Chapter 20 Flashcards
1
Q
A Angle
A
- measures patellar orientation to tibial tubercle
- A angle of 35 degrees or greater has been correlated with patellofemoral pathomechanics resulting in patellofemoral pain
2
Q
Joint Injuries: Knee Plica - Management
A
- plica that becomes inflamed as a result of trauma treated with rest, anti-inflames and local heat
- recurring condition, may require surgery
3
Q
Joint Injuries: Knee Plica - Signs and Symptoms
A
- Hx of knee injury
- recurrent episodes of painful pseudolocking of knee
- snap felt or heard during flexion
- locking and snapping pain while ascending or descending stairs or squatting
- little or no swelling or ligamentous laxity
4
Q
Joint Injuries: Larsen-Johansson Disease
A
- at inferior pole of patella
- cause believed to be excessive repeated strain on patellar tendon
- swelling, pain and point tenderness characterize it
- XR
5
Q
Joint Injuries: Larsen-Johansson Disease - Management
A
- decrease stressful activities
- ice knee before and after activities
- ISOs for quads and hammys
6
Q
Joint Injuries: Larsen-Johansson Disease - Signs and Symptoms
A
- swelling
- hemorrhaging
- gradual detonation of apophysis
- c/o severe pain when kneeling, jumping and running
- point tenderness over anterior proximal tib tub
7
Q
Joint Injuries: OsGood-Schlatter Disease
A
- pain at the attachment of the patellar tendon to the tibial tubercle
- most often avulsion # of tib tub
- usually resolves around age 18
8
Q
Joint Injuries: Osteochondral Knee Fractures - Management
A
- refer to physician
- CT or MRI
- if still attached to bone, casted
if not attached to bone, reattached or removed
9
Q
Joint Injuries: Osteochondral Knee Fractures - Signs and Symptoms
A
- c/o diffuse pain along joint line
- immediate joint effusion
- crepitus and pain with weight bearing when standing or walking
10
Q
Joint Injuries: Osteochondritis Dessicans - Management
A
- children —> rest and immobilization
- may take 1yr to resolve
- teenager/adult —> may warrant surgery
11
Q
Joint Injuries: Osteochondritis Dessicans - Signs and Symptoms
A
- c/o knee aching
- swells recurrently
- may catch or lock
- may be atrophy of quadriceps muscle and point tenderness
12
Q
Joint Injuries: Patellar Fracture - Management
A
- XR
- cold wrap
- elastic compression and splinting
- refer to physician
- immobilized for 2-3 months
13
Q
Joint Injuries: Patellar Fracture - Signs and Symptoms
A
- hemorrhage
- joint effusion
- generalized swelling
- indirect # causes capsular tearing, separation of bone fragments and possible tearing of quad tendon
- direct # involves bone separation
14
Q
Joint Injuries: Patellar Subluxation or Dislocation - Management
A
- after reduction, knee immobilized in extension for 4 weeks or longer
- crutches
- horse-shoe shaped felt pad during activity
15
Q
Joint Injuries: Patellar Tendinopathy (Jumpers Knee)
A
- chronic inflammation developing in patellar tendon
- develops in athletes from mechanical overloading of tendon (jumping)
- acute tendinitis with active inflammation (3-6 weeks)
