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Ch. 13 The Peripheral Nervous System and Reflex Activity
Hoehn - Marieb Human Anatomy & Physiology, 12th edition
Hoehn, Haynes, Abbott12th EditionMarieb Human Anatomy & PhysiologyISBN: 9780138242732Not the one you use?Change textbook
Chapter 13, Problem 22

Marcus, a football quarterback, suffered torn menisci in his right knee joint when tackled from the side. The same injury crushed his common fibular nerve against the head of the fibula. What locomotor problems did Marcus have after this?

Verified step by step guidance
1
Step 1: Understand the anatomy involved. The menisci are cartilage structures in the knee that help cushion and stabilize the joint. Torn menisci can cause pain, swelling, and reduced knee stability, affecting Marcus's ability to move his knee smoothly.
Step 2: Identify the role of the common fibular nerve. This nerve wraps around the neck of the fibula and innervates muscles responsible for dorsiflexion (lifting the foot) and eversion (turning the sole outward) of the foot, as well as providing sensation to parts of the lower leg and foot.
Step 3: Analyze the effects of injury to the common fibular nerve. Damage to this nerve typically results in foot drop, where the individual cannot dorsiflex the foot, leading to difficulty in walking and a characteristic high-stepping gait to avoid dragging the toes.
Step 4: Combine the effects of both injuries. Marcus likely experienced knee instability and pain from the torn menisci, along with motor deficits such as foot drop and sensory loss in the areas supplied by the common fibular nerve.
Step 5: Summarize the locomotor problems. Marcus's locomotor issues would include difficulty bending and stabilizing the knee, inability to lift the foot properly during walking, and altered gait patterns to compensate for these deficits.

Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Anatomy of the Knee Joint and Menisci

The menisci are C-shaped cartilage structures in the knee that cushion and stabilize the joint. Torn menisci cause pain, swelling, and reduced knee mobility, affecting weight-bearing and movement. Understanding their role helps explain joint dysfunction after injury.
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Introduction to Joints Example 1

Common Fibular Nerve Anatomy and Function

The common fibular nerve wraps around the neck of the fibula and innervates muscles responsible for dorsiflexion and eversion of the foot. Injury to this nerve leads to foot drop and sensory loss on the lateral leg and dorsum of the foot, impairing normal gait.
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Locomotor Impairments from Knee and Nerve Injury

Damage to the menisci and common fibular nerve results in knee instability, pain, and inability to dorsiflex the foot, causing a characteristic foot drop. This leads to an abnormal gait pattern, difficulty walking, and increased risk of falls.
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