Articular Cartillage Injuries

Question 1

Where are most articular cartilage injuries?

Answer 1

Patellar surface and medial femoral condyle. Usually occur with a medial meniscus injuries and ACL

Question 2

Risk factors for knee articular cartilage injury

Answer 2

Increased age
Medial meniscus tear
Delayed ACL repair

Question 3

What are four signs or subjective info for articular cartilage injuries?

Answer 3

Insidious onset aggravated by repetitive pounding

Intermittent swelling
Hx of catching or locking
Joint line tenderness

Question 4

This injury can occur insidiously in older people, but usually a twisting injury in younger people

Answer 4

Meniscus

Question 5

This injury is associated with intermittent swelling.

Answer 5

Articular cartilage

Question 6

This has swelling 6-24 hours after injury

Answer 6

Meniscus injury

Question 7

This surgical procedure is used for those with high demands but timeline for return is higher (67% return to sport in 18 mo.)

Answer 7

Autologous chondricyte implantation

Question 8

This procedure is best for a quicker return to sport and more likely to return to sport after articular cartilage injury

Answer 8

Osteochondrol autographic transplantation (oat)

Question 9

This procedure is used for small lesions in younger populations with low load demands

Answer 9

Micro fracture

Question 10

What tx for articular cartilage following surgery?

Answer 10

B for progressive A/PROM
B for accelerated progressive WB (full by 6-8 weeks)
B for therex, progressive ROM, strength and NMR

Question 11

T/F: pre op TKA exercise helps strength and flexibility

Answer 11

True

Question 12

T/F PT should use balance, walking and movement symmetry training

Answer 12

True

Question 13

Dosage for NMES after TKA

Answer 13

Post op day 2, 5x/day for 3 weeks

Question 14

When should PT start high intensity exercise after TKA?

Answer 14

Within 72 hours

Question 15

T/F: DMII has a detrimental effect on TKA prognosis

Answer 15

False

Question 16

What are poor prognostic factors for TKA outcomes?

Answer 16

BMI, depression, greater number of co morbidities, pre op ROM, pre op function, and pre op strength

Question 17

T/f fewer days to start PT after DC better pain and outcomes

Answer 17

True

Question 18

T/F: Inpatient stays are better than DC home

Answer 18

False

Question 19

When should PT start after surgery?

Answer 19

Within 24 hours

Question 20

T/F: There is a difference between individual and group tx outcomes

Answer 20

False. Can use group or individualized tx

Question 21

T/F: More frequent PT sessions after TKA led to better balance, self reported outcomes and mobility scores

Answer 21

True

Question 22

What outcome measure for TKA?

Answer 22

KOOS JR 9-10 MCID