Term
| extensor mechanism disorders (6) |
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Definition
anterior knee pain syndrome
patellar instability/dislocation
patellar tendinitis/tendinosis/jumper's knee
plica syndrome
osgood schlatter disease
myositis ossificans |
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Term
| extensor mechanism disorders: anterior knee pian syndrome aka |
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Definition
patellar tracking disorders
chondromalacia patella |
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Term
| Patellar Tracking Disorders: patellar motion in relation to the femoral condyles wiht knee flexion |
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Definition
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Term
| Patellar Tracking Disorders: patella glides how in relation to the femoral condyles with extension |
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Definition
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Term
| Patellar Tracking Disorders: what is motion of the patella guided by |
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Definition
| pull of the quadriceps in line with the femur |
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Term
| 4 structures guiding motion of the patella |
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Definition
lateral femoral condyle
deep patellar groove
angle between the pull of the quads and the pull of the patellar tendon
dynamic contraction of the vastums medialis |
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Term
| Abnormal patellar tracking: possible causes |
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Definition
increased Q angle
decrease height of lateral femoral condyle
small/high riding patella (patella alta)
weakness of the vastus medialis |
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Term
| Abnormal patellar tracking: increased Q angle can be d/t (3) |
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Definition
femoral anteveresion
external tibial torsion
increased foot pronation |
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Term
| Abnormal patellar tracking: exam findings onset |
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Definition
| gradual onset of pain with recent increase in activity |
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Term
| Abnormal patellar tracking: pain at what regions |
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Definition
| generalized pain over the medial aspect of the knee and/or peri-patellar region |
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Term
| Abnormal patellar tracking: pain is aggravated by what |
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Definition
| activities such as descending stairs, and sitting with the knee bent for long periods (movie goers knee) |
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Term
| Abnormal patellar tracking: motion at end of extension |
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Definition
| abrupt lateral translation of the patella at end of extension (10-30 degrees) |
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Term
| Abnormal patellar tracking: tighness of what structures (3) |
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Definition
lateral retinaculum
ITB
Hamstrings |
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Term
| Abnormal patellar tracking: abnormal static alignment of the patella refering to what (3) |
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Definition
rotation
lateral glide
lateral tilt |
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Term
| Abnormal patellar tracking: lack of control in what |
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Definition
| lack of control of the LE during wt bearing activities |
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Term
| Abnormal patellar tracking: Interventions: Strengthening (3) |
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Definition
Quadriceps within pain free range
Adductors
Hip/core musculature |
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Term
| Abnormal patellar tracking: Intervention: Strengthening of hip/core mm in regards to what |
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Definition
| functional training emphasizing control |
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Term
| Abnormal patellar tracking: Intervention: Stretching (3) |
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Definition
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Term
| Abnormal patellar tracking: Intervention: general interventions (3) |
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Definition
activity modification
orthotic mgmt if indicated
patellar taping and/or bracing |
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Term
| Abnormal patellar tracking: Intervention: surgical (4) |
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Definition
lateral retinacular release
moving of the patellar tendon attachment
cartilage replacement/transplant
microfracture procedure |
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Term
| Patellar Sublux/Dislocation: MOI |
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Definition
| combo of ext rot with the knee flexed and foot planted |
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Term
| Patellar Sublux/Dislocation: ID |
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Definition
hx
MOI
(+) apprehension test |
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Term
| Patellar Sublux/Dislocation: intervention |
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Definition
bracing
strengthening of VMO
orthotic mgmt
stretching of tight lateral structures |
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Term
| Patellar Sublux/Dislocation: surgical intervention when |
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Definition
if recurrent
20-43% if first time dislocation |
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Term
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Definition
| deep contusion to the quadriceps with possible damage to the periosteum |
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Term
| Myositis ossificans: what happens as a result of the MOI |
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Definition
| damaged tissue is replaced by bone instead of connective tissue |
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Term
| Myositis ossificans: bony replacement of connective tissue usually occurs as a result of what |
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Definition
| tx of contusion is too vigorous |
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Term
| Myositis ossificans: intervention |
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Definition
gentle stretching, ROM
Surgical removal of bone |
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Term
| Myositis ossificans: intervention contraindications |
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Definition
heating modalities
ROM contraindicated during acute stages |
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Term
| Patellar Tendinitis/-Osis: associated with what sports |
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Definition
| volley ball and basketball |
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Term
| Patellar Tendinitis/-Osis: examination usually reveals what? where? |
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Definition
pain
swelling
and tenderness
inferior patellar pole (as insertion into patella) |
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Term
| Patellar Tendinitis/-Osis: intervention |
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Definition
focus on control of inflammation
bracing
stretching of extensor mechanism
physical agents
friction massage
eccentric strengthening of quads and dorsiflexors |
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Term
| Patellar Tendinitis/-Osis: monitor for what |
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Definition
| pt hx/use of corticosteroids and antibiotics to prevent rupture |
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Term
| Osgood-Schlatter Disease: what is it |
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Definition
| irritation at the insertion of the patellar tendon d/t stress from running and jumping |
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Term
| Osgood-Schlatter Disease: age group |
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Definition
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Term
| Osgood-Schlatter Disease: aka |
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Definition
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Term
| Osgood-Schlatter Disease: exam: pain (3) |
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Definition
resisted knee extension
squatting
kneeling |
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Term
| Osgood-Schlatter Disease: swelling where |
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Definition
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Term
| Osgood-Schlatter Disease: exam: decreased flexibiliyt of what 3 structures |
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Definition
quads
hamstrings
gastrocnemius |
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Term
| Osgood-Schlatter Disease: internvention |
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Definition
usually resolves without tx
may address through bracing, rest, and stretching |
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Term
| Plica syndrome: what is a plica |
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Definition
| distinct bands of synovial tissue occuring in the suprapatellar, infrapatellar, and medial regions in the knee |
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Term
| Plica syndrome: what is the most symptomatic plica |
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Definition
medial
found in 20-60% of all knees |
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Term
| Plica syndrome: if symptomatic: exam will reveal pain where |
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Definition
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Term
| Plica syndrome: if symptomatic: exam: symptoms similar to mensical/patellofemoral dysfunction |
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Definition
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Term
| Plica syndrome: if symptomatic: exam: may be initiated how |
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Definition
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Term
| Plica syndrome: if symptomatic: intervention: strengthening of what mm |
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Definition
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Term
| Plica syndrome: if symptomatic: intervention: stretching of what mm (3) |
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Definition
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Term
| Plica syndrome: if symptomatic: intervention: modalities/mobs |
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Definition
ice massage
mobilizaiton oft eh patella
taping |
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Term
| Plica syndrome: if symptomatic: intervention: why surgery |
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Definition
| may remove arthroscopically if fails to respond to conservative tx |
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Term
| Capsular tightness: causes (4) |
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Definition
immobilization
trauma
surgery
DJD |
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Term
| Capsular tightness: capsular pattern of the knee |
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Definition
knee extensions to 20-30 degrees
flexion to 80-100 degrees |
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Term
| Capsular tightness: functional ROM for Knee Flexion: stance phase of gait |
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Definition
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Term
| Capsular tightness: functional ROM for Knee Flexion: swing phase |
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Definition
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Term
| Capsular tightness: functional ROM for Knee Flexion: stairs and sitting |
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Definition
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Term
| Capsular tightness: intervention |
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Definition
| address impairemnts and manage symptomatically |
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Term
| Osteoarthritis: difference between primary and secondary |
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Definition
primary there is no known cause
secondary is related to abnormal mechanics |
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Term
| Osteoarthritis: usually affects which comaprtments |
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Definition
| medial or lateral tibiofemoral compartments |
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Term
| Osteoarthritis: medial compartment OA will cause what deformity |
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Definition
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Term
| Osteoarthritis: lateral compartment OA will cause what deformity |
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Definition
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Term
| Osteoarthritis: exam findings: |
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Definition
morning stiffness relieved with motion and then worsened with prolonged activity
flexion contracture common
pt may report the knee giving way
Stiffening of the knee with rest
Creptisu and quadriceps atrophy may be observed |
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Term
|
Definition
anti-inflammatory meds
rest
wt loss
adaptive equipment |
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Term
|
Definition
modalities
mobilization
stretching
quad strengthening
water therapy
unweighting exercises
activity modification
compartmenet unloading bracing |
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Term
| Osteoarthritis: mgmt: surgical |
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Definition
TKR
TKA
UKA
tibial osteotomy |
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Term
| MCL Injury: mechanism of injury |
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Definition
| valgus force with the knee in extension or slight flexion |
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Term
| MCL Injury: description of injury |
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Definition
| may be an isolated tear or associated with medial meniscus and ACL injury (O'Donoghue's unhappy triad) |
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Term
| MCL Injury: Rehab: how does it heal |
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Definition
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Term
| MCL Injury: Rehab: purpose of bracing |
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Definition
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Term
| MCL Injury: Rehab: early initiation of what |
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Definition
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Term
| MCL Injury: Grade I and II should respond in what amount of time |
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Definition
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Term
|
Definition
| tibiofemoral flexion, compression, and rotaiton |
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Term
| Meniscal Injury: tears usually begin where |
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Definition
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Term
| Meniscal Injury: exam findings (4) |
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Definition
tendenerness over jt line
effusion
sensations of creptius or popping
limitaiton in ROM/locking |
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Term
| Meniscal Injury: the "ACL" of meniscal tears |
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Definition
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Term
| Meniscal Injury: exam findings: (+) tests (3) |
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Definition
McMurray's
Appley's
Valgus Stress Test |
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Term
| Meniscal Injury: pain with what motions |
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Definition
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Term
| Meniscal Injury: end feel |
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Definition
| springy end feel if motion blocked |
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Term
| Meniscal Injury: Rehab: motions to avoid with posterior horn tears |
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Definition
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Term
| Meniscal Injury: Rehab: motions to avoid for anterior horn tear |
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Definition
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Term
| Meniscal Injury: Rehab: (5) |
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Definition
controlled motion bracing
MAI/SLR's
Physical agents
Total body conditioning
ROM exercises to tolerance |
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Term
| Meniscal Injury: Rehab: surgical: partial meniscectomy return to function |
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Definition
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Term
| Meniscal Injury: Rehab: surgical: meniscal repair return to function |
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Definition
3 months
weight bearing status may be affected for up to 6 weeks |
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Term
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Definition
| swelling caused by fluid from the knee jt protuding to the popliteal area of the knee |
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Term
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Definition
pain
tightness in posterior knee especially with extension |
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Term
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Definition
fluid removal and cortisone injections
must tx underlying pathology causing fluid build up |
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Term
| ITB Friction Syndrome: common cause of lateral knee pain in what population |
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Definition
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Term
| ITB Friction Syndrome: physical MOI |
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Definition
| ITB rubbing lateral femoral condyle during repeated flexion |
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Term
| ITB Friction Syndrome: pain location |
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Definition
| just proximal to lateral jt line and Gerdy's tubercle |
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Term
| ITB Friction Syndrome: contributing factors |
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Definition
running surface
abnormalities in leg/feet anatomy |
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Term
| ITB Friction Syndrome: abnormalities in leg/feet anatomy refers to what (4) |
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Definition
supination/pronation of the foot
LLD
IT band tightness
MM imbalance (weak hip abductors) |
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Term
| ITB Friction Syndrome: Identification |
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Definition
symptom presentation
Renee test |
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Term
| ITB Friction Syndrome: Intervention |
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Definition
stretching of ITB
strengthen hip ABD and ER's
Address foot mechanics
Counterforce bracing
SOft tissue manipulation (foam rolaler)
COrtisone injection
Education about running habits |
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Term
| ITB Friction Syndrome: surgical intervention |
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Definition
transect the posterior aspect of ITB
may remove underlying bursa |
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Term
|
Definition
hyperextension
severe IR force
valgus with external rotation
deep flexion with internal rotation
deceleration |
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Term
|
Definition
Lachman's
ANterior Drawer
Pivot Shift maneuver
Flexion Rotation Drawer Test
KT 2000
Absoluate Translation >10 mm (20 lbs)
Bilateral DIfferences >3 mm |
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Term
| ACL Injury: female predisposition to ACL injury includes (5) |
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Definition
increased genu valgum
decreased hamstring:quad ratio
knee more extended in running/landing
quad dominant knee posture
hip/core weakness
hormonal changes |
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Term
| ACL Injury: rehab emphasis for female athletes |
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Definition
jump training (landing mechanics with knee flexed and proper alignment)
hip/core strengthening
proprioceptive training |
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Term
| ACL Injury: non surgical mgmt (4) |
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Definition
strengthen supporting mm (hamstrings)
proprioceptive training
perturbation training
bracing |
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Term
| ACL Injury: allograft vs autograft |
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Definition
| allograft thought to produce increased risk of infection and less stiff |
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Term
|
Definition
| patellar tendon vs hamstring tendon |
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Term
| ACL Injury: auto/allograft vs native ACL |
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Definition
| both stronger than native ACL (39% and 91%) |
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Term
| ACL Injury: fixation for BPB versus tendon graft |
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Definition
| BPB thought to be stronger but increased association with PF morbidity |
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Term
| ACL Injury: fixation which is more anatomically correct and/or with better outcomes |
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Definition
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Term
| ACL Injury: typical return to sport time frame |
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Definition
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Term
| ACL Injury: accelerated rehab time frame |
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Definition
6 weeks (functional)
3 months (return to spor) |
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Term
| ACL Injury: rehab considerations that is completely out of your hands |
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Definition
| type of procedure and MD orders |
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Term
| ACL Injury: what is the weakest link post op |
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Definition
| graft site weakest link post op |
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Term
| ACL Injury: what is ligamentization |
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Definition
| from 0-4 weeks post op the graft material progressively weakens before new collagen is laid down and ligament begins to form (30 weeks/7 months) |
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Term
| ACL Injury: other procedures performed which may delay or alter rehab process (3) |
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Definition
meniscal injury
MCL
femoral bone bruise |
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Term
| ACL Injury: OKC exercises |
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Definition
| increased shear forces on ACL at 20-0 degrees extension in OKC |
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Term
| ACL Injury: CKC exercises |
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Definition
| decrease shear forces through compression/activation of HS allowing more aggressive rehab |
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Term
| ACL Injury: type of training that is imperative |
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Definition
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Term
| ACL Injury: bracing is depedent on what |
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Definition
| post op and long term dependent on individual physican and pt |
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Term
| ACL Injury: common guidelines for jogging |
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Definition
| >50% of quads strength for jogging |
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Term
| ACL Injury: common guidelines for sports agility |
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Definition
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Term
| ACL Injury: common guidelines for full return to sport |
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Definition
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Term
| ACL Injury: common guidelines for quad:hamstring ration |
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Definition
>66% for males
>75% for females |
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Term
| ACL Injury: common guidelines may be assesed through what 3 ex |
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Definition
single leg hop test (85% of uninvolved)
isokinetics
isotonics |
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Term
| ACL Injury: other guidelines for return (6) |
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Definition
No jt effusion
Full ROM
Isokinetic strength of quads and HS are between 85-100% of uninvolved leg
Negative KT 2000 testing (<2.5 mm)
Successful rehab proression
Successful performance of functional phase of rehab (agility runs, hop tests) |
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Term
| ACL Injury: Risk of re-injury: 3-4 months |
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Definition
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Term
| ACL Injury: Risk of re-injury: 6-8 mos |
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Definition
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Term
| ACL Injury: Risk of re-injury: 9-12 mos |
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Definition
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Term
| ACL Injury: Risk of re-injury: >12 mos |
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Definition
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Term
|
Definition
Lower Extremity Function Scale
WOMAC
Lysolm Knee Score |
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Term
| Knee Questionaires: WOMAC is used for what |
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Definition
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Term
| Knee Questionaires: WOMAC access what |
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Definition
pain
stiffness
physical function |
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Term
| Knee Questionaires: Lysolm Knee Score indication for use |
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Definition
| ligament and meniscal injury |
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Term
| Knee Questionaires: Lysolm Knee scores assess what |
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Definition
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Term
| Knee Questionaires: Lower Extremity function scale indication |
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Definition
| all lower extremity conditions |
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Term
| Knee Questionaires: Lower Extremity Function Scale very useful in what pt populations |
|
Definition
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