Soft Tissue Flashcards

1
Q

Where does the Menisci distribute load from the covex femoral condyles to?

A

Relatively flat tibial articular surfaces

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2
Q

Is the medial meniscus fixed or mobile?

A

Fixed

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3
Q

Is the lateral meniscus fixed or mobile?

A

Mobile

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4
Q

What happens in regards to the tibia during knee pivoting?

A

Internally rotates on flexion and externally rotates on extension

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5
Q

What ligament resists valgus stress?

A

Medial collateral ligament

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6
Q

What ligament resists varus stress?

A

Lateral collateral ligament

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7
Q

What does the anterior cruciate ligament resist against?

A

Anterior subluxation of the tibia and internal rotation of the tibia in extension

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8
Q

What does the posterior ligament resist against?

A

Posterior subluxation of the tibia i.e. anterior subluxation of the femur and hyperextension of the knee

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9
Q

What resists against external rotation of the tinia in flexion?

A

The posterolateral corner - The PCL and the LCL with popliteus and other small ligaments

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10
Q

What miniscal tears can occur in the over 40’s?

A

Atraumatic spontaneous degenerative tears

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11
Q

What meniscal tears wont heal?

A

Radial tears

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12
Q

When would you consider arthroscopic repair?

A

in acute peripheral tears in younger patient

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13
Q

When would a patient have 15 degree springy block to extension?

A

Displaced bucket handle tear

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14
Q

What may develop if the knee remains locked?

A

FFD

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15
Q

What may a degenerative tear represent?

A

1st stage OA

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16
Q

What is a grade 1 knee ligament injury?

A

Sprain, tear some fibres but macroscopic structure intact

17
Q

What is a grade 2 knee ligament injury?

A

Partial tear, some fascicles disrupted

18
Q

What is a grade 3 knee ligament injury?

A

Complete tear

19
Q

What are the options to treat a ruptures ACL?

A

Autograph - patellar tendon or hamstrings
Allograph - Achilles
Synthetic graft
Stick ACL to PCL

20
Q

How long does rehab take for ACL reconstruction?

A

3 months to a year

21
Q

What is Osteochondritis Dissecans?

A

An area of knee that loses its blood supply and cartilage, bone can fragment off

22
Q

What are the options for cartilage regeneration techniques?

A

Drilling/microfracture
Osteochondral autograph or allograft
Mosaicplasty
MACI - membrane induced autologous chondrocyte implantation