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fall B 2024 > assessment of the knee > Flashcards

assessment of the knee Flashcards

1
Q

flexion ROM

A

135 deg

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2
Q

extension ROM

A

0 deg

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3
Q

end feel

A

flexion can be soft or firm
extension is firm

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4
Q

loose packed position

A

25 deg flexion

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5
Q

closed packed position

A

full extension with external rotation of tibia

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6
Q

capsular pattern

A

flexion > extension

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7
Q

ottawa knee rules

A

need one of the 5 after knee injury

age 55 or older
isolated tenderness of patella
tenderness of head of fibula
inability to flex to 90 deg
inability to weight bear for 4 steps

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8
Q

pittsburgh knee rules

A

need one of two after blunt force trauma to knee

age < 12 or > 50
unable to walk 4 steps

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9
Q

patella

A

prominent in anterior knee

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10
Q

patellar ligament

A

1 inch wide band
inferior from patella

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11
Q

tibial tuberosity

A

distal attachment of patellar ligament

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12
Q

medial and lateral meniscus

A

soft structures in anterior joint space

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13
Q

medial femoral condyle

A

bony prominence medial to patella

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14
Q

adductor tubercle

A

distal bony prominence at distal adductors
proximal to medial femoral condyle

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15
Q

medial collateral ligament

A

attaches to medial femoral condyle and tibial plateau
firm structure that pushes out of medial joint space

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16
Q

pes anserine

A

proximal, medial slope of tibia
inferior from joint line

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17
Q

lateral femoral condyle

A

bony prominence lateral to patella

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18
Q

lateral collateral ligament

A

firm structure that pushes out of lateral joint space

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19
Q

fibular head

A

distal and posterior to lateral femoral condyle

20
Q

gerdy’s tubercle

A

prominent bump halfway between tibial tub and fibular head

21
Q

biceps femoris tendon

A

lateral in slightly flexed knee

22
Q

semitendinosus and semimembranosus tendons

A

medial in slight knee flexion

23
Q

medial and lateral heads of gastroc

A

proximal to articular surface of medial and lateral femoral condyles

24
Q

popliteal fossa

A

space between borders

25
Q

knee flexion ROM

A

stationary arm: greater trochanter
fulcrum: lateral epicondyle of knee
movement arm: lateral malleolus

normal flexion: 0-135 deg
normal extension: 0 deg
documentation 0 - 0 - 135

26
Q

knee flexion 3-5

A

prone
resistance applied near ankle

27
Q

knee extension 3-5

A

seated
resistance applied over mid tibia

28
Q

knee flexion 0-2

A

side lying with PT in front of pt
test hip on table
PT stabilizes top leg

29
Q

knee extension 0-2

A

side lying with PT behind pt
test hip on table
PT stabilizes top leg

30
Q

tibio femoral joint distraction

A

client’s leg off side of table, knee bent 25 deg
both hands on proximal tibia
pull parallel to long axis of tibia

31
Q

tibiofemoral joint anterior glide

A

pull tibia anterior from femur

32
Q

tibiofemoral joint posterior glide

A

push tibia posterior from feumr

33
Q

patellofemoral superior glide

A

pt supine
knee flexed 5 - 10 deg
patella in web of hand and push upward

34
Q

patellofemoral infererior glide

A

pt supine
knee flexed 5 - 10 deg
patella in web of hand and push downward

35
Q

patellofemoral medial glide

A

pt supine
knee flexed 5 - 10 deg
thumbs on lateral patella and push inward

36
Q

patellofemoral lateral glide

A

pt supine
knee flexed 5 - 10 deg
thumbs on medial patella and push outward

37
Q

patellofemoral medial tilt

A

pt supine
knee flexed 5 - 10 deg
push patella laterally then push down on medial side

38
Q

q angle

A

supine and in full knee extension
stationary arm: ASIS
fulcrum: patella
moving arm: tibial tuberosity

angel greater than 10 for men and 15 for women is positive

39
Q

circumferential measurements

A

measure where the edema is
measure bilaterally

40
Q

lateral pull test

A

pt supine and in full extension
isometric quad contraction
observe movement of patella
positive: more lateral than superior

41
Q

anterior drawer

A

supine with knee flexed 90 deg and foot on table
pull tibia anterior
positive: soft end feel

42
Q

anteromedial instability

A

supine with knee flexed 90 deg and foot on table
tibia externally rotated 15 deg
pull tibia anterior
positive: soft end feel

43
Q

anterolateral instability

A

supine with knee flexed 90 deg and foot on table
tibia internally rotated 30 deg
pull tibia anterior
positive: soft end feel

44
Q

posterior drawer test

A

supine with knee flexed 90 deg and foot on table
push tibia posterior
positive: increased posterior translation

45
Q

valgus stress test at 30 deg knee flexion

A

supine on table with testing limb over edge and flexed to 30 deg
abduct at the ankle with stabilizing the thigh

46
Q

varus stress test

A

supine on table with testing limb over edge and flexed to 30 deg
adduct at the ankle with stabilizing the thigh

fall B 2024 (12 decks)

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