Friday 18 May 2012

Our Knee!

The knee on the face of it seems a very simple structure. With a simple movement, going forward and back, being utilised everyday. In work, rest and play.
However what we don’t see, the stuff that goes on beneath the surface is a feat of design. The function of the knee is to allow support of the body and to help you lower yourself into positions such as squatting (sitting). Basically moving your torso up and down as you move through out your day working or playing a sport.

Medial Aspect of Knee
The structure itself has two joints, one a lot more obvious than the other. That’s where we will begin as it’s the most commonly described during a&p lessons, qualifications such as gym instructor and personal trainer courses. The tibio femoral joint brings together the *distal end of the femur and the *superior aspect of the tibia. The joint has two menisci. The menisci are avascular structures, meaning a poor blood supply. These two menisci help support and cushion the joint helping to enable movements such as rotation. Both articulating bones are covered at the ends by hyaline cartilage, this helps reduce friction in the joint. The joint itself is a synovial joint (which means freely movable.). See FIG 1, which demonstrates the basic structure of a synovial joint. Outlining a joint capsule, synovial membrane. 
The tibia itself is linked to the femur by two very strong ligaments, the ACL (anterior cruciate ligament) and the PCL (Posterior cruciate ligament). They both help stabilise the joint and help stop un-needed twisting between the two bones. They are backed up by two collateral ligaments that run either side of the knee. They are known as the medial collateral ligament (MCL) and the Lateral collateral Ligament (LCL). Both strap like and avascular in nature. Both helping to stabilise the movement