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Knee Anatomy - in simple terms

For us surgeons, it is the ultimate goal to reconstruct and protect your anatomy! The knee is a remarkable joint that allows us to bend, straighten, and move our lower leg. It's like a hinge connecting the upper leg bone, called the femur, to the lower leg bones, the tibia and fibula. When you look at the front of your knee, you can see a small, round bone called the patella, commonly known as the kneecap.


Inside the knee joint, there are different structures that work together to provide stability, absorb shock, and facilitate smooth movement. Let's explore the key anatomical components of the knee:


anatomy knee ligaments
arthroscopic image of the anterior cruciate ligament graft and a native posterior cruciate ligament


The knee joint involves three main bones:

Femur: It's the thigh bone, the longest and strongest bone in the human body. The femur's rounded lower end forms the two rounded condyles that articulate with the tibia.

Tibia: It's the larger bone in the lower leg and forms the main weight-bearing surface of the knee joint. The upper end of the tibia forms the tibial plateau, which connects with the femoral condyles.

Fibula: It's the smaller bone in the lower leg that runs parallel to the tibia. Although not directly part of the knee joint, it provides support and attachment for muscles and ligaments.


Ligaments:

Ligaments are strong bands of connective tissue that help stabilize the knee joint and prevent excessive movement. There are four primary ligaments in the knee:

Anterior Cruciate Ligament (ACL): It connects the femur to the tibia and helps control forward movement of the tibia. The ACL plays a vital role in providing stability and preventing the knee from rotating or sliding too far forward.

Posterior Cruciate Ligament (PCL): It connects the femur to the tibia at the back of the knee joint. The PCL helps prevent backward movement of the tibia and works in conjunction with the ACL to maintain joint stability.

Medial Collateral Ligament (MCL): It's located on the inner side of the knee and connects the femur to the tibia. The MCL provides stability and resists forces that try to push the knee inward.

Lateral Collateral Ligament (LCL): It's located on the outer side of the knee and connects the femur to the fibula. The LCL provides stability and resists forces that try to push the knee outward.

Menisci: The knee contains two C-shaped pieces of cartilage called menisci (singular: meniscus) situated between the femur and tibia. These menisci act as shock absorbers, distribute forces across the joint, and provide stability. They also help with lubrication and joint nourishment.


Muscles:

Various muscles surround the knee and contribute to its movement and stability. The quadriceps muscles at the front of the thigh help straighten the knee, while the hamstring muscles at the back of the thigh assist in bending the knee. Other muscles, such as the calf muscles (gastrocnemius and soleus) and the muscles of the hip and pelvis, also influence knee function and movement.


These are the fundamental anatomical structures of the knee joint. Understanding the knee's anatomy helps healthcare professionals diagnose injuries, develop treatment plans, and guide rehabilitation strategies. By appreciating the intricate interplay of bones, ligaments, menisci, and muscles, we can better comprehend the complexities of the knee and work towards maintaining its health and functionality.

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