Knee

Question 1

Suscpect a patella fracture. What views must you get not to miss peripherial fractures.

Answer 1

Latreral- horizontal Sunrise- vertical

Question 2

Nonsurgical managment of patella fracture

Answer 2

Start splinting in extension with gradual flexion

Question 3

The most common area of a Tibial plateau fracture

Answer 3

Lateral

Question 4

Absolute indications for surgery for tibial plateau fracture

Answer 4

open fracture, compartment syndrome

Question 5

Nonoperative managment for tibial plateau fracture

Answer 5

NWB for 6 weeks.

Question 6

Often an associated injury seen with ACl and medial meniscus injury

Answer 6

Segond’s Fx- capsular avulsion of the lateral tibial plateau.

Question 7

2 high risk stress fractures of the knee.

Answer 7

Patella and Medial tibial plateau

Question 8

A young female likely to present with (traumatic or nontraumatic ) patella dislocation

Answer 8

nontraumatic

Question 9

What presentation of patella dislocation with would point to a traumatic type

Answer 9

hemarthrosis

Question 10

What would the lateral apprehension test be used for?

Answer 10

Patella dislocation - apprehension when moving the the patella laterally

Question 11

What imaging is needed following a patella dislocation that has relocated.

Answer 11

XRAY- ostechondral fracture or avulsion. MRI if symptoms persist, concern for osteochondral defet or multiple dislocations.

Question 12

Type of knee dislocation from a hyperextension injury

Answer 12

Anterior ( tibia relative to femur)

Question 13

Type of knee dislocation form a dashboard injury

Answer 13

Posterior

Question 14

Knee dislocation usually associated with what neurovascular injuries?

Answer 14

Nerve- fibular Artery- popliteal

Question 15

2 Test to aid in ITB Friction syndrome

Answer 15

Noble’s Test Obers Test

Question 16

A runner with lateral knee pain while running but goes away at rest.

Answer 16

ITB Frictions syndrome

Question 17

Runner with lateral knee pain. Where would tenderness be located on physical exam if you think ITB Friction Syndrome.

Answer 17

3cm proximal to lateral joint (over the lateral femoral condyle)

Question 18

Patellar fracture is usually seen in what demographic?

Answer 18

older female with osteoporosis

Question 19

Quad Tendon tear is usually seen in what demographic?

Answer 19

Male older then 60

Question 20

Patella tendon rupture is usually seen in what demographic?

Answer 20

Younger male around 40s

Question 21

Terrible Triad

Answer 21

ACL, Medial Meniscus, MCL

Question 22

What is the grade ACL tear for a positive Lachman 0-5mm

Answer 22

Grade 1

Question 23

What is this called?

Answer 23

Kissing contusion

ACL tear

Question 24

RTP following ACl surgery

Answer 24

6- 9 months

Question 25

PCL injury typically occurs by what mechanism

Answer 25

anterior tibia with knee flexion hits dashboard.

Question 26

Test used for PCL tears

Answer 26

POSITIVE QUAD ACTIVATION REVERSE LACHMANS POSTERIOR SAG

Question 27

Gold standard diagnosis for PCL

Answer 27

arthoscopy

Question 28

What muscle group needs to be strengthing in order to rehab a PCL injury?

Answer 28

quad strengthing in order to prevent posterior tibial translation

Question 29

IDENTIFY

Answer 29

PELLEGRINI-STIEDA SIGN MCL TEAR

Question 30

WHAT IS THE ONLY REASON AN ISOLATED MCL TEAR WOULD REQUIRE SURGERY?

Answer 30

TIBIAL SIDED AVULSION

Question 31

EXPLAIN REHAB FOR MCL

Answer 31

ACUTE PHASE- RICE HINGED KNEE BRACE 1-2 WEEKS EARLY ROM AND ADVANCE WITH MORE 4 WEEKS

Question 32

DIAL TEST : AT 30 DEGRESS OF KNEE FLEXION INCREASED EXTERAL ROTATON BUT NOT AT 90

Answer 32

ISOLATED PLC INJURY

Question 33

DIAL TEST : AT 30 DEGRESS OF KNEE FLEXION INCREASED EXTERAL ROTATON WITH THE SAME AT 90

Answer 33

PCL AND PLC

Question 34

MOST COMMON PLICA IS MEDIAL OR LATERAL

Answer 34

MEDIAL Most commonly irriated from abrading medial femoral condyle

Question 35

Anterior inferior knee pain worse with sitting to standing

Answer 35

Hoffas fat pad impingement

Question 36

Symptoms to help distinguish Hoffa's Fat Pad vs. MPF syndrome

Answer 36

MPFL- sitting Hoffa- sitting to standing

Question 37

What is chondromalacia patella?

Answer 37

Degeneration of patella cartalige from patellofemoral syndrome

Question 38

What is MOI for lateral meniscus injury

Answer 38

Occurance after knee flexion. Squating wrestling

Question 39

Which part of the meniscus has poor blood supply?

Answer 39

Inner 2/3

Question 40

A Q ANGLE OF \> ___ DEGREES IN PATELLOFEMORAL SYNDROME

Answer 40

20 ASIS---\> MID PATELLA MID PATELLA---\> TIBIAL TUBERCLE

Question 41

PATELLAFEMORAL SYNDROME CAN BE A RESULT OF WEAK \_\_\_

Answer 41

Hamstrings