slight twist is enough to tighten up almost all the ligaments so that
they may take a share in resisting over-extension, because, in the erect
position, a vertical line from the centre of gravity of the body passes
in front of the knee.
_Comparative Anatomy._--In some Mammals, e.g. Bradypus and
Ornithorhynchus, the knee is divided into three parts, two
condylo-tibial and one trochleo-patellar, by synovial folds which in
Man are represented by the ligamentum mucosum. In a typical Mammal the
external _semilunar cartilage_ is attached by its posterior horn to
the internal condyle of the femur only, and this explains the
_ligament of Wrisberg_ already mentioned. In the Monkeys and
anthropoid Apes this cartilage is circular. The _semilunar cartilages_
first appear in the Amphibia, and, according to B. Sutton, are derived
from muscles which are drawn into the joint. When only one kind of
movement (hinge) is allowed, as in the fruit bat, the cartilages are
not found. In most Mammals the superior tibio-fibular joint
communicates with the knee.
The _tibio-fibular articulations_ resemble the radio-ulnar in position
but are much less movable. The superior in Man is usually cut off i
from the knee and is a gliding joint; the middle is the interosseous
membrane, while the lower has been already used as an example of a
syndesmosis or fibrous half joint.
The ANKLE JOINT is a hinge, the astragalus being received into a lateral
arch formed by the lower ends of the tibia and fibula. Backward
dislocation is prevented by the articular surface of the astragalus
being broader in front than behind. The anterior and posterior parts of
the capsule are feeble, but the lateral ligaments are very strong, the
external consisting of three separate fasciculi which bind the fibula to
the astragalus and calcaneum. To avoid confusion it is best to speak of
the movements of the ankle as dorsal and plantar flexion.
[Illustration: (From D. Hepburn, _Cunningham's Text-book of Anatomy_.)
FIG. 7.--Dissection of the Knee-joint from the front: Patella thrown
down.]
The _tarsal joints_ resemble the carpal in being gliding articulations.
There are two between the astragalus and calcaneum, and at these
inversion and eversion of the foot largely occur. The inner arch of the
foot is maintained by a very important ligament called the
_calcaneo-navicular_ or _spring ligament_; it connects the sustentaculum
tali of the calcaneum with the navicular, and upon it the head of the
astragalus rests. When it becomes stretched, flat-foot results. The
tarsal bones are connected by dorsal, plantar and interosseous
ligaments. The _long_ and _short calcaneocuboid_ are plantar ligaments
of special importance, and maintain the outer arch of the foot.
The _tarso-metatarsal_, _metatarso-phalangeal_ and _interphalangeal
joints_ closely resemble those of the hand, except that the
tarso-metatarsal joint of the great toe is not saddle-shaped.
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