Knee Flashcards

1
Q

The fibrous cushion of the knee that acts as a shock abosrber

A

Meniscus

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2
Q

What are the categories of meniscal injury

A

Acute

Degenerative

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3
Q

Meniscal tear that usually occurs when the knee is flexed and forcefully twisted

A

Acute

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4
Q

Meniscal tear that occurs more in geriatrics.

60% of people over 65 will have this tear

May occur from minor event and have no symptoms

A

Dengerative

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5
Q

This portion of meniscus that is the most commonly injured because it is firmly attached to a collateral ligament and joint capsule.

A

Medial Meniscus

Firmly attached to medial collateral ligament

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6
Q

This portion of the meniscus is more mobile because it does not attach to a collateral ligament or joint capsule and is less injured

A

Lateral Meniscus

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7
Q

What portion of the meniscus receives blood flow?

A

The outer 1/3 of the edges

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8
Q

Why is healing of the meniscus often difficult?

A

Healing of the meniscus is difficult because blood flow only goes to the outer 1/3. so only the outer 1/3 have a great chance of healing

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9
Q

6 Patterns of Meniscal tears

A
Longitudinal
Bucket-Handle tear
Displaced bucket handle
Parrot beak tear
Radial tear
Flap tear
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10
Q

Tear of meniscus that occurs in the occur 1/3 of the meniscus?

A

Longitudinal

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11
Q

What is the most common meniscus tear?

A

The flap tear

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12
Q

What are the six different types of meniscal tear?

A
Longitudinal 
Bucket handle
Displaced bucket handle
Parrot beak
Radial 
Flapped
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13
Q

Stable meniscal tears are described as what?

A

Tears that do not move and are healed on their own through conservative care

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14
Q

Unstable tears are described as what?

A

The tear moves abnormally and will require surgical repair

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15
Q

What percentage of men compared to women are likely to sustain a meniscal tear?

A

Men are 20 % more likely

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16
Q

About ________ of all ACL injuries occur along with injury to _____, _____ and/or ________

A

1/2

Cartilage, Meniscus and other ligaments: considered a comorbidity

17
Q

Grading scale of ACL tears

A

Grade I️: fibers stretched- 3-10 days to heal

Grade II: Some fibers torn- up tp 4 weeks to heal

Grade III: Avulsion

18
Q

Which grades of ACL tears are common and/or rare?

A

Grade I️/II are rare

Grade III: most common

19
Q

Causes of ACL tears

A

Quick change in direction

Sudden stopping

Slowing down while running

Landing incorrectly from jump

Direct collision

20
Q

Symptoms and patient presentation with ACL torn

A

Pain and swelling within 24 hours

Decreased range of motion

Tenderness along joint line

Discomfort while walking

21
Q

Ortho examination for suspected ACL tear

A

Bounce home

Drawers

Lachlan

22
Q

Which ortho exam is the gold standard for ACL tear assessment

A

Lachman Test

23
Q

If the patient presents to your office with a non-surgical case with an ACL when can you as a chiropractor do?

A

Adjust spine

Reduce swelling

After swelling:Brace knee, tape knee, reduce inflammation, exercises to restore strength

24
Q

Ranked Incidence of ACL tears in high school

A

Football

Boy’s soccer

Girl’s soccer

25
Q

With a knee injury what is the first muscle affected?

A

Vastus Medialis