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Knee

The knee joint is made of three bones: the femur (the thigh bone), the tibia (the larger of the two lower leg bones), and the patella (the kneecap). Where any two bones come together is a joint. There are two joints in the knee: the patellofemoral joint (where the kneecap glides on the thigh bone) and the tibiofemoral joint (where the thigh bone meets the lower leg). Both of these joints are extremely important in the function of the knee.

The patellofemoral joint is a gliding joint. The kneecap floats over the knee providing a fulcrum for the quadriceps muscle complex to concentrate its force to extend (straighten) the knee. The kneecap must follow a specific track to function properly.

The tibiofemoral joint is known as a hinge joint. This title is a bit misleading, since this joint does not act like the simple hinge on a door. The two bones not only hinge on each other, they also slide and spin. The joint is actually held together by muscles and four major ligaments: the lateral collateral ligament (LCL – controlling side-to-side movement), the medial collateral ligament (MCL – controlling side-to-side movement), the anterior cruciate ligament (ACL – controlling forward movement of the tibia and twisting), and the posterior cruciate ligament (PCL - controlling backward movement of the tibia and twisting). There are two shock absorbers cushioning the knee joint called the medial and lateral meniscus.

The major muscles attaching to the knee are the hamstrings (biceps femoris, semitendonosus, and semimembanosus), the quadriceps (rectus femoris, vastus lateralis, vastus medialis, and vastus intermedialis), the gracilis, the gastrocnemius, the sartorius, and the iliotibial band.

Click on the links above to learn more about some common knee injuries. This list is not exhaustive and is not designed to diagnose or treat any pathology. If you suspect a knee injury, you should seek a formal evaluation by a licensed sports medicine professional.

 

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