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structure, which, by exercising an ever-

vigilant traction The integrity of the

knee joint,

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so far as its perfect functions are

concerned, is largely dependent on this

upon the capsule of the joint and its

connections

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is almost the sole means by which

excessive

http://www.Cure-JointPain.com

lateral movement in the knee-joint is prevented

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The ligaments, however strong and

normal, leave a large margin of

undesirable mobility which is

prevented by the ilio-tibial band;

any condition, therefore,

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which interferes with the integrity

of it, or weakens the muscles

which control its action, indirectly

leads to

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weakening of the knee-joint.

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This structure, as shown by the diagram

(Fig. 2) is the very strong specialised

outer portion of the deep fascia of the

thigh Avhich

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at its upper end^ after coming down from the crest of the ileum, receives the insertion of the greater portion of the gluteus maximus and the whole of the tensor fasciae femoris-two very strong muscular arrangements entering the ilio-tibial band obliquely

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-Showing the general arrangement of the ilio-tibialband.

from opposite

points-which by their

combined action

exercise an

immensely strong

traction upon it in a

vertical direction;

below, the band becoming as it

descends more concentrated and thick,

is inserted into the outer side of the

head of the tibia,

having previously sent off expansions

which are attached to the various bony

prominences about the knee

and after reinforcement by expansions from the vasti muscles become indistinguishable from the capsule of the joint.

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The relation of the ilio-tibial band to

the tonicity of the knee-joint is the

same as that of the tendons passing

from the leg to

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and under, the tarsus to the integrity

of the arch of the foot, and it would

be just as rational to attempt to cure

(in the proper sense of the word) flat-

foot by ignoring the treatme

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the condition is peculiar to the individual and normal so far as lie or she is concerned.

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Moreover, it will generally be

found if the looseness of the

knee-joint is only a

peculiarity that other joints

especially the wrists have

the same characteristics.http://www.Cure-JointPain.com

The importance of bearing in

mind that symmetrical

looseness of the knee-joints

may be frequently met with

in perfectly sound subjects is

too obvious to need

comment.http://www.Cure-JointPain.com

Unilateral hyper-mobility should on the other hand clearly suggest either disease or some physical defect.

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In the ideal lower limb the

subject standing fully erect

and being viewed from the

side a line dropped

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vertically through the

middle of the acetabulum

to the foot will cross the

outer edge of the patella

and impinge upon the

metatarso-phalangeal

joints of the fourth and

fifth toes_,

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but in a considerable

number of people mostly

males the normal

extension is in fact hyper-

extension_, in some cases

to such a degree as to

come within a measurable

distance of

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what is clinically called genu recurvatum, without in any way affecting the strength of the individual.

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This peculiarity of hyper-

extension is generally due

to excessive length of the

anterior crucial ligament

which is the main check in

limiting extension of the

knee.http://www.Cure-JointPain.com

Here, again, the deviation

from the ideal condition

may when occurring in

both knees be considered

merely as a peculiarity, but

if unilateral it should not

be so regarded.http://www.Cure-JointPain.com

Again, certain subjects in standing do not apparently place the lower limbs in full extension, slight flexion at the knee when fully erect being with them the normal

condition-if it is symmetrical.

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In the same way deviations from the ideal contour of the lower limbs when viewed from the front constantly occur in perfectly sound

subjects in whom such deviations (e. g. slight inbending or slight bowing-out of the knee).

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When symmetrical may be regarded as mere peculiarities which are sometimes so marked (as, for example, frequently in stable-boys) that it is difficult to say when

the limit beyond the possible normal is reached and the abnormal begins.

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The crucial point of this particular matter then is that deviations from ideal normality either in mobility or shape

provided

that they are symmetrical may be regarded as peculiarities only unless there are obvious indications of disease, as for an example, in the symmetrical

malformation of rickets.

It should however be borne in mind that these deviations from the true normal when symmetrical are prone to be somewhat more

obvious on the right side, excepting in left-handed subjects when the reverse is often the case.

Contact Us

Shriniwas HospitalChowk No 4, Govind Nagar,

Nashik

Ph -247 1340, M - 82377 44555

Email – Info@Cure-JointPain.com