THE REGION OF THE KNEE 



461 



In young subjects, Inspection of the Joint may be carried out 

 with least damage through the lateral J -shaped incision of 

 Kocher or through a similar incision on the medial side. The 



Cut edge of synovial membrane 



Posterior surface 

 of patella 



Posterior cruciate 

 ligament 

 Patellar synovial 

 fold (ligamentum 

 mucosum) 

 Anterior cruciate 

 ligament 



Anterior cornu of 

 lateral meniscus 



Infra-patellar pad of fat 



Ligamentum patellae, 

 posterior surface 



Tuberosity of tibia, 

 posterior cut surface 



Periosteum of tibia, left attached 

 to tuberosity 



FIG. 135. Complete Exposure of the Knee-joint. The dissection is described 

 on p. 462. The synovial membrane is shown in purple. 



limb is slightly flexed over a sandbag, as the interior of the joint 

 is most accessible in this position. The incision, which begins 

 about 2\ inches proximal to the patella and a ringer's breadth 

 from its lateral margin, descends vertically over the femoral 

 and tibial condyles and then curves gently forwards to a point 



