Knee

Question 1

A novice swimmer swam in the pool using breaststroke and frog-kick techniques. He suddenly felt something on the knee when trying to frog kick. What possible diagnosis can you infer from the problem?

Answer 1

Swimmer’s Knee

Question 2

Using backstroke for swimming results to?

Answer 2

Anterior shoulder dislocation

Question 3

This an idiopathic condition where there is a problem and enlargement of the tibial tuberosity and irritation of the patellar tendon.

Answer 3

Osgood Schlatter

Question 3

This results in the ossification of the MCL on the knee.

Answer 3

Pellegrini-Stieda Disease

Question 4

What are the ADLs that people with Osgood Schlatter can’t do?

Answer 4

Squatting
Descending Stairs
Lifting Heavy Loads

Question 5

Osgood Schlatter can lead ___________ of the tibial tuberosity.

Answer 5

Avascular Necrosis

Question 6

This condition affects the distal pole of the patella

Answer 6

Sinding-Larsen Johansen Disease

Question 7

This is also called the Jumper’s Knee

Answer 7

Patellar Tendinitis

Question 8

This condition affects the extension of synovial cartilage, thickens, and impinges on the patella and femoral condyles. This is normally absorbed in the 2nd-trimester fetal development. What condition could it be?

Answer 8

Plica Syndrome

Question 9

The patient always runs to mountains going in an upward direction without stretching. He developed a tight Achilles tendon. What condition may be developed due to this?

Answer 9

Uphill running

Question 10

1. A 19-year-old woman lives in a hut at the top of the hill. Whenever she goes to her school, she always walks going to her school in a downward motion. What part of the affected area should you be concerned about by the 19-year-old woman?
2. What can condition can you infer from this problem?

Answer 10

1. Patellar Tendon
2. Downhill running

Question 11

1. This results in the degeneration of the patella, including the cartilage and also called the “runner’s knee.” It can cause anterior knee pain, and the most painful position would be squats. What condition can you infer from the problem?
2. What ST can you use in ruling in the condition?
3. What positive sign is this test?

Answer 11

1. Chondromalacia Patella
2. Waldron Test
3. Crepitus associated with anterior knee pain

Question 12

Stages for the Runner’s Knee

Answer 12

1. Swelling
2. Fissuring
3. Deformed surface
4. Femoral cartilage involvement

Question 13

T or F
Chondromalacia patella is more common in males than females.

Answer 13

False; females

Question 14

What PT interventions can you suggest to patients with a runner’s knee?

Answer 14

1. Initial: Quads Setting
2. Modified ergometerer
3. SLR
4. Avoid or never perform squats

Question 15

Malalignment syndromes

Answer 15

1. Broad Pelvis (F>M)
2. High Anteversion
3. High Q-Angle (13-18) Mean= 15 degrees
4. Patella Alta
5. Genu Valgus (Knock-knee)
6. Subtalar Pronation
7. External Tibial Torsion

Question 16

2,3,5,7

Answer 16

Bayonet’s Sign

Question 17

Clinical signs of this condition include:
1. Weak VMO
2. Tight Lateral ITB
3. Tight hamstrings/calf muscles
4. Tight/weak hip muscles

Answer 17

Patellofemoral Pain Syndrome