Shared Flashcard Set

Details

Ortho Knee Differential Dx
Ortho
36
Other
Graduate
03/21/2016

Additional Other Flashcards

 


 

Cards

Term
S: PFP
Definition

S: Diffuse anterior pain (can’t localize pain)

Pain with flexion (squat)

Pop, grind, buckle, give way

Term
O: PFP
Definition

O: (+) Clarke sign

(+) McConnell’s

Lateral tracking of patella

 

Term
S: Excessive Lateral Pressure Syndrome
Definition

S: Anterolateral knee pain (horseshoe shaped)

Medial stretch and associated pain due to pull

Term
O: Excessive Lateral Pressure Syndrome
Definition

O: Resting patella lateral tilt

Decreased medial glide of patella

Term
S: Global Patellar Pressure Syndrome
Definition
S:Diffuse anterior pain with swelling
Term
O: Global Patellar Pressure Syndrome
Definition

O: Decreased medial and lateral glides

Significant loss of flexibility (RF, ITB, Gastroc/soleus)

Often secondary to trauma or immobilization

Term
S: Acute Patellar Dislocation
Definition

S: Apprehension

Patella popped out of place

Term
O: Acute Patellar Dislocation
Definition

O:Medial patellar pain at ADD tubercle

Massive swelling

(+) Fairbanks

Term
S: Chronic Patellar Dislocation/Instability
Definition

S: Don’t “trust” knee and “feels like something is out of place”, “giving way”

Catching pseudolocking

Medial knee pain

Decreased activity due to mistrust


Term
O: Chronic Patellar Dislocation/Instability
Definition

O: Patellar hypermobility after apprehension

Patellar lateral mobility > 50% width of patella

Gait w/ knee extension thru-out cycle

Term
S: OCD
Definition

S: Intermittent and diffuse variable ache that “catch/lock” anterior

Movie goer’s sign: pain with prolonged flexion


Term
O: OCD
Definition

O: Pain at retropatellar area/joint line

Low grade swelling

Term
S: Apophysitis
Definition

S: Pain over tibial tuberosity or inf pole of patella

“Growing pains”

Term
O: Apophysitis
Definition

O: Pain with palpation

Impaired flexibility

Term
S: OA
Definition

S: Dull, deep ache that can be sharp

Weather changes increase symptoms when barometric pressure falls

nocturnal pain

Term
O: OA
Definition

O: NO edema

Crepitus

no pain with palpation

Term
S:Patellar Tendonitis
Definition

S: ache along patellar or infrapatellar tendon near inferior pole of patella

pain with quad activities

Term
O: Patellar Tendonitis
Definition
O: possible swelling of inf pole of patella
Term
S: Fat Pad Syndrome
Definition

S: ache, but pinch with modified frequency

pain with prolonged standing

Term
O: Fat Pad Syndrome
Definition

O: pain with passive knee ext + overpressure

Tenderness at inf pole of patella

Term
S: Bursitis
Definition
S: localized pain
Term
O: Bursitis
Definition
O: Swelling, pain w/ palpation
Term
S: ITB Friction Syndrome
Definition
S: participates in repetitive activities (biking)
Term
O: ITB Friction Syndrome
Definition

O: (+) Nobel compression test

(+) Ober’s test

Pain over lateral epicondyle and ENTIRE ITB

Trigger points in lat hip mm and piriformis

Term
S: Synovial Plicae
Definition

S: Constant, intermittent, local pain over plicae

Achy

Term
O: Synovial Plicae
Definition

O: Pain with extension

+ Stutter test/Hughston’s Test

Term
S: Meniscus Tear
Definition

S: Knee “gives way or locks” near full extension

Swelling developed 48-72 hrs post injury

Popping/tearing sensation


Term
O: Meniscus Tear
Definition

O: Pain on joint line

(+) McMurray’s/Apley’s (acute)

(+) Thessaly’s or Ege’s (subacute)

Term
S: ACL Tear
Definition

S:Pop felt/heard

Moderate effusion over first 24 hours

Term
O: ACL Tear
Definition

O:(+) Lachman’s w/ soft end feel

(+) Pivot shift test (possibly)

Term
S: PCL Tear
Definition

S: “Dashboard injury” OR

Fall onto flexed knee w/ ankle in PF

Term
O: PCL Tear
Definition

O: (+) Posterior Drawer or Sag test

Flexed knee during midstance of gait

Term
S: MCL Tear
Definition
S: Edema immediately (1-2 hrs)
Term
O: MCL Tear
Definition

O: Pain w/ valgus stress at 30 deg flexion

Pain w/ palpation

(+) modified stroke test/bulge sign

Term
S: LCL Tear
Definition
S: Edema immediately (1-2 hrs)
Term
O: LCL Tear
Definition

O:Pain w/ varus stress at 30 deg flexion

Pain w/ palpation

(+) modified stroke test/bulge sign

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