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By Diana Lacraru
Senior physiotherapist at St Lukes
Hospital
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Musculara
Articulara
Ligamentara
Integritate nervoasa
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Spate/ pelvis
Sold
Glezna
Piciorul
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Linia superficiala spate (posterioara)
Linia superficiala fata (anterioara)
Linia lateralaLinia in spirala
Liniile functionale
Linia profunda -fata
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Bony station Myofascial tracts
Frontal lobe, supraorbitalridge 13
12 Galea aponevrotica/ epicranial fascia
Occipital ridge 11
10 Sacrolumbar fascia/erector spinae
Sacrum 9
8 Sacrotuberous ligament
Ischial tuberosity 7
6 Hamstrings
Condyles of femur 5
4 Gastrocnemius/Achilles tendonCalcaneus 3
2 Plantar fascia and short toe flexors
Plantar surface of toe
pnalanges 1
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Bony Station Myofascial tracts
15 Scalp fascia
Mastoid process 14
13 Sternocleido mastoid muscle
Sternal manubium 12
11 Sternalis/Sternocondral fascia
5thrib 10
9 Rectus abdominis
Pubic tubercle 8
Anterior inferior iliac spine 7
6 Rectus femoris
Patella 5
4 Subpatellar tendon
Tibial tuberosity 3
2 Short and long toe extensors, Tibialis
anterior, Anterior crural compart.
Dorsal surface of toe phalanges 1
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Bony Station Myofascial tracts
Occipital ridge/Mastoid process
19
17,18 Splenius capitis/ Sternocleido mastoid
1stand 2ndribs 16
14,15 External and Internal Intercostalis
Ribs 13
12,11 Lateral abdominal obliques
Iliac crest, ASIS, PSIS 9,10
8 Gluteus maximus
7 Tensor Fascia Latae
6 Iliotibial Tract/ Abd muscle
Lateral tibial condyle 5
4 Anteriore ligament of the head of fibula
Fibular head 3
2 Peroneal muscle, lateral crural
compartiment
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Bony stations Myofascial tracts
Occipital ridge/mastoid process,
atlas/axis 1
2 Splenius capitis and cervicis
Lover cervical/upper thoracic spinalprocesses 3
4 Rhomboids major and minor
Medial border of scapula 5
6 Seratus anterior
Lateral ribs 7
8 External oblique
9 Abdominal aponeurosis, linea alba10 Internal obliques
Iliac crest/ ASIS 11
12 Tensor fascia latae, Iliotibial tract
Lateral tibial condyle 13
14 Tibialis anterior
1stmetatarsal base 15
16 Peroneus longusFibular head 17
18 Biceps femoris
Ischial tuberosity 19
20 Sacrotuberous ligament
Sacrum 21
22 Sacrolumbar fascia, Erector spinae
Occipital ridge 23
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Bony stations Myofascial tracts
BACK FUNCTIONAL LINE
Shaft of Humerus 12 Latissimus dorsi
3 Lumbosacral fascia
4 Sacral fascia
Sacrum 5
6 Gluteus maximus
Shaft of femur 7
8 Vastus lateralis
Patella 9
10 Subpatellar tendon
Tuberosity of tibia 11
Bony stations Myofascial tracts
FRONT FUNCTIONAL LINEShaft of humerus 1
2 Lover edge of pectoral major
5thrib and 6thrib cartilage 3
4 Lateral sheath of rectus abdominis
Pubis tubercle and symphysis 5
6 Adductor longus
Linea aspera of femur 7
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Bony stations Myofascial tracts
LOWEST COMMON
Plantar tarsal bones, plantar surface of toes 1
2 Tibialis posterior, long toe flexors
Superior/posterior tibia, fibula 3
4 Fascia of popliteus, knee capsule
Medial femoral epicondyle 5
LOWER POSTERIOR
Medial femoral epicondyle 5
6 Posterior intermuscular septum, add magnus and minimus
Ischial ramus 7
8 Pelvic floor fossa, levator ani, obturator internus fascia
Coccyx 9
10 Anterior sacral fascia, Anterior longitudinal ligament
Lumbar vertebral bodies 11
LOWER ANTERIOR
Medial femoral epicondyle 5
Linea aspra of femur 12
13 Anterior intermuscular septum, Add brevis and longus
Lesser trochanter of femur 14
15 Psoas, Iliacus, Pectineus, Femoral triangle
Lumbar vertebral bodies and transvers processes 11
UPPER POSTERIOR
Lumbar vertebral bodies 11
16 Anterior longitudinal ligament, Longud colli and capitis
Basilar portion of occiput 17
UPPER MIDLINE
Lumbar vertebral bodies 11
18 Posterior diaphragm, Cura of diaphragm, central tendon
19 Pericardium, mediastinum, parietal pleura
20 Fascia prevertebralis, pharyngeal raphe, scalene muscles, medial scalenefascia
Basilar portion of occiput, cervical transverse processes 17
UPPER ANTERIOR
Lumbar vertebral bodies 11
18 Posterior diaphragm, Cura of diaphragm, central tendon
21 Anterior diaphragm
Posterior surface of subcostal, cartilages, xiphoid process 22
23 Fascia endothoracica, transverses thoracis
Posterior manubrium 24
25 Infrahyoid muscle, fascia pretrachialis
Hyoid bone 26
27 Suprahyoid muscle
Mandible 28
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Journal of AnatomyVolume 223, Issue 4, pages 321328, October 2013Anatomy of the anterolateral ligament of the knee
Steven Claes1,*,
Evie Vereecke2,
Michael Maes1,
Jan Victor3,
Peter Verdonk4,
Johan Bellemans1
Article first published online: 1 AUG 2013
DOI: 10.1111/joa.12087
http://onlinelibrary.wiley.com/doi/10.1111/joa.2013.223.issue-4/issuetochttp://onlinelibrary.wiley.com/doi/10.1111/joa.2013.223.issue-4/issuetochttp://onlinelibrary.wiley.com/doi/10.1111/joa.2013.223.issue-4/issuetochttp://onlinelibrary.wiley.com/doi/10.1111/joa.2013.223.issue-4/issuetochttp://onlinelibrary.wiley.com/doi/10.1111/joa.2013.223.issue-4/issuetoc8/10/2019 genunchiul presentation ( UVT)_.ppt
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AbstractIn 1879, the French surgeon Segond described the existence of a pearly, resistant,
fibrous band at the anterolateral aspect of the human knee, attached to the
eponymous Segond fracture. To date, the enigma surrounding this anatomical structure
is reflected in confusing names such as (mid-third) lateral capsular ligament, capsulo-
osseous layer of the iliotibial band or anterolateral ligament, and no clear anatomicaldescription has yet been provided. In this study, the presence and characteristics of
Segond's pearly band, hereafter termed anterolateral ligament (ALL), was investigated
in 41 unpaired, human cadaveric knees. The femoral and tibial attachment of the ALL, its
course and its relationship with nearby anatomical structures were studied both
qualitatively and quantitatively. In all but one of 41 cadaveric knees (97%), the ALL was
found as a well-defined ligamentous structure, clearly distinguishable from the
anterolateral joint capsule. The origin of the ALL was situated at the prominence of
the lateral femoral epicondyle, slightly anterior to the origin of the lateral collateral
ligament, although connecting fibers between the two structures were observed.
The ALL showed an oblique course to the anterolateral aspect of the proximal
tibia, with firm attachments to the lateral meniscus, thus enveloping the inferior
lateral geniculate artery and vein. Its insertion on the anterolateral tibia was
grossly located midway between Gerdy's tubercle and the tip of the fibular head,definitely separate from the iliotibial band (ITB). The ALL was found to be a distinct
ligamentous structure at the anterolateral aspect of the human knee with consistent
origin and insertion site features. By providing a detailed anatomical characterization of
the ALL, this study clarifies the long-standing enigma surrounding the existence of a
ligamentous structure connecting the femur with the anterolateral tibia. Given its structure
and anatomic location, the ALL is hypothesized to control internal tibial rotation and
thus to affect the pivot shift phenomenon, although further studies are needed toinvestigate its biomechanical function.
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Anterior: extensorii genunchiului
Posteror: flexorii genunchiuluiLateral: Abd membrului inferior
Medial: Add membrului inferior
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http://www.google.co.uk/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=6J8ShCstbDu8DM&tbnid=BP8X-xlrolOpPM:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.wellspan.org%2Fhealth-library%2Fadult%2FPeripheral-Arterial-Disease%2F85%2FP00236&ei=xE6FUr34KsSthQeCkoG4AQ&psig=AFQjCNF2bJcb3lGzhD8pWpC_WskCS3E4FA&ust=13845536813399608/10/2019 genunchiul presentation ( UVT)_.ppt
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Musculara
Articulara
Proprioceptiei
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Traumatica (cazatura, lovire,rasucire etc.)
- 24-48 ore dupa leziune RICE
Leziune de crestereLeziuni degenerative (RA, OA)
Leziuni determinate de folosirea
repetata in pozitii inadecvateProbleme datorita altorarticulatii/parti ale corpului
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Rectus Femoris
Trigger Point Diagram Vastus Med Trigger Point Diagram
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Adductor Longus, Brevis
Trigger Point Diagram
Gastrocnemius Trigger Point Diagram
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Hamstring Trigger Point Diagram Popliteus Trigger Point Diagram
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Soleus Trigger Point Diagram
Plantaris Trigger Point Diagram
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Gracilis Trigger Point Diagram
Adductor Magnus Trigger Point
Diagram
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Vastus Lasterallis Trigger Point Diagram
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Vestus Intermedius Trigger Point
Diagram
Tensor Fasciae Latae Trigger Point
Diagram
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Examinarea in pozitie erecta
Examinarea in pozitie sezand sau culcat
Examinarea mersului (inainte si inapoi)
Examinatea stabilitatii ligamentare simeniscale
Examinarea temperaturii, culorii,
dimenisunii-unflat sau nu
Examinarea musculara si articulara
Examinarea zonelor adiacente
EXAMINARE BILATERALA
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Musculara
Ligamentara
Articulara
Proprioceptiei Senzatiei
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Medial hamstring
semimembranos
/semitendinos
Biceps femoris
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Quadriceps testing Sartorius testing
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Lant kinetic deschis
Lant kinetic inchis
Excentric/concentric
Greutati
Banda elastica
Gym ball
Etc.
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Anamneza
Examinarea genunchiului cat si aaltor articulatii si tesuturi
corespunzatoare
TestareaRecuperarea
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www.Google.com;
Kendall et al, Muscle testing and Function with Posture
and Pain, 5thedition, 2005 , Lippincott Williams & Wilkins;
Magee. D. J., Orthopaedic Physical assessment,5th
edition, 2008, Saunders, Elsevier; Myers. T. W., Anatomy Trains- Myofascial meridians for
Manual and Movement Therapists, 2ndedition, Churchill
Livingstone, ISBN 978-0-443-10283-7;
Travell. J. G., Myofascial Pain and Dysfunction- The
trigger point manual, The Lower Extremities, Vol 2,Lippincott Williams & Wilkins, 1993, ISBN 0-683-08367-8;
http://www.google.com/http://www.google.com/