11/15 kahoot Flashcards
T/F: ACL lesions are highly impactful &thereful will always require surgical management
false
a pt has a positive result in Ely’s test, what does this indicate?
rectus femoris contracture
- piriformis test = piriformis test
- it band = obers test
pt demos difficulty with activities requiring controlled knee flexion, what pathology is likely occurring
knee OA
- quad weakness “eccentric”
what would you not expect to see in pt with PFPS
dynamic knee varus
- dynamic knee valgus
- pain in patellar region
- positive obers test
- quad weakness/atrophy
which pt will likely have a quicker recovery?
partial meniscectomy
‘ less to protect, less to heal’
what mm needs the most strengthening for someone with patellar tracking issues?
VMO - most specific
during Thomas’s test, pt is able to reach the table with only the knee extended. which mm is most likely tight?
rectus femoris
a pt demos tightness of the TFL during the Ober’s test what are they most at risk for?
trochanteric bursitis
what type of procedure fuses the knee so it’ll no longer move in order to provide pain relief
arthrodesis
- osteotomy - shaving bones
- arthroscopic lavage - cleaning debris
-
impact force from inside of the knee causes a varus movement what ligament is most at risk?
LCL - lateral cruciate ligament
- not very common
pt presents w dx of knee pain secondary to RA. What deformity will you anticipate to see
genu valgum
- OA = genu varum
pt has reduced proximal gliding of the patella this results in a knee extensor lag
true
pt is hiking when they lose their footing & fall on a flexed knee. what ligament is most likely to be impacted
PCL - flexion
ACL - extension
a pt w OA has a capsular pattern restriction of knee that most at risk
flexion
Osteotomy is a surgery performed on a knee condition.
OA - bone
PTA is ready to begin PRE for their pt, s/p PCL surgery. what should they avoid for the first 5-6 months?
PRE knee flexors, bc patellar is moving posteriorly
whats not part of the “terrible triad”?
- most prone to injury together
ACL, MCL, & medial meniscus is most common together
LCL
what are the most common grafts used to repair ligaments of the knee x3
patellar tendon
gracilis
semitendinosus
which position is best for comfort in a pt with knee effusion
25 deg knee flexion - open pact position @ knee, allows for more joint space
a pts tells u they have been dx with knee OA, where will they have more cartilage pain/destruction?
medial joint compartment
in order to facilitate TKE s/p TKA, what manual therapy techniques would be optimal? x 3
anterior TF glide
grade 3/4
proximal patellar glide
for TKA, by end of MAX protection phase, what ROM is expected that the pt will achieve
0-90
pt after TKA is demo extensor lag, what exercise best targets this?
LAQ , helps w terminal knee extension
what main movement should be avoided after x4-6 months after meniscus repair is
pivoting
twisting
cutting
deep squat (compression)
which condition will NOT require a locked extension knee orthosis
TKA , metal is now inplaced
PTA positions pt in sitting w knee flexed to 90, they passively extend the 1 knee & find a limitation, what test?
tripod sign
- hamstring tightness is tested
which ligamentous reconstriction does PTA need to be most abservant for possible compartment syndrome
PCL
which surgical repair has an initial precaution of avoidance of resisted, open-chain knee extension
ACL, as it translates forward
when performing Craig’s test you are measuring for degree of anteversion. what is normal
8-15 femoral anteversion
