final Flashcards
Of the three joints around the knee which one is not part of the knee
proximal tibiofibular joint
which collateral ligament of the knee does not attach to the tibia
lateral collateral ligament
what is the strongest ligament of the knee
posterior cruciate ligament
which meniscus is more susceptible to tearing
medial meniscus
what position is the knee in during the loose packed position
25 degrees of flexion
When figuring out a patients Q angle, what three landmarks are used
ASIS, patella and tibial tubercle
What muscle is responsible for unlocking the knee in the screw home mechanism
Popliteus
A patient presenting with osteoarthritis of the knee will point to which side of the knee
medial side
if a patient has a history of previous macro trauma to the knee, how many more times as likely are they to develop osteoarthritis
4xs
What type of adjustment or manipulation will benefit a patient with osteoarthritis
long axis traction
What is the most common athletes complaint involving the knee
Patellofemoral pain syndrome
What age range would more likely present with PFPS
15-25 yo
what gender does PFPS affect more often
Females
What muscle would you focus on strengthening for PFPS
Vastus Medialis
What other areas of the spine and pelvis would you assess
Pelvis, SI joints, lumbar and extremities
Following years of running, what is most likely Dx for knee pain
Chondromalacia patella
What would be a likely DDx for Chondromalacia Patella
Patellofemoral Pain Syndrome
When viewing radiographic findings, what view would be the best way to view
Lateral view
What percentage of athletes will experience chondromalciaa patella
30%
Can a person have chondromalacia patella and be completely asymptomatic
yes
On the femoral head there is a small depression in the hyaline cartilage known as the fovea capitis. What inserts on here?
Ligamentum teres
When examining the trabecular patterns on the femur, what are the lines running more inferior to superior.
Compression (vertical) Trabecular System
The iliofemoral ligament sometimes goes by what name
Y ligament of Bigelow
Which ligament plays a significant role in resisting valgus stress
medial collateral ligament
What is the strongest ligament of the knee
PCL
When adjusting the hip with long axis traction, it should be in
Open pack (30 of flexion, 30 abduction, 5* external rotation)
what is a good management option for stage 2 patellar tendinopathy
stretching, ice, possible activity modification- stage 2 is pain during and after activity but can perform at normal levels doesn’t require surgical intervention
your patient works on the third floor in a building with no elevator. he complains of tearing or velcro ripping sound coming from underneath his patella
patellar tendinopathy
A softening of the patella’s articular cartilage is known as
chondromalacia patellae (runners knee)
what may contribute to the development of patellofemoral pain syndrome
increased Q angle, hyperpronation, muscular imbalances
During examination, you apply a valgus force to the knee and the patient reports pain along the medial joint line. What structure is most likely injured?
medial collateral ligament
where will you find point tenderness on a patient with meniscus tear
joint line
Which of the following may be contraindication for long axis distraction at the hip, using a bimanual grip above the malleoli
Knee injury- use bimanual grip above femoral condyles so your not adjusting through the knee
what is the most common cause of hip pain in adults
Osteoarthritis, degenerative joint Disease
Which of the following structures resists posterior displacement of the tibia relative to femur
PCL
The ACL is responsible for preventing excessive
anterior movement of the tibia
what bone is not part of the knee joint, Tibia, fibula, femur
fibula
Your patient is a chef. She presents with pain along the medial joint line of her left knee after slipping on a greasy floor. She says her body twisted to the right while her leg felt like it twisted to the left. what condition do you most likely suspect
Medial meniscus tear
What is an appropriate treatment for mild to moderate hip osteoarthritis
Manual therapy and manipulation
weight reduction
therapeutic exercise
NSAIDs
corticosteroid injections
Surgery: Arthroplasty
A common condition of athletes participating in running, kicking, and jumping is
iliotibial band syndrome
individuals with macrotrauma such as ACL sprain, are ____ times more likely to develop knee osteoarthritis
4x
The most common location of osteoarthritis of the knee is the
medial cartilaginous side of the knee wears down first
types of meniscal tears
vertical longitudinal
bucket handle
oblique
Flap
radial/transverse
Parrot beak
Horizontal
Degenerativ
Meralgia Paresthetica is located along the lateral portion of the thigh, due to entrapment of what nerve
lateral femoral cutaneous nerve
Two primary functions of the knee menisci are:
increase surface area thereby distributing weight over a larger area
Shock absorber
Stance phase of gait would be a ____ kinetic chain activity while swing phase of gait would be a ____ kinetic chain activity
closed, open
which of the following structures can contribute to snapping hip syndrome?
Psoas tendon, IT band and rectus femoris tendon
when figuring a patients Q angle which landmarks are used?
a line drawn from ASIS to central patella and a second line drawn from central patella to tibial tubercle
The joint capsule of the hip is reinforced and supported by 3 major extracapsular ligaments including
ischiofemoral, iliofemoral and pubofemoral
true/false - Femoroacetabular Impingement is more common in males males
false can occur in males or females
An increased angle of inclination at the hip will cause a _____ deformity at the knee
Valgus (knock Knees)
The medial menisci is shaped like a what
C shape
The lateral menisci is shaped like a what
O shape
your patient is a runner with pain at the inferior pole of the patella after running. Their knee pain began gradually after significantly increasing the frequency and duration of the training runs on cement roads. what condition do you most likely suspect
patellar tendinopathy
Which region of the meniscus is the most likely to heal after injury?
Red Zone
A 22 year old male soccer player presents to your office with hip pain. When you ask the patient to point to where he feels it, he has his hand in a C shape on the laterak hip, between the iliac crest and greater trochanter and describes it as a deep pain. What is your top choice for differential diagnosis?
Femoralacetabular impingement (FAI)
Which of the following is a good choice in treatment for a grade 3 collateral ligament injury?
Refer for orthopedic surgical consult
A pincer mechanism is most likely to cause femoroacetabular impingement syndrome in which demographic
females 30s-40s
which of the following muscles does not attach to the pes anserine?
Muscles that DO attach are gracilis, sartorius, and semitendinosis
