knee assessment

Question 1

resting / open packed position of knee

Answer 1

25 deg flexion

Question 2

close packed position of knee

Answer 2

full ext + lateral tibial rot

Question 3

shape of medial meniscus

Answer 3

C shaped

Question 4

shape of lateral meniscus

Answer 4

O shaped

Question 5

in the inner 2/3 of menisci, they are vascular/avascular

Answer 5

avascular

Question 6

what holds menisci in place on the tibia

Answer 6

coronary ligaments

Question 7

MCL and medial meniscus are directly connected. True or false

Answer 7

True

Question 8

which meniscus has the most amount of movement in extension to flexion?

Answer 8

lateral meniscus

Question 9

meniscectomy can reduce the shock absorption capacity of the knee by ___%

Answer 9

20%

Question 10

This meniscus is more mobile and less firmly attached to the tibia, so it is less prone to injury

Answer 10

lateral

Question 11

this ligament resists posterior lateral rotations of the tibia

Answer 11

popliteofibular ligament

Question 12

The anterior cruciate ligament is composed of two bundles. The anteromedial bundle is taut in ______. The posterolateral bundle is taut in ______.

Answer 12

flexion

extension

Question 13

facet of the patella that is most frequently the 1st affected with chondromalacia patella (patellar cartilage degeneration) or patellofemoral syndrome

Answer 13

odd facet

Question 14

the patella improves the efficiency of knee extension during the final ___ degrees.

Answer 14

30

Question 15

loading of the patella during activity is directly related to the amount of force and tension required by the ….

Answer 15

quads

Question 16

Meniscal injuries—occur from torsion that combines _________ and ________

Answer 16

compression and rotation

Question 17

avulsions typically comes from slow/fast force?

Answer 17

slow

Question 18

ligament tears tend to come from slow/fast forces?

Answer 18

fast

Question 19

tibial tubercle apophysis AKA

Answer 19

osgood-schlatter disease

Question 20

knee is normally in about ___degrees of valgus

Answer 20

6 degrees

Question 21

________ ________ syndrome is a term coined to describe patients who have increased femoral anteversion, genu valgum, vastus medialis obliquus (VMO) dysplasia, lateral tibial torsion, and forefoot pronation. These factors create excessive lateral forces and contribute to patellofemoral dysfunction.

Answer 21

miserable alignment syndrome

Question 22

A popliteal _______ cyst, which is caused by herniation of synovial tissue through a weakening in the posterior capsule wall.

Answer 22

Baker’s cyst

Question 23

this sign may be present with pathological patellar tracking and patella instability - the patella suddenly moves medially to enter the trochlea upon initiation of knee flexion

Answer 23

J sign

Question 24

knee terrible triad

Answer 24

ACL, MCL, medial meniscus

Question 25

3 test group for knee ligament sprains

Answer 25

Lachman
Anterior Drawer
Pivot Shift

Question 26

ACL is connected to which meniscus

Answer 26

lateral

Question 27

the lateral meniscus is connected to the LCL. T or F

Answer 27

False

Question 28

popliteus cross the tibiofemoral joint underneath the LCL. T or F

Answer 28

True

Question 29

Ottawa Knee Rules for Radiographs of Acute Knee Injuries

Answer 29

Patient age younger than 55 or older than 18 years
Fibular head tenderness
Patellar tenderness
Inability to flex knee to 90°
Inability to bear weight and walk four steps when examined and at time of injury

Question 30

Pittsburgh Knee Rules

Answer 30

Blunt trauma or fall
Patient age younger than 12 years or older than 50 years
Inability to walk four weightbearing steps on affected leg