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The Ottawa knee rules are a set of rules used to help physicians determine whether an x-ray of the knee is needed. [1] They state that an X-ray is required only in patients who have an acute knee injury with one or more of the following: Age 55 years or older; Tenderness at head of fibula; Isolated tenderness of patella
The knee joint contains two crescent-shaped fibrocartilaginous structures, the menisci (medial and lateral), which serve as shock absorbers and stabilize the joint during movement. Each meniscus has an outer vascular zone (red-red zone), which has a good blood supply and healing potential as well as a central avascular zone (white-white zone ...
The patient should be supine with the hips flexed to 45 degrees, the knees flexed to 90 degrees and the feet flat on table. The examiner positions himself by sitting on the examination table in front of the involved knee and grasping the tibia just below the joint line of the knee.
Five genicular arteries branch from the popliteal artery to form a network around the knee, the genicular anastomosis. The anastomosis provides collateral circulation in the event of damage to the region. [1] Inferior or distal to the origin of the descending genicular artery are two superior genicular arteries: Medial superior genicular artery
In humans, they are present in the knee, wrist, acromioclavicular, sternoclavicular, and temporomandibular joints; [2] in other animals they may be present in other joints. Generally, the term "meniscus" is used to refer to the cartilage of the knee , either to the lateral or medial meniscus .
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