genunchiul presentation ( UVT)_.ppt

8/10/2019 genunchiul presentation ( UVT)_.ppt

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By Diana Lacraru

Senior physiotherapist at St Lukes

Hospital

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Musculara

Articulara

Ligamentara

Integritate nervoasa

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Spate/ pelvis

Sold

Glezna

Piciorul

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Linia superficiala spate (posterioara)

Linia superficiala fata (anterioara)

Linia lateralaLinia in spirala

Liniile functionale

Linia profunda -fata

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Bony station Myofascial tracts

Frontal lobe, supraorbitalridge 13

12 Galea aponevrotica/ epicranial fascia

Occipital ridge 11

10 Sacrolumbar fascia/erector spinae

Sacrum 9

8 Sacrotuberous ligament

Ischial tuberosity 7

6 Hamstrings

Condyles of femur 5

4 Gastrocnemius/Achilles tendonCalcaneus 3

2 Plantar fascia and short toe flexors

Plantar surface of toe

pnalanges 1

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Bony Station Myofascial tracts

15 Scalp fascia

Mastoid process 14

13 Sternocleido mastoid muscle

Sternal manubium 12

11 Sternalis/Sternocondral fascia

5thrib 10

9 Rectus abdominis

Pubic tubercle 8

Anterior inferior iliac spine 7

6 Rectus femoris

Patella 5

4 Subpatellar tendon

Tibial tuberosity 3

2 Short and long toe extensors, Tibialis

anterior, Anterior crural compart.

Dorsal surface of toe phalanges 1

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Bony Station Myofascial tracts

Occipital ridge/Mastoid process

19

17,18 Splenius capitis/ Sternocleido mastoid

1stand 2ndribs 16

14,15 External and Internal Intercostalis

Ribs 13

12,11 Lateral abdominal obliques

Iliac crest, ASIS, PSIS 9,10

8 Gluteus maximus

7 Tensor Fascia Latae

6 Iliotibial Tract/ Abd muscle

Lateral tibial condyle 5

4 Anteriore ligament of the head of fibula

Fibular head 3

2 Peroneal muscle, lateral crural

compartiment

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Bony stations Myofascial tracts

Occipital ridge/mastoid process,

atlas/axis 1

2 Splenius capitis and cervicis

Lover cervical/upper thoracic spinalprocesses 3

4 Rhomboids major and minor

Medial border of scapula 5

6 Seratus anterior

Lateral ribs 7

8 External oblique

9 Abdominal aponeurosis, linea alba10 Internal obliques

Iliac crest/ ASIS 11

12 Tensor fascia latae, Iliotibial tract

Lateral tibial condyle 13

14 Tibialis anterior

1stmetatarsal base 15

16 Peroneus longusFibular head 17

18 Biceps femoris

Ischial tuberosity 19

20 Sacrotuberous ligament

Sacrum 21

22 Sacrolumbar fascia, Erector spinae

Occipital ridge 23


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BACK FUNCTIONAL LINE

Shaft of Humerus 12 Latissimus dorsi

3 Lumbosacral fascia

4 Sacral fascia

Sacrum 5

6 Gluteus maximus

Shaft of femur 7

8 Vastus lateralis

Patella 9

10 Subpatellar tendon

Tuberosity of tibia 11


FRONT FUNCTIONAL LINEShaft of humerus 1

2 Lover edge of pectoral major

5thrib and 6thrib cartilage 3

4 Lateral sheath of rectus abdominis

Pubis tubercle and symphysis 5

6 Adductor longus

Linea aspera of femur 7


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LOWEST COMMON

Plantar tarsal bones, plantar surface of toes 1

2 Tibialis posterior, long toe flexors

Superior/posterior tibia, fibula 3

4 Fascia of popliteus, knee capsule

Medial femoral epicondyle 5

LOWER POSTERIOR


6 Posterior intermuscular septum, add magnus and minimus

Ischial ramus 7

8 Pelvic floor fossa, levator ani, obturator internus fascia

Coccyx 9

10 Anterior sacral fascia, Anterior longitudinal ligament

Lumbar vertebral bodies 11

LOWER ANTERIOR


Linea aspra of femur 12

13 Anterior intermuscular septum, Add brevis and longus

Lesser trochanter of femur 14

15 Psoas, Iliacus, Pectineus, Femoral triangle

Lumbar vertebral bodies and transvers processes 11

UPPER POSTERIOR


16 Anterior longitudinal ligament, Longud colli and capitis

Basilar portion of occiput 17

UPPER MIDLINE


18 Posterior diaphragm, Cura of diaphragm, central tendon

19 Pericardium, mediastinum, parietal pleura

20 Fascia prevertebralis, pharyngeal raphe, scalene muscles, medial scalenefascia

Basilar portion of occiput, cervical transverse processes 17

UPPER ANTERIOR


18 Posterior diaphragm, Cura of diaphragm, central tendon

21 Anterior diaphragm

Posterior surface of subcostal, cartilages, xiphoid process 22

23 Fascia endothoracica, transverses thoracis

Posterior manubrium 24

25 Infrahyoid muscle, fascia pretrachialis

Hyoid bone 26

27 Suprahyoid muscle

Mandible 28


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Journal of AnatomyVolume 223, Issue 4, pages 321328, October 2013Anatomy of the anterolateral ligament of the knee

Steven Claes1,*,

Evie Vereecke2,

Michael Maes1,

Jan Victor3,

Peter Verdonk4,

Johan Bellemans1

Article first published online: 1 AUG 2013

DOI: 10.1111/joa.12087
http://onlinelibrary.wiley.com/doi/10.1111/joa.2013.223.issue-4/issuetochttp://onlinelibrary.wiley.com/doi/10.1111/joa.2013.223.issue-4/issuetochttp://onlinelibrary.wiley.com/doi/10.1111/joa.2013.223.issue-4/issuetochttp://onlinelibrary.wiley.com/doi/10.1111/joa.2013.223.issue-4/issuetochttp://onlinelibrary.wiley.com/doi/10.1111/joa.2013.223.issue-4/issuetoc


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AbstractIn 1879, the French surgeon Segond described the existence of a pearly, resistant,

fibrous band at the anterolateral aspect of the human knee, attached to the

eponymous Segond fracture. To date, the enigma surrounding this anatomical structure

is reflected in confusing names such as (mid-third) lateral capsular ligament, capsulo-

osseous layer of the iliotibial band or anterolateral ligament, and no clear anatomicaldescription has yet been provided. In this study, the presence and characteristics of

Segond's pearly band, hereafter termed anterolateral ligament (ALL), was investigated

in 41 unpaired, human cadaveric knees. The femoral and tibial attachment of the ALL, its

course and its relationship with nearby anatomical structures were studied both

qualitatively and quantitatively. In all but one of 41 cadaveric knees (97%), the ALL was

found as a well-defined ligamentous structure, clearly distinguishable from the

anterolateral joint capsule. The origin of the ALL was situated at the prominence of

the lateral femoral epicondyle, slightly anterior to the origin of the lateral collateral

ligament, although connecting fibers between the two structures were observed.

The ALL showed an oblique course to the anterolateral aspect of the proximal

tibia, with firm attachments to the lateral meniscus, thus enveloping the inferior

lateral geniculate artery and vein. Its insertion on the anterolateral tibia was

grossly located midway between Gerdy's tubercle and the tip of the fibular head,definitely separate from the iliotibial band (ITB). The ALL was found to be a distinct

ligamentous structure at the anterolateral aspect of the human knee with consistent

origin and insertion site features. By providing a detailed anatomical characterization of

the ALL, this study clarifies the long-standing enigma surrounding the existence of a

ligamentous structure connecting the femur with the anterolateral tibia. Given its structure

and anatomic location, the ALL is hypothesized to control internal tibial rotation and

thus to affect the pivot shift phenomenon, although further studies are needed toinvestigate its biomechanical function.


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Anterior: extensorii genunchiului

Posteror: flexorii genunchiuluiLateral: Abd membrului inferior

Medial: Add membrului inferior

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http://www.google.co.uk/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=6J8ShCstbDu8DM&tbnid=BP8X-xlrolOpPM:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.wellspan.org%2Fhealth-library%2Fadult%2FPeripheral-Arterial-Disease%2F85%2FP00236&ei=xE6FUr34KsSthQeCkoG4AQ&psig=AFQjCNF2bJcb3lGzhD8pWpC_WskCS3E4FA&ust=1384553681339960


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Musculara

Articulara

Proprioceptiei

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Traumatica (cazatura, lovire,rasucire etc.)

- 24-48 ore dupa leziune RICE

Leziune de crestereLeziuni degenerative (RA, OA)

Leziuni determinate de folosirea

repetata in pozitii inadecvateProbleme datorita altorarticulatii/parti ale corpului

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Rectus Femoris

Trigger Point Diagram Vastus Med Trigger Point Diagram


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Adductor Longus, Brevis

Trigger Point Diagram

Gastrocnemius Trigger Point Diagram


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Hamstring Trigger Point Diagram Popliteus Trigger Point Diagram


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Soleus Trigger Point Diagram

Plantaris Trigger Point Diagram


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Gracilis Trigger Point Diagram

Adductor Magnus Trigger Point

Diagram


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Vastus Lasterallis Trigger Point Diagram


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Vestus Intermedius Trigger Point

Diagram

Tensor Fasciae Latae Trigger Point

Diagram


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Examinarea in pozitie erecta

Examinarea in pozitie sezand sau culcat

Examinarea mersului (inainte si inapoi)

Examinatea stabilitatii ligamentare simeniscale

Examinarea temperaturii, culorii,

dimenisunii-unflat sau nu

Examinarea musculara si articulara

Examinarea zonelor adiacente

EXAMINARE BILATERALA

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Musculara

Ligamentara

Articulara

Proprioceptiei Senzatiei

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Medial hamstring

semimembranos

/semitendinos

Biceps femoris


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Quadriceps testing Sartorius testing


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Lant kinetic deschis

Lant kinetic inchis

Excentric/concentric

Greutati

Banda elastica

Gym ball

Etc.

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Anamneza

Examinarea genunchiului cat si aaltor articulatii si tesuturi

corespunzatoare

TestareaRecuperarea

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www.Google.com;

Kendall et al, Muscle testing and Function with Posture

and Pain, 5thedition, 2005 , Lippincott Williams & Wilkins;

Magee. D. J., Orthopaedic Physical assessment,5th

edition, 2008, Saunders, Elsevier; Myers. T. W., Anatomy Trains- Myofascial meridians for

Manual and Movement Therapists, 2ndedition, Churchill

Livingstone, ISBN 978-0-443-10283-7;

Travell. J. G., Myofascial Pain and Dysfunction- The

trigger point manual, The Lower Extremities, Vol 2,Lippincott Williams & Wilkins, 1993, ISBN 0-683-08367-8;
http://www.google.com/http://www.google.com/

Documents

genunchiul presentation ( UVT)_.ppt