Knee Palpations Flashcards Preview

PHTH 7232 Ortho > Knee Palpations > Flashcards

Flashcards in Knee Palpations Deck (75):
1

How many anterior bone structure?

and what are they

8

  1. Tibial tuberosity,
  2. interior pole of patella,
  3. anterior patella,
  4. superior pole of patella,
  5. edges of patella on the lateral edges/ corners,
  6. superior lateral trochlear groove/ ridge,
  7. medial trochlear groove,
  8. femoral groove/ sulcus

2

How many anterior soft tissue structures?

name them

6

  1. infra patella tendon,
  2. anterior surface of patella,
  3. superior pole of patella,
  4. rectus fermoris,
  5. VMO,
  6. vastus lateralis,

3

How many posterior bone structure?

0

4

How many posterior soft tissue structures?

name them

6

  1. Semitendonousus,
  2. bicep femoris,
  3. medial head of gastrocnemius,
  4. lateral head of gastrocnemius,
  5. posterior capsule area of the knee,
  6. popliteal artery

5

How many medial distal bone structures?

2medial tibial plateau (joint line), tibial flair

6

How many medial distal soft tissue structures?

9medial meniscus, coronary fibers, medisotibal capsule, MCL, Pes group (3) (semitendonousus, gracilis, sartrius), semimembransus, pes bursa

7

How many medial posterior bone structures?

5medial femoral condyle, medial trochlear ridge, medial joint line/ tibial plateau, medial femoral epicondyle, adductor tubercle

8

How many medial proximal soft tissue structures?

6meniscofemoral portion of capsule, MCL, medial retinacular fibers, MPFL, plica, infrapatellar fat pad

9

How many lateral distal bone structures?

3lateral joint line, gerdy's tubercle, fibular head

10

How many lateral distal soft tissue structures?

7lateral meniscus, lateral coronary ligament, lateral meniscotibal capsular fibers, LCL, anterior proximal tib fib ligament, posterior proximal tib fib ligament, peroneal nerve

11

How many lateral proximal bone structures?

3lateral ridge of trochlea, lateral femoral condyle, lateral femoral epicondyle

12

How many lateral proximal soft tissue structures?

8LCL, meniscofemoral capsule, ITB, bicep femoris tendon, lateral retinaculum, infrapatellar fat pad, popliteal tendon, ALL

13

Tibial Tuberosity (B)

Osgood-Schlatter Disease

14

Inferior Pole of Patella (B)

Sinding- Larsen- Johansson Syndrome

15

Anterior Patella (B)

Fracture; Bone Tendon Bone harvest site for ACL repair

16

Superior Pole of Patella (B)

Quad tendon attachment

17

Edges of patella on the lateral edges/ corners (B)

Bipartite patella (Superior lateral edge); physis doesn’t close (true bipartite); fracture

18

Superior Lateral Trochlear Groove/ Ridge (B)

Bony buttress to prevent the lateralisation of the patella. If dislocation/subluxation occurs, we may get OCD from inferior (retropatellar) surface of patella or from lateral trochlea. Also an OATS and Mosaicplasty harvest site (for articular cartilage procedures)

19

Medial Trochlear Groove (B)

DJD- can feel osteophytes, bone spurs

20

Femoral Groove/ Sulcus; Trochlear Groove (B)

patella tracks

21

Infrapatella Tendon (ST)

-itis, -osis, partial or full tear, Bone Tendon Bone ACL reconstruction

22

Anterior Surface of Patella (ST)

Prepatellar burisitis

23

Superior Pole of Patella (ST)

Quad insertion site; -osis, itis; partial/ full rupture; ACL repair (Bone Tendon Soft-Tissue)

24

Rectus Femoris (ST)

Myositis, -osis, inflammation, tears, stains

25

VMO (ST)

Myositis, -osis, inflammation, tears, stains

26

Vastus Lateralis (ST)

Myositis, -osis, inflammation, tears, stains

27

Semitendonousus tendon (ST)

Tendonditis, -osis, tears, stains

28

Bicep Femoris tendon (ST)

Tendonditis, -osis, tears, stains

29

Medial Head of Gastrocnemius (ST)

Myositis, -osis, strain, tear/ rupture

30

Lateral Head of Gastrocnemius (ST)

Myositis, -osis, strain, tear/ rupture, and Fabella may be present

31

Posterior Capsule Area of the Knee (ST)

Swelling; Baker’s cyst

32

Popliteal Artery (ST)

Primary blood supply down to the foot- can be a defect in vascular supply to lower leg

33

Medial Tibial Plateau/ Joint Line (B)

Tibial line fracture

34

Tibial Flair (B)

the most common site of tibial stress fracture

35

Medial Meniscus (ST)

Tears (usually in the posterior 1/3)

36

Coronary Fibers (ST)

Correlated to meniscus tears (these fibers are innervated so they will feel pain)

37

Meniscotibial Capsule (ST)

Pain- holds the meniscus in place

38

MCL (ST)

Torn (2nd most common to ACL); most commonly at joint line, then proximal jt line, then distal jt line

39

Pes Group: Semitendonousus (ST)

Tendonitis, -osus, can be used for ACL reconstruction

40

Pes Group: Gracilis (ST)

Tendonitis, -osus, can be used for ACL reconstruction

41

Pes Group: Sartorius (ST)

Tendonitis, -osus

42

Semimembransus (ST)

Tendonitis, -osus

43

Pes Bursa (ST)

Bursitis

44

Medial Femoral Condyle (B)

OCD lesions due to AVN

45

Medial Trochlear Ridge (B)

Osteophytes

46

Medial Joint Line/ Tibial Plateau (B)

Contusions, fractures, etc.

47

Medial Femoral Epicondyle (B)

Proximal attachment for MCL- 2nd most commons site for MCL injury; bone avulsion

48

Adductor Tubercle (B)

Pain from patellar injury

49

Meniscofemoral portion of capsule (ST)

Pain correlated with meniscal tear

50

MCL (ST)

Torn (2nd most common to ACL); most commonly at joint line, then proximal jt line, then distal jt line

51

Medial retinacular fibers (ST)

Can be torn if there was a patellar dislocation or subluxation; retunacular neuromas (defects, rents or bumps)

52

MPFL (ST)

Stabilizer for the knee

53

Plica (ST)

irritated: 1. microtraumatic overuse 2. macrotrauma directly to the area 3. chronic effusion in the knee causes degradation changes to the synovium, and it creates a plica syndrome (plica becomes fibrotic/ hard)

54

Infrapatellar Fat Pad (ST)

Most innervated/ sensitive structure in the knee; Hoffa’s syndrome if it gets inflamed for injured

55

Lateral Joint Line (B)

Jt pain can correlate with meniscal tears

56

Gerdy's Tubercle (B)

Pain can be from insertion problems from the ITB

57

Fibular Head (B)

Subluxations; avulsion fracture by the bicep femoris; masioneuve fracture at the fibular neck; hypermobile

58

Lateral Meniscus (ST)

Tears

59

Lateral Coronary Ligament (ST)

Pain correlates with meniscus tears

60

Lateral meniscotibal capsular fibers (ST)

Pain correlates with meniscus tears

61

LCL (ST)

Not as common as MCL; can have sprain, partial or full thickness tears; avulsion fractures

62

Anterior Proximal Tib Fib Ligament (ST)

Stabilization ligament- important for hypermobility

63

Posterior Proximal Tib Fib Ligament (ST)

Stabilization ligament- important for hypermobility

64

Peroneal Nerve (ST)

Can get hit there or affected by varus LCL injury

65

Lateral Ridge of the Trochlea (B)

Osteophytes from OA, OCD, mosaicplastys, OATS

66

Lateral Femoral Condyle (B)

Not given

67

Lateral Femoral Epicondyle (B)

LCL attachment

68

LCL (ST)

Not as common as MCL; can have sprain, partial or full thickness tears; avulsion fractures (most common site is the mid ligament, 2nd is proximal, 3nd is distal)

69

Meniscofemoral Capsule (ST)

A lot to palpate- pain can be from the tear in the meniscus

70

ITB (ST)

Attaches to gerdy’s tubercle

71

Bicep Femoris Tendon (ST)

Attaches to the fibular head

72

Lateral Retinaculum (ST)

Tears, retinacular neuromas

73

Infrapatellar Fat Pad (ST)

Most innervated/ sensitive structure in the knee; Hoffa’s syndrome if it gets inflamed for injured

74

Popliteal Tendon (ST)

Overuse

75

Anterior Lateral Ligament (ST)

Helps to counter some of the micro transverse plane rotation that occur after an injury