LIGAMENT INJURY OF KNEE Flashcards
4 LIGAMENTS
ANTERIOR CRUCIATE
POSTERIOR CRUCIATE
MEDIAL COLLATERAL
LATERAL COLLATERAL
ANTERIOR CRUCIATE LIGAMENT
ATTACHED TO TIBIA
RUNS UPWARDS BACKWARDS AND LATERALLY AND ATTACHED TO LATERAL CONDYLE OF FEMUR
PREVENTS ANTERIOR DISPLACEMENT OF TIBIA
POSTERIOR CRUCIATE LIGAMENT
ATTACHED TO TIBIA
RUNS UPWARDS , BACKWARDS AND LATERALLY AND ATTACHES TO MEDIAL CONDYLE OF FEMUR
ANTERIOR CRUCIATE LIGAMENT INJURY
MORE COMMON
DUE TO TWISING FORCE ON SEMIFLEXED KNEE
MAY BE ASSOCIATED WITH MEDIAL MENISCAL , MEDIAL COLLATERAL LIGAMENT INJURY
O DONOGHUE TRIAD - MEDIAL MENISCAL INJURY , MEDIAL COLLATERAL LIGAMENT INJURY , ANTERIOR CRUCIATE LIGAMENT INJURY
CLINICAL FEATURE OF ACL INJURY
SEVERE PAIN
DIFFUSE SWELLING DUE TO HEMARTHROSIS
TEST =
ANTERIOR DRAWER TEST
LACHMANS TEST
PIVOT SHIFT TEST
POSTERIOR CRUCIATE LIGAMENT INJURY
BACKWARD FORCE ON TIBIA WITH SEMI FLEXED KNEE , DASHBOARD INJURY
CLINICAL FEATURE OF PCL INJURY
POSTERIOR TIBIAL SAG
SEVERE PAIN
DIFFUSE SWELLING DUE TO HEMARTHROSIS
TEST =
POSTERIOR DRAWER TEST
REVERSE PIVOT SHIFT TEST
QUADRICEPS ACTIVE TEST
ANTERIOR AND POSTEIOR DRAWER TEST
KNEE FLEXED 90 DEGREE
EXAMINERS SITS ON FOOT OF PATIENT
HOLDS PROXIMAL TIBIA
TRIES TO GLIDE ANTERIORLY OR POSTERIORLY
IF EXCESSIVE ANTERIOR MOVEMENT = DONES ANTERIOR DRAWER TEST POSITIVE
IF EXCESSIVE POSTERIOR MOVEMENT = DENOTES POSTERIOR DRAWER TEST POSITIVE
LACHMAN TEST
SAME AS DRAWER TEST BUT THE FLEXION OF KNEE IS 20 DEGREE
INVESTIGATION
X RAY - TO RULE OUT FRACTURE
MRI
ARTHROSCOPY
TREATMENT
CONSERVATIVE
OPERATIVE
CONSERVATIVE
ASPIRATION OF HEMATOMA
CYLINDRICAL CAST
OPERATIVE
ARTHROSCOPIC RECONSTRUCTION OF LIGAMENT
RECONSTRUCTION USING TENDON / FASCIA LATA
COMPLICATION
ADHESION
HEMARTHOSIS
OSTEOARTHRITIS
OSSIFICATION OF LIGAMENT
