04 Medial Knee Palpations 1 Flashcards Preview

7232 Ortho > 04 Medial Knee Palpations 1 > Flashcards

Flashcards in 04 Medial Knee Palpations 1 Deck (18):
1

medial tibial plateau: clinical significance

- tibial line fracture (from bone contusion or impaction fx)
- may be deformed, symptomatic
- osteophyte formation

2

medial tibial plateau: palpation

- palpate around medial joint line
- will lose it about halfway back because soft tissue gets in the way

3

What soft tissue gets in the way of medial tibial plateau palpation?

- MCL
- pes group

4

joint line: clinical significance

- meniscal injuries
- same spot as tibial plateau

5

most common types of meniscal injuries

posterior horn

6

tibial flair: clinical significance

- vulnerable to proximal medial tibial stress fx
- where the pes anserine group attaches

7

tibial stress fx: Who usually gets these?

military and runners

8

tibial stress fx: How can you tell if there's one?

- increase in activity
- in a long bone
- pain with palpation
- pain increases with activity enough to stop activity

9

medial femoral condyle: clinical significance

common site for OCD due to AVN in the knee

10

medial femoral condyle: palpation

grab with the whole hand

11

medial epicondyle: clinical significance

- highest point of the condyle, most prominent point
- Pellegrini-stieda syndrome

12

What is Pellegrini-stieda syndrome?

- bony avulsion fracture
- avulsion of proximal attachment of MC

13

MPFL: clinical significance

80-85% static stability of the patella

14

MPFL: insertion

inserts anterior to medial epicondyle

15

MPFL and avulsion

doesn't avulse the bone, weaker

16

adductor tubercle: clinical significance

- If there's pain, it's pathoneumonic that the pt has a patellar subluxation/dislocation
- attachment site for VMO and part of retinaculum

17

Why is pain at the adductor tubercle pathoneumonic of a subluxation?

pulls on the attachment site

18

adductor tubercle: palpation

- sensitive area
- 1 body inch proximal to medial femoral epicondyle, palpate by coming back toward the front to feel a ridge