ACL tear Flashcards
1
Q
ACL tear classic presentation
A
- most common serious knee injury in the ER
- more common in females
- complains of knee pain after hyperextension or sudden stopping and landing injury while running
- they can say “I planted, twisted and then heard a pop”
2
Q
similar DDX’s
A
- medial meniscus tear
- MCL
3
Q
supporting factors
A
- sudden onset of pain that swells quickly
- “felt something give way”
- unable to bear weight or change directions
- aggravated by walking, cutting, pivoting, changing direction
4
Q
refuting factors
A
- slow onset
- running doesn’t make it worse
5
Q
referrals
A
- x-ray
- MRI to see acl and detect bruising
- surgery
6
Q
technique
A
- careful applying pressure to knee
7
Q
care plan
A
2 x a week for 4 weeks
8
Q
recommendations
A
- strengthening and conditioning hamstrings
- elastic wrap to avoid the risk of compartment syndrome
9
Q
prognosis
A
- mild sprain = excellent
- moderate sprain = fair to good
- severe sprain = more than 50% usually progress to complete rupture
10
Q
red flag
A
- rapid extensive swelling
