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Other structures of the knee and leg
Other structures of the knee and leg
Fibular collateral ligament Seated with knee
flexed Located the head of
the fibula and lateral epicondyle
Slide finger b/w these points
Other structures of the knee and leg
Tibial collateral ligament Seated with knee
flexed
Locate medial epicondyle
Slide distally to the joint space
Other structures of the knee and leg
Medial meniscus can
be palpated just
above the edge of
the medial tibial
plateau with medial
rotation of knee
Lateral meniscus is
difficult to access
Other structures of the knee and leg
Prepatella bursa Housemaid’s bursa
or carpenter’s knee
Subcutaneous infrapatella bursa Parson’s knee or
Buddhist’s knee
Pes anserine bursa
Other structures of the ankle and foot
Deltoid ligament
Locate the medial
malleoulus and
sustentaculum
tali
Place finger b/w
these points
Other structures of the ankle and foot
Plantar Calcaneonavicular ligament (Spring lig.) Passively invert the
foot Locate
sustentaculum tali and navicular tubercle
Palpating b/w these bony landmarks
Extensor retinacula• Supine
• Ask pt. to dorsiflex his ankle and extend his toes
• Palpate an inch proximal to the medial malleolus for the broad fibers of the sup. extensor retinaculum
• Locate the inferior extensor retinaculum by moving distally to the level of the malleouls
Peroneal retinacula
• Ask pt. to evert
his foot
• Locate the
peroneal tendons
b/w the lateral
malleouls and
lateral calcaneus
Flexor retinaculum
• Ask pt. to dorsiflex and invert the foot
• Locate medial malleouls and medial side of the calcaneus
Plantar aponeurosis
• Seated or supine
• Crossing the ball of the foot,
draw an imaginary triangle
extending down to the heel
• Within this triangle, explore
the superficial layers of
tissue along the sole of the
foot
Other structures of the ankle and foot
Calcaneal bursae Impalable
Can be thick or
imflamed from tight
shoes and,
especially, from
high heels
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