The KNEE JOINT is a hinge formed by the condyles and trochlea of the
femur, the patella, and the head of the tibia. The capsule is formed in
front by the ligamentum patellae, and on each side special bands form
the lateral ligaments. On the outer side there are two of these: the
anterior or _long external lateral ligament_ is a round cord running
from the external condyle to the head of the fibula, while the posterior
is slighter and passes from the same place to the styloid process of the
fibula. The _internal lateral ligament_ is a flat band which runs from
the inner condyle of the femur to the internal surface of the tibia some
two inches below the level of the knee joint. The posterior part of the
capsule is strengthened by an oblique bundle of fibres running upward
and outward from the semimembranosus tendon, and called the _posterior
ligament of Winslow_.
The intra-articular structures are numerous and interesting. Passing
from the head of the tibia, in front and behind the spine, are the
_anterior_ and _posterior crucial ligaments_; the former is attached to
the outer side of the intercondylar notch above, and the latter to the
inner side. These two ligaments cross like an X. The _semilunar
fibro-cartilages_--external and internal--are partial menisci, each of
which has an anterior and a posterior cornu by which they are attached
to the head of the tibia in front and behind the spine. They are also
attached round the margin of the tibial head by a _coronary ligament_,
but the external one is more movable than the internal, and this perhaps
accounts for its coronary ligament being less often ruptured and the
cartilage displaced than the inner one is. In addition to these the
external cartilage has a fibrous band, called the _ligament of
Wrisberg_, which runs up to the femur just behind the posterior crucial
ligament. The external cartilage is broader, and forms more of a circle
than the internal. The synovial cavity of the knee runs up, deep to the
extensor muscles of the thigh, for about two inches above the top of the
patella, forming the _bursa suprapatellaris_. At the lower part of the
patella it covers a pad of fat, which lies between the ligamentum
patellae and the front of the head of the tibia, and is carried up as a
narrow tube to the lower margin of the trochlear surface of the femur.
This prolongation is known as the _ligamentum mucosum_, and from the
sides of its base spring two lateral folds called the _ligamenta
alaria_. The tendon of the popliteus muscle is an intra-capsular
structure, and is therefore covered with a synovial sheath. There are a
large number of bursae near the knee joint, one of which, common to the
inner head of the gastrocnemius and the semimembranosus, often
communicates with the joint. The hinge movement of the knee is
accompanied by a small amount of external rotation at the end of
extension, and a compensatory internal rotation during flexion. This
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