Articular Cartillage Injuries Flashcards
Where are most articular cartilage injuries?
Patellar surface and medial femoral condyle. Usually occur with a medial meniscus injuries and ACL
Risk factors for knee articular cartilage injury
Increased age
Medial meniscus tear
Delayed ACL repair
What are four signs or subjective info for articular cartilage injuries?
Insidious onset aggravated by repetitive pounding
Intermittent swelling
Hx of catching or locking
Joint line tenderness
This injury can occur insidiously in older people, but usually a twisting injury in younger people
Meniscus
This injury is associated with intermittent swelling.
Articular cartilage
This has swelling 6-24 hours after injury
Meniscus injury
This surgical procedure is used for those with high demands but timeline for return is higher (67% return to sport in 18 mo.)
Autologous chondricyte implantation
This procedure is best for a quicker return to sport and more likely to return to sport after articular cartilage injury
Osteochondrol autographic transplantation (oat)
This procedure is used for small lesions in younger populations with low load demands
Micro fracture
What tx for articular cartilage following surgery?
B for progressive A/PROM
B for accelerated progressive WB (full by 6-8 weeks)
B for therex, progressive ROM, strength and NMR
T/F: pre op TKA exercise helps strength and flexibility
True
T/F PT should use balance, walking and movement symmetry training
True
Dosage for NMES after TKA
Post op day 2, 5x/day for 3 weeks
When should PT start high intensity exercise after TKA?
Within 72 hours
T/F: DMII has a detrimental effect on TKA prognosis
False
What are poor prognostic factors for TKA outcomes?
BMI, depression, greater number of co morbidities, pre op ROM, pre op function, and pre op strength
T/f fewer days to start PT after DC better pain and outcomes
True
T/F: Inpatient stays are better than DC home
False
When should PT start after surgery?
Within 24 hours
T/F: There is a difference between individual and group tx outcomes
False. Can use group or individualized tx
T/F: More frequent PT sessions after TKA led to better balance, self reported outcomes and mobility scores
True
What outcome measure for TKA?
KOOS JR 9-10 MCID
