Orthopedic is a very complex area of surgery and it requires experienced and dedicated surgeons who know what to do in their specific area. Orthopedic surgery is basically concerned with injuries and conditions that affect the musculoskeletal system. So whether you have problems with joints, bones, ligaments, tendons, nerves or muscles, this is where you need to start off.
To understand the importance of the ACL, the knee as a whole must be examined. The knee is formed by the femur, the tibia, and the patella. Several muscles and ligaments control the motion of the knee and protect it from damage at the same time. Ligaments are dense structures of connective tissue that fasten bone to bone and stabilize the knee. Two ligaments on either side of the knee, called the medial and lateral collateral ligaments, stabilize the knee from side-to-side. The ACL along with the posterior cruciate ligament are of a pair of ligaments in the center of the knee joint that form a cross. T...
The most common musculoskeletal disorder and a major cause of disability in people over 65 years is osteoarthritis (OA) (Felson DT et al, 1987) (1). According to World Health Organization (WHO) report, OA of knee is more likely to become the fourth most important cause of disability in women, and the eighth most important cause in men (Murray CJL, Lopez AD, 1997)(2) . Primary prevention of knee OA has become a major health care aim and a clear understanding of the risk factors is required to design preventive strategies. Many investigations reported obesity, previous history of knee injury, sedentary life style, hand OA (Heberden’s nodes), and a familial history of the disease are major risk factors for OA of knee (Cyrus Cooper et al, 2000) (3). In spite of recent advancements the causes and pathogenesis of knee OA remains largely unknown (A Teichtahl, A Wluka, F M Cicuttini, 2003) (4) but however there is increasing research interest in the contribution of biomechanical variables on progression and management of the disease (Andriacchi TP, 1991) (5).
The anatomy of the knee contains the femur, tibia and the patella. There are four main ligaments within the knee. Those ligaments are called medial collateral (mcl), lateral collateral (lcl), anterior cruciate (acl) and posterior cruciate (pcl). The anterior cruciate ligament (acl) is in the middle of the knee and prevents the shin from sliding. An anterior cruciate ligament tear is the most common harmed ligament, undergoing an estimate of 200,000 happenings yearly. Typically individuals who play sports such as football, basketball, skiing or soccer experience this injury.
There is moving joints where it allows a person to either bend or twist. However, some of the joints allow us to move in freely motion while others only allow little movement at all. There are two kinds of joints. One of the joints is called hinge joint which tolerates movements back and forth in the single direction or it connects the upper part of the body, humerus, ulna, and the lower part. A ball and socket joint is also another joint that allows for a lot of movement in all directions possible like a ball in a socket (Marieb 259). Shoulders and hips are the example of the ball and socket joint. The muscles are connected to bones by tendons, bones are connected to each other by other bones itself. Also, the bones are held together at the joint by ligaments. The ligament is like a band of tissue or the white part of the muscle. Between the joints of a bone, rubbery tissue can be found and called cartilage. Cartilage is like the cushion for the bone in which acts as a shock
An estimated 50 million Americans have suffered or are suffering knee pain or injuries. Most of these pains, sprains, and strains could probably have been avoided with proper conditioning (Fox, 147). I have had knee pain since my freshmen year of high school and have finally taken the initiative to find some exercises that will help ease this pain, and build muscle strength in the surrounding areas to avoid another possible injury.
The most common knee injury in sports is damage to the anterior cruciate ligament (ACL) through tears or sprains. “They occur in high demand sports that involve planting and cutting, jumping with a poor landing, and stopping immediately or changing directions” (University of Colorado Hospital). The ACL is a ligament that runs diagonally in the middle of the knee and found at the front of the patellar bone. Its function involves controlling the back and forth motion of the knee, preventing the tibia from sliding out in front of the femur, and providing rational stability to the knee. Interestingly, women are more prone to ACL injuries than men. The occurrence is four to six times greater in female athletes.
In order for athletes to save their active lifestyles they need understand the ACL. The ACL is the most important ligament in the knee because it provides stability to the knee. Athletes have to be aware of the importance of the ACL and know its functions in order to preserve the ligament. The ACL otherwise know as the anterior cruciate ligament is the ligament in the knee that connects the upper leg bone which is the femur to the lower leg bone which is the tibia. The anterior cruciate ligament crosses with the posterior cruciate ligament inside the center of the knee joint to stabilize to the knee in movement.
The knee joint is a complex organ which allows for a multidirectional movement of the joint including an internal/external rotation, flexion/extension and a variety of valgus movements.
Nisell R. (1985) Mechanics of the knee: A study of joint and muscle load with clinical applications. Acta Orthop Scand 216; 1-42.
In order to understand how the menisci can be injured, you must understand the basic anatomy of the menisci and why they are important. The menisci are two oval (semilunar) fibrocartilages that deepen the articular facets of the tibia and cushion any stresses placed on the knee joint. They enhance the total stability of the knee, assist in the control of normal knee motion, and provide shock absorption against compression forces between the tibia and the femur (Booher, 2000). Articular cartilage covers the ends of the bones that make up the joint. The articular cartilage surface is a tough, very slick material that allows the surfaces to slide against one another without damage to either surface. This ability of the meniscus to spread out the force on the joint surfaces as we walk is important because it protects the articular cartilage from excessive forces occurring in any one area on the joint surface, leading to degeneration over time (Sutton, 1999).
The surfaces of the joint are organised to allow only back and forth motion such as bending and straightening. This type of joint can be found between your upper arm and your lower arm, in the elbow. This type of joint is incredibly important as it allows an up and down movement, without this type of joint, we wouldn’t be able to move our arm up and down. Muscles are attached to this type of joint by tendons to allow it to contract and relax and be able to move the bone within this joint. Ligaments attach the bones in a hinge joint together, for example, the humerus and the tibia are joined by ligaments but they also have antagonist muscle pairs attached to them by tendons which allow the bone to move by contraction and relaxation of the muscles. This type of joint mainly includes long bones as it’s necessary for movement in the skeletal
The purpose of the squat is to train the muscles around the knees and hip joints, as well as to develop strength in the lower back, for execution of basic skills required in many sporting events and activities of daily living. Because a strong and stable knee is extremely important to an athlete or patient’s success, an understanding of knee biomechanics while performing the squat is helpful to therapists, trainers, and athletes alike (11). Because most activities of daily living require the coordinated contraction of several muscle groups at once, and squatting (a multi-joint movement) is one of the few strength training exercises that is able to effectively recruit multiple muscle groups in a single movement, squats are considered one of the most functional and efficient weight-bearing exercises whether an individual’s goals are sport specific or are for an increased quality of life
The knee joint is extended when in the standing position, to stabilize this joint the biceps femoris, semi-mebranosus, semi-tendonosus (hamstrings) and the rectus femoris, vastus lateralis, vastus intermedius and vastus medialis (quadriceps) co-contract isometrically.
The human foot is an incredibly complex part of the body, it is made up of twenty-six bones which is fully twenty-five percent of the bones in the entire body. The structure of the forefoot includes the five metatarsal bones and the phalanges. The metatarsal bones are for forward movement and provides attachment for several tendons. The phalanges, also known as the toes, movement take place in the joints. The foot movement only has two movements; inversion and eversion. All the joints in the hindfoot and midfoot contributes to these complex movements. The foot has two significant functions: weight bearing and impulsion, which both requires a high degree of stability. The foot must also be flexible so it is able to adapt to uneven surfaces. The various bones and joints of the foot are what allows the foot to be flexible. In order for the foot to be able to support any weight the various of bones must form an arch. The foot has three arches that are maintain by the shape of the bones and by the ligaments. The arches are supported by the muscles and tendons. A foot is a strong, flexible, and durable it allows us to daily activities as we please while carrying all the