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Flashcards in Leg/Knee Deck (27):
1

MCL rupture how
symptoms
treatment

valgus tress
laxity and pain on valgus stress. tenderness over MCL
usually heals unless ACL as well
acute tears - hinged knee brace

2

chronic MCL instability

MCL tightening to reconstruction with tendon graft

3

LCL rupture how
symptoms
treatment

varus stress
marked instability on rotation movement
completely rupture - urgent repair if early
later - reconstruction

4

high risk of what nerve injury with LCL

common perineal

5

ACL rupture how

high rotational force
sports injury

6

ACL rupture symptoms

pop heard/felt
haemarthrosis develops within 1 hour
deep pain in knee
knee gives away when turning on planted foot
lachmans positive

7

ACL reconstruction

possible with autograft, allograft or synthetic graft

8

PCL tear

direct blow to anterior tibial whilst flexed

9

PCL symptoms

popliteal knee pain and bruising
recurrent hyperextension or feel unstable when going down stairs
posterior drawer test positive

10

PCL treatment

fix if along with other ligament injuries

11

Meniscal tears types

sport injuries in young
degenerative in elderly >40

12

symptoms of meniscal tears

localised pain to medial or lateral joint line
effusion develops next day
pain and mechanical symptoms
catching sensation/locking
knee feels like its going to give way
Steinmanns test positive

13

acute locked knee 15 degree springy block

BHT

14

degenerative tears

20% over 50
1st stage of OA

15

treatment for degenerative tears

steroid injection

16

treatment for meniscal tears

arthroscopic repair if young peripheral tear

17

pain and tenderness in region of greater trochanter with pain on resisted abduction

trochanteric burtisits/gluteal cuff syndrome

18

trochanteric burtisits/gluteal cuff syndrome rx

analgesia, anti inflam, phsyio, steroid injection

19

groin pain could possible be what

AVN

20

commonest place for AVN

hip joint

21

hanging rope

AVN

22

treatment for AVN

pre collapse - drill holes
after collapse THR

23

area of the surface of the knee loses blood supply and cartilage +/- bone can fragment off

osteochondritis dissecans

24

treatment for osteochondritis dissecans

detached - fix/remove
severe cases - cartilage regeneration

25

extensor mechanism rupture how

fall onto flexed knee with quads contracted

26

risk factors for extensor mechanism rupture

previous tendonitis (treated with steroid injection maybe), RA, DM, cipro, CRF, steroids

27

signs of extensor mechanism rupture and treatment

unable to straight leg raise
palpable gap
surgical repair