The University of West Alabama





Athletic Training & Sports Medicine Center

AH 321 Assessment of Athletic Injuries/Illnesses Laboratory 

Bony Palpation Skill Sheet

Hand & Wrist Arm Hip, Pelvis & Spine Foot & Ankle
Forearm Shoulder Girdle Knee Head & Face

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Knee

Bony Landmark
(include alternative name if applicable)

Related Information
such as purpose, function, attachment of ligaments, tendon, soft tissues involved

Preferred Body & Joint Position
best for palpation

Anatomical Description of Location
relative to other structures

Skeleton Picture or Video

Model Picture or Video

Tibial Spine Origin of the tibialis anterior muscle Patient seated Located on the anterior portion of the lower leg; It can be palpated from just above the ankle to just below the knee; The tibial spine runs along the midline of the anterior portion of the leg
Lateral tibial plateau Site of lateral meniscus Short-sitting position Superior lateral portion of the tibia    
Fibula head Attachment site of the distal end of the the fibular collateral ligament; the fibular collateral ligaments attaches the fibula to the femur Patient in supine position with the knee flexed to 90° Approximately 1cm inferior and posterolateral to the lateral tibial plateau    
Medial femoral condyle Serves as an attachment for the medial collateral ligament Patient sitting on the edge of the table with knee flexed 30 degrees and with the patient being relaxed The medial femoral condyle can be palpated proximally as far as the superior pole of the patella and distally where the femur and the tibia meet  
Patella superior pole Attaches to the quadriceps to form the quadriceps tendon Patient sitting on the edge of the table with knee flexed approximately 30 degrees Just superior to the patella tendon 
Patella It functions in lever actions associated with lower limb movements. The patella serves as an attachment for the quadriceps muscle group Patient needs to be relaxed in the supine position with leg in extension The patella is located in a tendon that passes anteriorly over the knee
Patella inferior pole Patella tendon crosses patella or some say it is were the patella tendon originates Patient seated or standing, with the knee flexed or straight Located at the extreme inferior aspect of the patella
 
Patella lateral facet Helps to hold the quadriceps tendon away from the axis of movement, it also functions as a guide for the quadriceps tendon of the knee, and provides protection for the cartilage of the femoral condyles Model sitting with knees off the end of a table It is fixed in the trochlear groove in flexion and mobile in extension
Patella medial facet Attachment of patella ligament and medial patella retinaculum Short-sitting position Articulates with the medial condyle of the femur
Trochlear groove Location of patellar tracking Supine Located beneath the patella  
Lateral femoral condyle Origin of the popliteal muscle; Much of it is covered by the patella causing less palpable surface area Flex the knee past 90 degrees; the patient can be prone or seated Find the soft tissue depression lateral to the infrapatellar tendon; move superior and laterally onto the sharp edge of the lateral femoral condyle
Medial tibial plateau Attachment for the medial meniscus Patient sitting on edge of table with knee flexed approximately 30 degrees Located in the soft tissue depression on the anterior portion of the knee, just medial of the patella tendon
Adductor tubercle Attachment of adductor magnus tendon Short-sitting position Posterior medial portion of the medial femoral condyle    
Tibial tubercle Attachment of the patellar tendon, the pes anserine inserts here, and the also a bursa Patient needs to be sitting or supine Located at the upper end of the anterior border of the shaft of the tibia, and is the apex of the triangular area on the front of the bone where the anterior surfaces of the two condyles become continuous, Follow the infrapatellar tendon distally to where it inserts into the tibial tubercle
Gerdy’s tubercle Insertion for the Iliotibial Tract Patient sitting on the edge of table with knee flexed approximately 30 degrees and relaxed Located immediately below the lateral tibial plateau