TheMenisciOfTheKneeJoint.sldshw
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<slideshow>
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<summary><![CDATA[This slide show provides an overview of the structure and function of the menisci of the knee joint.]]></summary>
<author><![CDATA[John Mickus
Benedictine University, Lisle, IL]]></author>
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<modified>07/01/2009,11:09 AM</modified>
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<notes><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">A meniscus is a fibrocartilaginous pad found in a number of synovial joints. When present, they may serve a number of roles:</FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"> --as a cushion</FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"> --to distribute pressure</FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"> --to allow novel movements</FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"> --to improve stability</FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"> --to contour surfaces for better fit</FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">The two menisci in the knee joint serve all of the above roles.</FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"> </FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">The Articular Surface of Tibia illustration is a cross section through the knee joint, viewing the articular surface of the tibia from above.</FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">The green pin identifies the lateral meniscus. This meniscus is concave on its superior side so as to fit the condyle of the femur. It is flat on its inferior side to fit the flattened contour of the tibial plateau. </FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"> </FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">Click anywhere in the title bar of the illustration containing the name &quot;Articular Surface of Tibia&quot;. Then click in the little box in the right corner of the title bar. The illustration should open to a full-screen view. (To return the slide show, click the same box again.) </FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">The lateral meniscus is more oval shaped. Compare this shape to the C-shaped medial meniscus. The medial menisus is also concave superiorly and flat on its inferior side. </FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"> </FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">Click on the illustration and identify the two menisci and the superior surfaces of the tibial condyles covered with articular cartilage seen in the centers of the menisci.</FONT></P></TEXTFORMAT></notes>
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<notes><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">The menisci are found between the articular surfaces of the femur and tibia. They are held in place by ligaments which attach their margins to the top of the tibial condyles. These ligaments are called coronary ligaments. <FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Arial" SIZE="10" COLOR="#000000" LETTERSPACING="0" KERNING="0"></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">On the Male Anterior illustration, find the medial and lateral coronary ligaments.<FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT></notes>
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<notes><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">The Male Lateral illustration demonstrates how the concave superior surface of the lateral meniscus receives the rounded femoral condyle while the inferior side of the meniscus is flat to match the tibial plateau. The meniscus is highlighted.<FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"> <FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">Identify the articular surfaces of the femur and tibia.<FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT></notes>
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<notes><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">From a medial view, the medial meniscus looks very much like the lateral meniscus as can be seen on the Male Medial illustration.<FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"> <FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">Using the up arrow of the depth bar, restore the synovial membrane to the joint. Note how synovial membrane is attached to the superior and inferior edge of the meniscus rather than covering it. <FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"> <FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">Click on the up arrow of the depth bar until you replace and identify the coronary ligament. Continue to click the up arrow until you add the fibrous capsule. Note how the fibrous capsule covers the synovial membrane and the meniscus. Actually, the fibrous capsule is firmly attached to the outer margin of the medial meniscus.<FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT></notes>
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<notes><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">The illustration of the Articular Surface of Femur shows the rounded femoral condyles that fit into the concave superior surfaces of the two menisci. Identify the medial and lateral condyles of the femur and the medial and lateral collateral ligaments.<FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT></notes>
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<notes><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">The C-shaped lateral meniscus has more anterior-posterior gliding mobility than the semilunar medial meniscus. There are a number of reasons for this. The coronary ligaments are not as tight on the lateral side. The horns of the lateral meniscus are anchored to the top of the tibia closer together, allowing more shifting than the wider-spaced shorter fibers anchoring the horns of the medial meniscus. Also, the medial meniscus is attached to the medial collateral ligament whereas the lateral meniscus is not fused to the lateral collateral ligament.<FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"> <FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">Turning or twisting movements at the knee joint can cause a meniscus to tear by pinching them between the femur and the tibia. The lower degree of mobility of the medial meniscus is one reason why it is more frequently torn than the lateral meniscus.<FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"> <FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">On the Articular Surface of Tibia illustration, review the shapes of the menisci, note how the horns of the menisci are anchored to the top of the tibia, and identify the large tibial (medial) collateral ligament (identified by the green pin) which is fused to the joint capsule.<FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT></notes>
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<notes><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">The medial view of the knee seen in the Male Medial illustration shows the tibial (medial) collateral ligament. Note how the middle portion of this collateral ligament is anchored to the fibrous capsule, which in turn, is anchored to the medial meniscus.<FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0"> <FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT><TEXTFORMAT LEADING="2"><P ALIGN="LEFT"><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">Click on the image to identify the medial collateral ligament and the fibrous capsule.<FONT FACE="Arial" SIZE="10"></FONT></FONT></P></TEXTFORMAT></notes>
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<notes><TEXTFORMAT LEADING="2"><LI><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">When you complete this exercise, you should be able to:<FONT FACE="Arial" SIZE="10"></FONT></FONT></LI></TEXTFORMAT><TEXTFORMAT LEADING="2"><LI><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">recognize the medial and lateral menisci;<FONT FACE="Arial" SIZE="10"></FONT></FONT></LI></TEXTFORMAT><TEXTFORMAT LEADING="2"><LI><FONT FACE="Arial" SIZE="10" COLOR="#000000" LETTERSPACING="0" KERNING="0"></FONT></LI></TEXTFORMAT><TEXTFORMAT LEADING="2"><LI><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">describe the shape of each meniscus;<FONT FACE="Arial" SIZE="10"></FONT></FONT></LI></TEXTFORMAT><TEXTFORMAT LEADING="2"><LI><FONT FACE="Arial" SIZE="10" COLOR="#000000" LETTERSPACING="0" KERNING="0"></FONT></LI></TEXTFORMAT><TEXTFORMAT LEADING="2"><LI><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">give reasons why a meniscus can/cannot move;<FONT FACE="Arial" SIZE="10"></FONT></FONT></LI></TEXTFORMAT><TEXTFORMAT LEADING="2"><LI><FONT FACE="Arial" SIZE="10" COLOR="#000000" LETTERSPACING="0" KERNING="0"></FONT></LI></TEXTFORMAT><TEXTFORMAT LEADING="2"><LI><FONT FACE="Microsoft Sans Serif" SIZE="13" COLOR="#000000" LETTERSPACING="0" KERNING="0">provide general functions of menisci.<FONT FACE="Arial" SIZE="10"></FONT></FONT></LI></TEXTFORMAT></notes>
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