AP KNee

Question 1

Weight bearing side

Answer 1

Medial side

Question 2

Fibula is

Answer 2

Lateral side

Question 3

Check to see if the tibial eminences are jammed into the fossa, if so

Answer 3

Decreased joint space

Question 4

Check medial joint space and then

Answer 4

Lateral joint space

Question 5

Decreased joint space

Answer 5

Intercondylar eminence on tibia will jame into intercondylar fossa of femur

Question 6

Decreased medial joint space and lateral preserved

Answer 6

DJD

Question 7

See a lateral knee film, probably

Answer 7

Osgood schlatters

Question 8

Both medial and lateral joint spaces gone

Answer 8

DJD or RA (both knees

Question 9

Decreased medial and lateral joint space with minimal sclerosis

Answer 9

RA

Question 10

Loss of lateral joint space only, medial preserved

Answer 10

RA

Question 11

16-25
Atlete
Knee locks out upon extension
Pain

Answer 11

OCD

Question 12

OCD

Answer 12

Osteochondritis dessicans

Question 13

AVN of the lateral aspect of the medial femoral condyle

Answer 13

OCD

Question 14

Activity modification

Take it easier

Answer 14

OCD

Question 15

Radiographic signs OCD

Answer 15

Half moon shape appearance and under it is called joint mouse, osteochondral body (fragment)

Question 16

Best seen on which view OCD

Answer 16

Tunnel view

Question 17

OCD
80% affect ____
20% affect ____

Answer 17

80% medial

20% lateral

Question 18

To dx OCD must see

Answer 18

Black crescent line - osteochondral fx line

Question 19

Bony fragment can dislodge and become free floating joint mouse

Answer 19

OCD

Question 20

Tx OCD

Answer 20

Refer to orthopedist leave along (8 months-2 years duration) or surgery

Question 21

Calcification of the medial collateral ligament aka tibial collateral ligament

Answer 21

Pelligrini steida

Question 22

Medial collateral ligament aka

Answer 22

Tibial collateral ligament

Question 23

Whisp of smoke appearance on medial aspect of knee

Answer 23

Pelligrini steida

Question 24

M/c/c pelligrini steida

Answer 24

DJD or trauma

Question 25

Fine linear calcification parallel to the articular cortex within the joint space

Answer 25

CPPD

Question 26

CPPD

Answer 26

Pseudogout
Calcium pyrophosphate dihydrate crystal deposition disease
Chondrocalcinosis

Question 27

CPPD is called chondrocalcinosis when

Answer 27

Affecting cartilage

Question 28

Thin fine white lines in middle of joint

Answer 28

CPPD

Question 29

M/c in knee in meniscus

Answer 29

CPPD

Question 30

Neurogenic arthropathy aka

Answer 30

Charcot’s joint

Neurotrophic joint

Question 31

Scondary to imparied sensory function in joints

Seen with diabetes mellitus, leprosy, neurosyphilis, corticosteroid usuage

Answer 31

Neurogenic arthropathy

Question 32

6 D’s associated with neurogenic arthropathy

Answer 32

Distention
Density of subchondral sclerosis
Debris within joint
Dislocation
Disorganization
Destruction of bone

Question 33

Painless
Weight bearing
First hypermobile joint

Answer 33

neurogenic arthropathy

Question 34

If unsure, does it look like bomb went off in joint

Answer 34

Yes = charcot’s joint

Question 35

Post traumatic avulsion fx of tibial tuberosity

Answer 35

Osgood schlatter’s

Question 36

Tibial tuberosity tender to touch

Tibial apophysitis

Answer 36

Osgood schlatter’s

Question 37

10-16
Pinpoint pain and swelling
Commonly involved in jumping sports usually athletes
Attachment of quads
LATERAL KNEE FILM

Answer 37

Osgood schlatter’s

Question 38

Once heals = enlarged tibial tuberosity

Stretch after practice/game

Answer 38

Osgood schlatter’s

Question 39

Case management osgood schlatter’s

Answer 39

Stop physical athletic activity and Cho-Pat brace