Clinical knee Flashcards
What condition affects the many bursas of the knee?
bursitis
In which bursa would you find Housemaid’s bursitis? How is it caused?
Prepatellar
Friction between bursa and skin or fall on flexed knee
A fluid filled distension anterior to the knee is a sign of what ailment?
Chronic prepatellar/housemaid’s bursitis
What type of bursitis is caused by friction between skin and tibial tubercle?
Subcutaneous infrapatellar bursitis
“Clergyman’s knee” “roofers knee”
What bursitis is caused by a bacterial infection?
suprapatellar bursitis
can spread to joint cavity / enlarged lymph
What does the term “Unhappy Triad” mean?
Refers to a blow to the lateral aspect of the weight bearing joint
Damage to Medial collateral, anterior cruciate and medial meniscus
What is likely the most injured ligament of the knee? How is it caused?
Medial Collateral
Lateral blow and rotational forces
Which meniscus is more vulnerable?
medial meniscus
A patient who presents with knee “clicking,” locking up, and pain going up stairs may be suffering from what condition?
An injured medial meniscus
What is the problem with removing large portions of damaged meniscis tissue?
forces fall to the condyles of the tibia and can lead to further damage, osteoarthritis
How is the anterior cruciate usually damaged?
Sports that require twisting or jumping
A patient who heard a “pop” in their knee followed by the sensation of the knee “giving out” likely damaged what ligament?
Anterior cruciate
Describe a positive anterior drawer test. This test could indicate what injury?
Tibia can be pulled excessively forward under the femur.
anterior cruciate tear
Describe a positive posterior drawer test. This test could indicate what injury?
Tibia can be moved excessively backward under the femur
posterior cruciate tear
What are the two criteria for receiving a knee replacement?
uncontrollable pain
functionally disabled
