Knee

Question 1

Tx for mild injury

Answer 1

RICE
Rest
Ice
Compression
Elevation

weight bear as tolerated

Question 2

Tx for moderate injury

Answer 2

RICE
NSAIDS
No weight 2d

Question 3

Tx for severe injury

Answer 3

RICE
NSAIDS
No weight & immob until ortho

Question 4

MCL Sprain

Answer 4

most common:
flexed knee, planted foot, lat impact

needs surgery

Question 5

Triad of O-Donohue

Answer 5

ACL, MCL, med meniscus

Question 6

MCL Vagal Test

Answer 6

ABduct tibia vs femur

Question 7

Laxity grade scale

Answer 7

0: no laxity
1: 5mm, firm endpoint
2: 10mm, soft endpoint
3: 15mm soft endpoint
4: >+20mm

Question 8

LCL Vargus Test

Answer 8

ADduct vs femur

Question 9

ACL

Answer 9

most important for knee stabillity

Question 10

ACL injury presentation

Answer 10

pop, pain, swell, instability

Question 11

ACL injury elements

Answer 11

rapid decel, wt bearing, twist/pivot

Question 12

Lachman’s Test

Answer 12

ACL

hold femur and tibia -> pull apart

Question 13

Anterior Drawer

Answer 13

ACL if tibia pulls forward

Question 14

Posterior Drawer

Answer 14

PCL if tibia pushes backward

Question 15

Post Sag Sign

Answer 15

tibia sags if held 90 deg to femur (PCL)

Question 16

McMurray Test

Answer 16

“M&M test”
knee flexed:
medial/internal rotation extention pop/pain = lat meniscus injury
lateral/ext rot extension pop/pain = med meniscuis

Question 17

Patellofemoral Syndrome

Answer 17

(Chondromalacia)
most common knee complaint,
anterior pain under patella,
from imbalanced quads or patellar sublux,
+ test = pain while press patella/pt contracts quads

Question 18

Osgood-Schlatter Lesion

Answer 18

local swelling/tender @ tibia tubercle,
from part avulsion of tibial tuberosity,
repetitive stress in kids/adol,
need + x-ray to diag

Question 19

Patellar tendonitis

Jumper’s Knee

Answer 19

inflammed patellar tendon from repeat trauma,
after skeleton matures,
no x-ray findings