knee differentials Flashcards by Cheyenne Mohr

PFPS symtoms?

anterior knee pain aggravated by prolonged sitting, stairs, kneeling

How well did you know this?

Not at all

Perfectly

PFPS MOI?

gradual overuse injury

How well did you know this?

Not at all

Perfectly

PFPS special tests?

overuse: eccentric step down test
movement coordination: single leg squat, lateral step down test
muscle: hipSIT, ABD, ER, EXT strength
hypomobility: patellar tilt, muscle length
PROM: pain at end range knee flexion

How well did you know this?

Not at all

Perfectly

PFPS hip strengthen treatment?

bridges (can progress to single leg)
clams (progress)
fire hydrants
glute kickbacks (quadruped hip extension)
glute step downs
sidestep with resistance band

How well did you know this?

Not at all

Perfectly

PFPS knee strengthen treatment?

quad set
short arc quads
WB (squats)- single leg
NWB (knee extensions)

How well did you know this?

Not at all

Perfectly

PFPS differential diagnosis?

patellar tendonitis
OA
osgood schlatter
chondromalacia patella
plica syndrome

How well did you know this?

Not at all

Perfectly

patellar tendonitis symptoms?

anterior knee pain aggravated by squatting, jumping
inferior pole of patella
15-50 year old

How well did you know this?

Not at all

Perfectly

patellar tendonitis MOI?

gradual, repeated eccentric overloading during deceleration activities

How well did you know this?

Not at all

Perfectly

patellar tendonitis special tests?

tests: declined single leg squat, royal london hospital test
PROM: pain end range knee flexion

How well did you know this?

Not at all

Perfectly

patellar tendonitis isometric loading treatment?

knee extension machine
squat with strap
5 reps 45 seconds 2-3x a day

How well did you know this?

Not at all

Perfectly

patellar tendonitis isotonic loading treatment?

squats
leg press
knee extension
want to progress to single leg

How well did you know this?

Not at all

Perfectly

patellar tendonitis energy storage loading treatment?

plyometric loading

How well did you know this?

Not at all

Perfectly

patellar tendonitis return to sport/activity treatment?

more sport specific

How well did you know this?

Not at all

Perfectly

patellar tendonitis differential diagnosis?

ACL/PCL
PFPS

How well did you know this?

Not at all

Perfectly

knee OA symptoms?

generalized knee pain aggravated by WB

How well did you know this?

Not at all

Perfectly

knee OA MOI?

gradual due to micro or macrotrauma

How well did you know this?

Not at all

Perfectly

knee OA special tests?

CPR:
1. knee pain
2. morning stiffness <30 mins
3. functional limitations
4. knee crepitus
5. knee restricted ROM
6. bony enlargements
capsular pattern: knee flexion less than extension
pain at end range knee flexion and extension PROM

How well did you know this?

Not at all

Perfectly

knee OA treatment?

cyclic loading
quad strength

How well did you know this?

Not at all

Perfectly

knee OA differential diagnosis?

disc herniation (L3/L4)
meniscus tear
tendonitis
hip pathology

How well did you know this?

Not at all

Perfectly

knee fracture symptoms?

pain- night pain

How well did you know this?

Not at all

Perfectly

knee fracture MOI?

trauma

How well did you know this?

Not at all

Perfectly

knee fracture special tests?

ottawa knee rules

How well did you know this?

Not at all

Perfectly

knee fracture acute treatment?

early AROM/PROM
heel slides
quad sets

How well did you know this?

Not at all

Perfectly

knee fracture subacute treatment?

straight leg raises
short arc quads
wall squats
step ups/downs on stair

How well did you know this?

Not at all

Perfectly

knee fracture chronic treatment?

steamboats lunges (onto bosu) bosu ball squats (progress to single leg)

knee fracture differential diagnosis?

ACL, MCL, PCL, patellar dislocation

meniscus tear symptoms?

swelling, popping, clicking, pain along joint line, pain with hyperflexion/extension swelling seen 6-24 hours after

meniscus tear MOI?

twisting injury while WB medial torn more often

meniscus tear special tests?

McMurrays test Thessalys test

meniscus tear acute treatment?

early AROM/PROM heel slides quad sets

meniscus tear subacute treatment?

straight leg raises short arc quads wall squats step ups/downs on stairs

meniscus tear chronic treatment?

steamboats lunges (onto bosu) bosu ball squats (progress to single leg) MWM squeeze technique

meniscus tear differential diagnosis?

ACL, MCL, OA, patellar dislocation, tibial plateau fracture

ACL tear symptoms?

popping or giving out pain immediate dysfunction immediate swelling (0-2 hours) instability

ACL tear MOI?

twisting or hyperextension of the knee

ACL tear special tests?

lachmans anterior drawer lelli lever pivot shift AROM/PROM (decreased knee extension)

ACL tear acute treatment?

early AROM/PROM heel slides quad sets

ACL tear subacute treatment?

straight leg raises short arc quads wall squats step ups/downs on stair

ACL tear chronic treatment?

steamboats lunges (onto bosu) bosu balls squats (progress to single leg)

ACL tear differential diagnosis?

PCL tear

PCL tear symptoms?

popping or giving out pain immediate dysfunction immediate swelling (0-2 swelling) instability

PCL tear MOI?

hyperextension

PCL tear special tests?

posterior drawer posterior sag AROM/PROM (decreased knee extension)

PCL tear acute treatment?

early AROM/PROM heel slides quad sets

PCL tear subacute treatment?

straight leg raises short arc quads wall squats step ups/downs on stair

PCL tear chronic treatment?

steamboats lunges (onto bosu) bosu balls squats (progress to single leg)

PCL tear differential diagnosis?

ACL tear

MCL tear symptoms?

localized swelling/stiffness medial pain and tenderness

MCL tear MOI?

valgus stress

MCL tear special tests?

valgus stress test palpation

MCL tear acute treatment?

early AROM/PROM heel slides quad sets

MCL tear subacute treatment?

straight leg raises short arc quads wall squats step ups/downs on stair

MCL tear chronic treatment?

steamboats lunges (onto bosu) bosu balls squats (progress to single leg)

LCL tear symptoms?

localized swelling/stiffness lateral pain and tenderness

LCL tear MOI?

varus stress

LCL tear special tests?

varus stress test palpation

LCL tear acute treatment?

early AROM/PROM heel slides quad sets

LCL tear subacute treatment?

straight leg raises short arc quads wall squats step ups/downs on stair

LCL tear chronic treatment?

steamboats lunges (onto bosu) bosu balls squats (progress to single leg)

ITB syndrome symptoms?

lateral knee pain diffuse and hard to localize aggravated by climbing and descending stairs history in changes in training surface, increased milage tenderness at lateral femoral condyle/girdy's tubercle

ITB syndrome MOI?

overuse

ITB syndrome special tests?

Obers test nobel compression test

ITB syndrome treatment?

strengthen hip- sidelying leg raises, clams, standing SLR, steamboats ITB stretches

ITB syndrome differential diagnosis?

lateral meniscus tear lateral compartment OA

MCL tear differential diagnosis?

medial meniscus ACL tibial plateau fracture PCL patellar subluxation

LCL tear differential diagnosis?

ACL tibial plateau fracture PCL patellar subluxation lateral meniscus

hamstring strain symptoms?

pain in posterior leg

hamstring strain MOI?

eccentric use of hamstring

hamstring strain special tests?

SLR 90/90 hamstring goni active knee extension test hand held dynamometer TTP distance from IT

hamstring strain acute treatment?

single leg balance strengthen hips balance board

hamstring strain subacute treatment?

hamstring curls wall squats squats (progress to single leg)

hamstring strain chronic treatment?

single leg squats on bosu ball lunges onto bosu ball nordic hamstring box jumps (control descent)

hamstring strain differential diagnosis?

lumbar radiculopathy deep gluteal syndrome SI dysfunction Adductor muscle strain

patellar dislocation symptoms?

anterior knee pain with WB

patellar dislocation MOI?

twisting injury with the femur IR on a fixed foot could be no trauma

patellar dislocation special tests?

AROM/PROM joint play PFJ apprehension test (patellar tilt)

patellar dislocation treatment?

normalize gait (AD, heel slides-flexion) patellar mobilization (medially) quad sets SLR short arc quads long arc quads squat (can add bosu ball, weights) SLS

patellar dislocation differential diagnosis?

PFPS tendonitis