acute knee assessment and treatment Flashcards
1
Q
knee assessment
A
fracture acute or chronic degenerative joint disease meniscal injury ligament injury tendon injury
2
Q
history
A
enviroment activity energy systemic symptoms chronology hear pop or crack swelling- early (haemarthrosis) or late
3
Q
Meniscal Injury
A
twisting moment on a loaded fixed knee painful “squelch” slow swelling (quicker in the young) painful to weight bear “locked” knee
4
Q
ACL tear
A
forward momentum
pop
quick swelling
often able to weight bear
5
Q
collateral tears
A
lateralised pain
feel of crack sharp pain
minimal effusion
brusing to one side
6
Q
look
A
scars bruising swelling
joint line irregularity
7
Q
feel
A
feel for effusion crepitus heat tenderness tissue lumps or defects
8
Q
move
A
passive and active straight leg raise range of movement ligament testing dynamic testing
9
Q
xrays
A
fracture loose bodies ligament avulsion osteochondral defect degenerative joint disease lipohaemarthrosis
10
Q
ultrasound
A
Tendon rupture some meniscal tears swelling cysts MRI for clinical confirmation
11
Q
non surgical management
A
restoration of function physiotherapy analgesia swelling reduction range of motion
12
Q
meniscii
A
medial semicircular
lateral almost circular
fibro and chondroblasts in matrix of type 1 collagen
radial and circumferential fibres
13
Q
fibrous structure of meniscus
A
circumferential hoop fibers
superficial randomly oriented fibers
radially oriented tie fiber
14
Q
radial component of loading force
A
balanced by tensile stresses developed in circumferential fibers
15
Q
meniscal repair techniques
A
Open Technique
Outside - In
Inside - Out
All Inside
