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MSK AM > Acute knee injury > Flashcards

Acute knee injury Flashcards

1
Q

What history should be taken?

A 
Environment
Activity
Symptoms
Chronology- onset, previous injury
Event- pop/crack, swelling
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2
Q

What are the 3 things that should be done on examination?

A

Look
Feel
Move

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3
Q

What should be looked for on examination?

A

Scars, bruising, swelling

Joint line irregularity

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4
Q

What should be felt for on examination?

A 
Effusion
Crepitus
Heat
enderness
Tissue lumps or defects
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5
Q

What should be done on examination?

A 
Passive and active movement
Straight leg raise
Range of movement
Ligament testing
Dynamic testing
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6
Q

What are the clinical features of meniscal injury?

A 
Twisting movement on loaded fixed knee
Painful squelch
Slow swelling
Painful to weight bear
Locked knee
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7
Q

What are the clinical features of ACL tear?

A

Forward momentum, fixed leg +/- rotation
pop
Quick swelling
Often able to weight bear

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8
Q

What are the clinical features of collateral tears?

A 
Lateralised tears
Feel of crack
Sharp pain
No or minimal effusion
Bruising to one side
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9
Q

What investigations can be done for acute knee injury?

A

Xray
US
MRI

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10
Q

What can xray look for?

A 
Fracture
Loose bodies
Ligament avulsion
Osteochondral effect
Degenerative joint disease
Lipohaemarthrosis
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11
Q

What can US look for?

A

Tendon rupture
Some meniscal tears
Swelling
Cysts

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12
Q

What is MRI used for?

A

Clinical confirmation

Variable sensitivity and specificity

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13
Q

What is the non surgical treatment of acute knee injury?

A 
Restoration of function
Physio
Analgesia
Swelling reduction 
Range of motion
Normal movement
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14
Q

What are the indications for surgical management?

A 
Failure of conservative treatment 
Demands of work/sport
Problems with daily activity
Prevention of further join injury
Prevention of falls
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15
Q

What are the types of surgery for meniscal injury?

A

Meniscal repair
Partical menisectomy
Meniscal transplant

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16
Q

What are the indications for meniscal surgery?

A

Young
Sporty
Fresh tear
Healthy meniscus

17
Q

What are the types pf ACL surgery?

A

Reconstruction

18
Q

What are the indications for ACL surgery?

A

Prevention of further injury
Back to work
Back to sport
Prevention of osteoartjritis

19
Q

What ar the types of osteochondral surgery?

A 
Debridement
Reattachment of fragment
removal of loose bodies
Microfracture chrondroplasty
ACI

MSK AM (37 decks)

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