knee pathology and intervention Flashcards

1
Q

which is more at risk for osteoarthritis, following lateral meniscectomy or following medial meniscectomy?

A

lateral

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2
Q

which direction do the menisci move during knee flexion?

A

posteriorly (semitendinosus + popliteus)

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3
Q

Patients with ACL deficiency or following ACL surgery will have impaired….

A

proprioception

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4
Q

a knee brace used following ligament repair is primarily used to increase _______ input since structures have been injured/repaired

A

proprioceptive

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5
Q

exercise prescriptions/programs following ACL reconstruction should focus on strengthening this muscle group

A

hamstrings

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6
Q

A-P movement is greater in this meniscus, making it more prone to injury

A

lateral

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7
Q

following PCL injury/reconstruction, this muscle group should be focused on during rehab

A

Quads

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8
Q

You can isolate the VMO during exercise. T or F

A

FALSE

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9
Q

type of exercises that are best for specific strengthening of isolated weakened muscles

A

open kinetic chain

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10
Q

who is at greater risk of ACL injury? men or women

A

women

  • q angle
  • quads > hamstrings
  • genu valgum
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11
Q

% of patients that report a crack or pop with ACL injury

A

80%

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12
Q

strongest ligament in the knee

A

PCL

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13
Q

LCL injury may also have associated injuries with this nerve

A

peroneal nerve

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14
Q

to dislocate a knee this # of ligaments are most likely torn

A

at least 3 ligaments

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15
Q

heat weakens collagen in ligaments and tendons. T or F

A

True

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16
Q

If a patient presents with quad lag following surgery, they should be using a AD to prevent falls until the quad is strengthened further. T or F

A

True

17
Q

normal quad : hamstring ratio

A

3:2

18
Q

a good quad : hamstring ratio for someone following ACL tear

A

1 : 1 ratio - don’t have weak quads!! just strengthen hamstrings more to match

19
Q

priority for rehab following ACL reconstruction

A

gain full active knee extension

20
Q

autograft vs allograft

A

auto- patients own tissue

allo- graft from a cadaver

21
Q

with all grafting procedures, return to sport takes……

A

6-9 months

22
Q

graft strength is the highest….

A

immediately following surgery/reconstruction

23
Q

a graft/reconstruction is the weakest from weeks…..

A

6-16

24
Q

degree of knee flexion that causes co-contraction of the quads and hamstrings

A

30 degrees

25
Q

quadriceps neutral position that should not be exceed into further extension immediately following ACL repair for OKC exercises

A

60-75

26
Q

knee flexion position that should be avoided immediately following PCL repair for OKC hamstring exercises

A

beyond 90 degrees flexion

27
Q

2 safe ways/exercises to put low strain on the ACL

A

stairs

bicycling

28
Q

a torn ACL does not heal. T or F

A

True

29
Q

the mechanism of most PCL injuries is a fall on a _____ knee with the foot and ankle ________

A

flexed knee w/ foot and ankle plantarflexed

30
Q

most commonly injured ligament in the knee

A

MCL

31
Q

the emphasis on rehab immediately following an acute knee injury or surgery is …..

A

regaining motor control

32
Q

muscle that is best suited to control medial rotation of the femur and can prevent valgus stress at the knee

A

gluteus maximus

33
Q

If MCL and ACL are both injured simultaneously, the MCL may be repaired first while ACL is managed conservatively. T or F

A

True

34
Q

If the medial meniscus and ACL are injured simultaneously, should the ACL be reconstructed alongside the medial meniscus?

A

Yes

35
Q

ACL contraindicated range for OKC extension exercises

A

0-40

36
Q

PCL contraindicated range for OKC flexion exercises

A

60-135