5. +
Pectineus
Origin
The superior ramus of the
pubis, between the pubic
tubercle and the iliopubic
eminence
Insertion
Pectineal line on the posterior
aspect of the femur
Location
Deep
Action
Hip adduction
Hip internal rotation (weak)
Hip flexion (weak)
6
6. +
Adductor Brevis
Origin
The body and the inferior ramus of
the pubis
Insertion
Pectineal line and the proximal half
of the linea aspera
Location
Deep
Medial
Posterior to pectineus
Action
Hip adduction
Hip internal rotation (weak)
Hip flexion (weak)
7
7. +
Adductor Longus
Origin
The intersection of the pubic
crest and symphysis
Insertion
Medial lip of the linea aspera
Location
Medial
Superficial
Action
Hip adduction
Hip flexion
8
8. +
Adductor Magnus
Origin
Inferior ramus of the pubis
Insertion
Linea aspera to the adductor
tubercle
Location
Medial
Deepest of the adductors
Action
Hip extension
Hip adduction (role unknown)
9
9. +
Gracilis
Origin
Thin aponeurosis from the
medial surface of the inferior
body of the pubis
Insertion
Proximal aspect of the medial
surface of the tibia
Location
Medial
Most superficial of the adductors
Action
Hip adduction
Knee flexion
Knee internal rotation
10
15. +
Degrees of Freedom
a) Medial/lateral translation
b) Longitudinal rotation
c) Anterior/posterior translation
16
d) Tibial and femoral rotation
e) Varus/Valgus
f) Flexion/extension
16. +
Knee Malalignment (Varus ans
Valgus)
Hip, knee and ankle should remain in line
Varus moves load medially and increases risk of AO, weight is
a confounder increasing risk of AO 5x
Valgus moves load laterally. Less risk of AO compared to
varus, but still a factor in AO, minisci, and ligament damage.
17
17. +
Knee Joint
Bursae (>10)
Absorb shock or prevent friction
Synovial cavity (capsule)
Lies under patella & between
surfaces of tibia & femur
Infrapatellar fat pad
Posterior to patellar tendon
Osteoarthritis:
Breakdown of articular
cartilage– decreased blood
supply so does not self-
regenerate
18. +
Tibiofemoral Joint
Lateral condyle (c)
Flatter, larger surface area
More superior than (b)
↑ stability
Aligned w/ femur
Medial condyle (b)
Convex
Aligned w/ tibia
Fits snug with tibia (concave)
Posterior Anterior
c b
19. +
Tibiofemoral Joint
Menisci form cushions
between bones
Attached to tibia
Enhance stability
Thicker outside border &
taper
Medial
Larger & more open C
Lateral
Closed C configuration
20. +
Tears due to:
Compression & shear
forces during rotation
while flexing or
extending
Quick directional
changes in running
Menisectomies ↑ friction 50 % (leads to
osteoarthritis)
26. + Q Angle
Assessment of
Lower extremity alignment
Patella position
Most efficient angle for quadriceps
to function is ~10º
Males: 10-14º
Females: 15-17º
Genu valgum (knock kneed)
> 17º = excessive
Genu varus (bowlegged)
Negative
↑ Q angle => ↑ stress on MCL
27. + Joint Movements
Flexion (145º ROM)
accompanied by internal rotation
(tibia on femur)
Extension (<180º ROM)
accompanied by external rotation
(tibia on femur)
28. + Joint Movements
External rotation
rotary movement of leg laterally away from
midline
Internal rotation
rotary movement of lower leg medially toward
midline
Knee must be flexed ≥ 20-30º for motion
30º
45º