Knee

Question 1

meniscus tears tx

Answer 1

Ice
Quadriceps exercises
Crutches
NSAIDs
Analgesics
Referral (locked knee or lack of full extension, persistent pain/swelling, giving way) + arthroscopy

Question 2

anterior cruciate injury tx

Answer 2

RICE → rest, ice, compression, elevation
Knee immobilizer
Crutches
NSAIDS
Therapy

Surgery

Question 3

Tx for posterior cruciate ligament

Answer 3

surgery

Question 4

How do you treat a collateral ligament injury?

Answer 4

Grade I = RICE + NSAIDS

Grade II = hinged brace 4-6 weeks and crutches

Grade III = hinged brace, gradual return
Rehab w early ROM and quads strengthening, refer for possible surgery

Refer if hemarthrosis or ligamentous instability

Question 5

How do you treat bursitis of the knee?

Answer 5

NSAIDS
ICE
Modalities (US)
Reduction of activities
Stretching of tendons
Corticosteroids
Drain fluid (prepatellar)

Question 6

How do you treat patella/quad tendonitis?

Answer 6

Rest, knee immobilizer, NSAIDs

Avoid corticosteroids + fluoroquinolones (cause rupture)

Refer all possible tendon ruptures

Question 7

How do you treat osgood schlatter disease?

Answer 7

Avoid activity triggering symptoms
Ice
Immobilization for severe symptoms
Parental reassurance

Question 8

patella fracture Tx

Answer 8

Immobilize in extension for 6 weeks (3-4 weeks ROM)
If <5mm separation + <2mm displacement
Extension intact

Surgery if not

Question 9

How do you treat a patella dislocation?

Answer 9

Reduction, RICE, immobilization, full weight bearing
Quadricep exercises important

Question 10

How do you treat patellofemoral quad syndrome?

Answer 10

NSAIDS, ice, quad exercises, + avoid triggering activities

Surgery if no improvement

Question 11

osteochondritis dissecans tx

Answer 11

Refer for possible surgery + lower weight bearing

Question 12

How do you treat a knee intra-articular fracture?

Answer 12

ORIF