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The bony congruity of the medial knee consists of the opposing surfaces of the medial femoral condyle and the medial tibial plateau. On the medial femoral condyle there are three bony landmarks that are important: the medial epicondyle, adductor tubercle, and gastrocnemius tubercle. The medial epicondyle is the most distal and anterior prominence.
It is a broad, flat, membranous band, situated slightly posterior on the medial side of the knee joint. It is attached proximally to the medial epicondyle of the femur, immediately below the adductor tubercle; below to the medial condyle of the tibia and medial surface of its body. [2]
The medial patellofemoral ligament (MPFL) is one of several ligaments on the medial aspect of the knee. It originates in the superomedial aspect of the patella and inserts in the space between the adductor tubercle and the medial femoral epicondyle. The ligament itself extends from the femur to the superomedial patella, and its shape is similar ...
The medial condyle is the larger of the two and is better supported over the shaft. The upper surfaces of the condyles articulate with the femur to form the tibiofemoral joint, the weightbearing part of the kneejoint. [1] The medial and lateral condyle are separated by the intercondylar area, where the cruciate ligaments and the menisci attach.
The intercondylar area is the separation between the medial and lateral condyle located toward the proximal portion of the tibia. The intercondylar eminence composed of the medial and lateral intercondylar tubercle divides the intercondylar area into anterior and posterior part. [1]
The bony shape of the posterolateral knee, with the two convex opposing surfaces of the lateral femoral condyle and the lateral tibial plateau, makes this portion of the knee inherently unstable compared to the medial aspect. Thus, it has a much higher risk of not healing properly after injury than the medial aspect of the knee.
Ischial tuberosity: Insertion: Medial condyle of tibia: Artery: Profunda femoris and gluteal arteries: Nerve: Tibial part of sciatic nerve (L5, S1 and S2) Actions: Extension of hip and flexion of knee: Antagonist: Quadriceps muscle and tensor fasciae latae: Identifiers; Latin: musculus semimembranosus: TA98: A04.7.02.036: TA2: 2642: FMA: 22438 ...
Type IV = Medial tibial plateau fracture, with or without depression; may involve tibial spines; associated soft tissue injuries. This is a medial tibial plateau fracture with a split or depressed component. It is usually the result of a high energy injury and involves a varus force with axial loading at the knee.