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T & O Knee Disorders
Selected Knee disorders, mechanisms of injury and treatments
28
Health Care
Graduate
04/08/2011

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Cards

Term
How do you differentiate a locked from a psuedolocked knee?
Definition
true knee locking is:
*caused by trauma
*unable to move, usually at 45 degrees of flexion
Term
Meniscus tears, detached tissue lodging in the knee, cruciate ligament tears are all possible injuries for someone with...
Definition
Locked knee
Term
A patient complaining of a locked knee has pain and increasing edema in her knee, what is the diagnosis?
Definition
Pseudolocking -from pain and muscle spasm secondary to increasing edema.
Term
What is the mechanism of injury for ACL tear?
Definition
* knee hyperextension injury
* High risk sports (skiing, basketball, football, volleyball)
Term
What injury has the following symptoms:
*painful "popping" at time of injury
*swelling/hemarthrosis within 2 hrs
*"giving way" or buckling sensation of knee
Definition
ACL
Term
The following management techniques are appropriate for which injuries?:
Quadriceps strengthening, Knee brace, avoid jumping sports, surgery
Definition
ACL TEAR
Term
The following management techniques are appropriate for which injuries?:
Quadriceps strengthening,
Knee brace,
knee immobilization with splint for short period,
rarely surgery
Definition
PCL TEar
Term
Although PCL tears are uncommon, what are the 2 most likely mechanisms of injury?
Definition
*impact to front of tibia with knee flexed
*hyperflexion (in athletes)
Term
What are 3 signs of PCL injury?
Definition
*effusion
*popliteal tenderness in acute phase
*Positive Posterior Drawer & Sag tests
Term
What may cause a false negative for the posterior drawer & sag tests when checking for PCL Tear?
Definition
Quadriceps spasms
Term
What are two common mechanisms of injury for MCL tears?
Definition
* Impact force to lateral knee
* Valgus force
(common in football & skiing)
Term
what type of knee ligament tear may allow walking and running after initial pain, and knee becomes stiff several hours later?
Definition
MCL tear
Term
LCL tears are usually the result of ...
Definition
knee dislocations
Term
how common are isolated LCL injuries?
Definition
very rare
Term
*Jin gu die shang wan,
*Great Mender
*Shao Lin Wu Xiang Jiu
Are all formulas used to treat what?
Definition
LCL, MCL, ACL, PCL tears
Term
What condition means "softening of the articular cartilage of the Knee-cap?"
Definition
Chondromalacia Patellae
Term
"softening" of the knee caps's articular cartilage, causing irregularitites along the undersurface of the patella, occurs in which two groups of patients?
Definition
* age 40+ with general wear and tear
* Teenagers, esp girls, due to structural changes and muscle imbalance around knee
Term
patient with these symptoms likely has what?
*pain around the knee cap
*aggravated when squatting, kneeling or on stairs
* Sounds of crepitus with aquatting
Definition
Chondromalacia Patellae
Term
What causes ITB syndrome?
Definition
Tight ITB rubs against the lateral epicondyle of the femur (at 30-40 degrees of knee flexion)
Term
A px with lateral knee pain that's gradually increased, and is worse with running, especially downhill, likely has what?
Definition
Iliotibial Band Syndrome
Term
Px who over pronate, have leg length discrepancies, are bow legged, or are runners are at risk for what knee pain syndrome?
Definition
Iliotibial Band Syndrome
Term
What are three treatment options for px with ITB?
Definition
*STRETCHING ITB, hip flexors, glut max
*STRENGTHEN hip adductors, glut max, Tensor Fasciae Latae
*ORTHOTICS if overpronation is the cause
Term
An athletic px with anterior knee pain when she jumps likely has...
Definition
Patellar Tendonitis
Term
Patellar tendonitis is usually caused by tramautic or repetitive stress injury?
Definition
Repetitive stress
Term
A young athlete with pain and swelling at the tibial tuberosity likely has?
Definition
Osgood Schlatter disease
Term
What disease results from rapid adolescent growth and tendon pulling causing irritation of the knee's growth plate?
Definition
Osgood Schlatter Disease
Term
A px with
*painful, hot, tender, tibial tuberosity
*tibial tuberosity swelling
*pain with resisted knee extension
likely has?
Definition
Osgood Schlatter Disease
Term
Patients with Osgood Schlatter Disease should...
Definition
Reduce Physical activity, perhaps with a splint
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