Exam 1

Question 1

Most common knee ligament injury

Answer 1

MCL or Tibial Collateral Lig.

Question 2

What are the two layers of the MCL?

Answer 2

Superficial- primary restraint to valgus stress

Deep- adds stability and has a attachment to the medial meniscus

Question 3

MCL mechanism of injury

Answer 3

Valgus force

Typically CKC force with knee at 0 degrees or <90 degrees

Question 4

Signs and Sx of MCL tear

Answer 4

Localized Swelling
Tenderness
Pain with valgus force
NO hemarthrosis (MCL is extra-articular)

Question 5

MCL provides restraint:

Answer 5

Primary: valgus and lateral rotation of the tibia on femur (screw home mechanism)

Secondary: Anterior and Posterior Translation

Question 6

Hip Open Packed Position

Answer 6

30 degrees of flexion, 30 degrees of abduction, and slight external rotation

Question 7

Hip Closed Packed Position

Answer 7

Full extension, internal rotation, and abduction

Question 8

Hip Capsular Pattern

Answer 8

Internal rotation > Flexion > Abduction= Extension > other positions

Question 9

Knee (tibiofemoral) Open Packed Position

Answer 9

25 degrees of flexion

Question 10

Knee (tibiofemoral) Closed Packed Position

Answer 10

Full Extension

Question 11

Tibiofemoral Capsular Pattern

Answer 11

Flexion > Extension

Question 12

Talocrural Open Packed Position

Answer 12

10 degrees Plantar Flexion

Question 13

Talocrural Closed Packed Position

Answer 13

Full Dorsi Flexion

Question 14

Talocrural Capsular Pattern

Answer 14

Plantar Flexion > Dorsi Flexion

Question 15

Subtalar Open Packed Position

Answer 15

Inversion and Plantar Flexion

Question 16

Subtalar Closed Packed Position

Answer 16

Full Inversion

Question 17

Subtalar Capsular Pattern

Answer 17

Inversion > Eversion

Question 18

MTP Hallux Capsular Pattern

Answer 18

Extension > Flexion

Question 19

MTP Rays 2-5 Capsular Pattern

Answer 19

Flexion > Extension

Question 20

IP for Foot Capsular Pattern

Answer 20

Flexion > Extension

Question 21

Shoulder Open-Packed Position

Answer 21

55° Abduction and 30° Horizontal Adduction

Question 22

Shoulder Close-Packed Position

Answer 22

90° Abduction and full ER or full Abduction and ER

Question 23

Shoulder Capsular Pattern:

Answer 23

ER > Abduction > IR (3:2:1)