular margins
F - Superiorly it attached just proximal
b.
attaches to the femur proximal to the articular margins.
T
c.
Attaches to the articular margin inferiorly except where
the tendon of popliteus transgresses the capsule
T
d.
Does not attach to intercondylar groove
?
e.
Tendon of popliteus transgresses capsule
T -
Blitz has this as the best option
39.
Regarding the menisci of the knee p690 NM p607 Moore
a.
posterior cruciate is medial
T - It is attached to the medial femoral condyle
b.
fold of synovium lies posterior to anterior cruciate
F
c.
anterior horn of medial meniscus is attached to medial
tibial condyle
F - anterior intercondylar area
d.
medial meniscus is avascular
F - Not exactly they are largely avascular but the peripheral zone
is vascularised
e.
fold of synovium lies posterior to anterior cruciate
???
40.
Medial meniscus of the knee p690NM p607 Moore
a.
Smaller
F – bigger
b.
attached to the tibia via anterior horn
T - and posterior horn and laterally to joint capsule
c.
attached to PCL
F - but the lateral meniscus is via the posterior meniscofemoral ligament to the
PCL. It is also attached to the popliteus tendon
d.
doesn't attach to medial ligament
F - It does
41.
Regarding the cruciate ligament p607 Moore
a.
PCL is attached to the medial condyle of the femur
T - p691NM
b.
tibial nerve supplies the cruciate ligament
T – according to Lasts, moores is silent on this topic
42.
Regarding ligaments of knee (moore 620) lasts 181
a.
Posterior cruciate attached to medial condyle of femur
T
b.
Posterior is longer and stronger stronger
F - Stronger yes , ?longer
c.
Posterior stops tibia slipping forward on femur
F – stops anterior displacement of femur
d.
Lateral collateral contributes to capsule significantly
F - LIES free of capsule
e.
Anterior cruciate has fold of synovium posteriorly
F - posterior surfaces uncovered
43.
All the following ligaments in the knee joint are
extra-capsular except p607 Moore
a.
patella retinacula
T
b.
oblique popliteal
T
c.
transverse ligament
F - It joins the anterior edges of the menisci p690 NM
(Adam agrees, Blitz says (d) but don’t think this is right)
d.
tibial collateral
F
e.
fibular collateral
F