Knee Conditions Flashcards

1
Q

Single or Rotary Instability of Knee Ligament Injury

A
  • ACL laxity = SP ant instability
  • PCL laxity = SP post intability
  • ACL & MCL = antero-medial rotary instability
  • ACL & LCL = antero-lateral rotary instability
  • PCL & MCL = postero-medial rotary instability PCL & LCL = postero-lateral rotary instability
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2
Q

Classification of Ligament Injury

A
  • 1st deg = little or no instability
  • 2nd deg = minimal to moderate instability
  • 3rd deg = extreme instability
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3
Q

“Unhappy Triad”

A
  • Injury of the ACL, MCL and medial meniscus
  • resulting from a combo of valgum, flexion and ER forces applied to the knee when the foot is planted
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4
Q

knee ligament injury dx

A
  • MRI, though very difficult to read and often misread as slightly torn or normal
  • (+) special tests for knee per ligament
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5
Q

knee ligament injury and PT

A
  • reduction of pain and inflammation
  • post op - CPM
  • Correction of ms imbalances
  • Address biomechanical faults
  • Coordination
  • Progression to funx training
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6
Q

Meniscal Injuries

A
  • result from combo - tibiofemoral flex, compression, and rotation (abnormal shearing forces)
  • Symptoms:
    • lat/med jt pain
    • effusion
    • joint popping
    • knee giving way during walking
    • limitation in flexibility of knee and
    • joint locking
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7
Q

Meniscal Injuries Dx

A
  • MRI, though not always sensitive enough to confirm tear
  • (+) mcmurrays
  • (+) Apley test
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8
Q

Meniscal Injuries and PT

A
  • reduction of pain and inflammation
  • Correction of ms imbalances
  • Address biomechanical faults
  • Coordination Progression to funx training
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9
Q

Abnormal Patella Positions

A
  • Patella alta = glides superiorly - camel back sign
  • Patella baja = tracks inferior - restricted knee EXT & DJD
  • Lateral = w/ increased Q angle
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10
Q

Abnormal Patella Positions Dx

A

plain film imaging - sunrise view

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11
Q

Abnormal Patella Positions and PT

A
  • regain funx strength of structures around the knee particularly VMO and flexibility of ITB and hamstrings,
  • orthosis if appropriate and
  • patellar bracing/taping
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12
Q

PFPS

A
  • common dysfunction that occurs on its own or in conjunction.
  • Trauma, congenital, chondromalacia or patellar tendonitis
  • Results in abnormal patellar tracking
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13
Q

PFPS Dx

A

possible MRI to rule out other issues

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14
Q

PFPS Meds

A

NSAIDs and acetaminophen

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15
Q

PFPS and PT

A
  • McConnel Taping is helpful to inhibit p! during rehab
  • Patella Mobs
  • Correct ms imbalance
  • biomechanical faults
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16
Q

Patellar Tendonosis/Tedonopathy

A
  • degenerative condition of the patellar tendon
  • typically of the deep aspect of the tendon
  • may be related to overload and/or jumping activities or PFPS
17
Q

Patellar Tendonosis/Tedonopathy Dx

A

clinical exam

18
Q

Patellar Tendonosis/Tedonopathy Meds

A

Acetaminophen and NSAIDS

Corticosteriod injection or by mouth

19
Q

Patellar Tendonosis/Tedonopathy and PT

A
  • Flexibility exercise to improve ROM
  • Manual Therapy
  • Endurance and strengthening
  • Aerobic activity thermal agents for p! reduction
  • Functional retraining
20
Q

Pes Anserine Bursitis

A

Often overuse or contusion and should be differentiated from tendonitis

Sartorius, Gracilis, Semitendinosis

21
Q

Pes Anserine Bursitis Dx

A
  • clinical exam and differentiated from contractile condition via AROM, PROM and resistive tests
22
Q

Pes Anserine Bursitis Medications

A

Acetaminophen and NSAIDS

Corticosteriod injection or by mouth

23
Q

Pes Anserine Bursitis and PT

A
  • Flexibility exercise to improve ROM
  • Manual Therapy
  • Endurance and strengthening
  • Aerobic activity thermal agents for p! reduction
  • Functional retraining
24
Q

Fx of Knee Joint: Femoral Condyle

A
  • MOI: fall w/ knee subjected to shearing force
  • Med condyle most often involved 2nd anatomy
  • Etiological factors: trauma, shearing, impacting, and avulsion forces
25
Q

Fx of Knee Joint: Tibial Plateau

A
  • MOI: combo of valgum and compression w/ knee flexed
  • Often occurs w/ MCL injury
26
Q

Fx of Knee Joint: Epiphyseal Plate

A
  • MOI: frequent WB and Torsional stress
  • Presents in adolescents where an ACL injury would occur in an adult
27
Q

Fx of Knee Joint: Patella

A

MOI: direct blow as result of fall

28
Q

Fx of Knee Joint: and PT

A

intervention focuses on return of function without pain