Acute injuries of the knee Flashcards
List 5 possible pathologies of the knee
fracture tendon injury meniscal tear ligament injury acute on chronic degenerative joint disease
Important questions in the history for environment, activity and energy
sports - workplace - how fast - how heavy - sports tackle - jumping
Chronology questions in history
quick or slow onset
previous injury or event
Other questions in the history
hear or feel a pop or crack
swelling - early or late?
systemic symptoms
early swelling in a knee indicated what?
haemarthrosis
history of a meniscal injury
twisting movement on a loaded fixed knee "locked knee" painful squelch slow swelling - quicker in young painful to weight bear
history of an ACL tear
forward momentum, leg fixed +/- rotation
“pop”
quick swelling
often able to weight bear
History of collateral tears
lateralised pain
feel of crack, sharp pain
no or minimal effusion
bruising to 1 side
4 things to look for when examining the knee
scars, bruising, swelling, joint line irregularity
process of examining a joint
look, feel, move
5 things to feel for in joint examination
crepitus tissue lumps or defects heat effusion tenderness
5 techniques of movement in joint examination
active and passive range of movements straight leg raise dynamic testing ligament testing
3 imaging modalities used
x-ray, USS and MRI
List some things x-rays are good at picking up
fracture-loose bodies - lipohaemarthrosis - ligament avulsion - osteochondral defect - DJD
USS used for
tendon rupture - some meniscal tears - swelling - cysts