Knee Specialist physiotherapy
Various knee specialists are employed at Movamento. The physiotherapists have managed to bring many knee rehabilitations to a good result and are well-grounded in diagnostics. With these specialists we can offer the best quality in the treatment of knee injuries.
The knee is formed by four bone parts: the upper leg (femur), the tibia, the fibula and the kneecap (patella). The connection between the upper leg and the tibia forms a hinge joint. This joint is called the articulatio genus. The joint between the fibula and the tibia is called the tibiofibular joint.
The kneecap is the largest sesame bone in the body. A sesame bone is a loose bone piece that is located in the course of a tendon. The kneecap is in line with the tendon of the thigh muscles and is connected with a knee tendon (patella tendon). The kneecap forms the stretching mechanism of the knee.
The fibula is not directly part of the knee joint but plays together with the movements of the knee. beside this, it is a point of attachment for muscles and the outside ligament. The complex of the fibula, the upper leg and the tibia is called the posterolateral angle (back-outer side) of the knee. This complex provides stability in the exorotation and extension of the knee.
The menisci are located inbetween the joint, on the in- and outside of the joint. The knee has an inner meniscus (medial meniscus) and an outer meniscus (lateral meniscus). The meniscus is thicker on the outside than on the inside. This shape enlarges the socket of the joint, making the joint more stable. The meniscus can be seen as a shock absorber of the knee joint. The menisci ensure no forces occur that can damage the cartilage and bone during walking.
The knee has two cruciate ligaments, located in the middle of the knee. The knee has a anterior and posterior cruciate ligament. The anterior cruciate ligament ensures that the tibia cannot slide forward relative to the thigh. In addition, the anterior cruciate ligament has an important function in the rotation of the knee. The posterior cruciate ligament ensures that the tibia cannot slide backwards relative to the thigh. The cruciate ligament have an important stabilizing function for the knee.
Outside the joint, the knee has an inner ligament (medial collateral ligament) and an outer ligament (lateral collateral ligament). The inner ligament is flat and runs from the thigh to the tibia. This strap provides stability in the inwards direction of the knee. The outer ligament runs from the thigh to the fibula and provides stability in the lateral direction of the knee.
A number of powerful muscle groups run across the knee that ensure the movement of the knee and have a function in the stability of the knee. At the front of the leg the quadriceps musculature run over the knee. The quadriceps femoris have a stretch function over the knee. The hamstrings run at the back of the knee. The hamstrings provide the flexion of the knee. Beside the hamstrings, the gastrocnemius (calf muscle) also runs at the back of the knee. This muscle also provide the flexion of the knee. A small muscle, the popliteus, runs across the back of the knee. This muscle is primarily responsible for controlling the rotations of the lower leg.
On the outside of the thigh a large tendon plate runs over the knee (tractus iliotibialis). The tractus iliotibialis is a broad tendon plate that originates from the pelvic edge and the gluteal muscles (the m. Glutei and m. Tensor fascia latae). The tendon plate runs from the outside of the upper leg to the outside of the lower leg. It inserts to just below the knee on the tibia and on the head of the fibula (fibula head). The adductors run on the inside of the upper leg, with the slender thigh muscle (m. Gracilis) running over the knee. The m. Sartorius (tailor muscle) also runs from the front to the inside of the upper leg over the knee.
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