Knee

Question 1

Knee conditions

Answer 1

osgood-schlatter’s disease, prepatellar bursitis, meniscus tear

Question 2

osgood-schlatter presentation

Answer 2

young athlete, more common in males, worse with activity, pain/swelling and tenderness at tibial tuberosity

Question 3

which meniscus tears more often?

Answer 3

medial meniscus

Question 4

what causes osgood-schlatter

Answer 4

repetitive stress on the tibial apophysis by the patellar tendon
RARE to have avulsion of the apophysis

Question 5

which motion of the tibia does the ACL prevent?

Answer 5

anterior motion

Question 6

which motion of the tibia does the PCL prevent?

Answer 6

posterior motion

Question 7

sinding larsen johansson syndrome

Answer 7

involving the patellar tendon and the lower margin of the patella

Question 8

what is another name for sinding-larsen-johansson syndrome?

Answer 8

juvenille osteochondrosis of the patella

Question 9

s/s of osgood-schlatter disease

Answer 9

pain below patella–tibial tuberosity

Question 10

examination of osgood-schlatter disease

Answer 10

painful, red lump inferior to patella, pain inferior to patella with resisted extension, weakness during resisted knee extension

Question 11

PARTS findings for osgood-schlatter disease

Answer 11

palpatory pain at point of insertion, asymmetry of patella, palpatory bump over tibial tuberosity, patellar tracking, hypertonicity of quadriceps

Question 12

what may be seen on x-ray for osgood-schlatter disease

Answer 12

avulsion fracture

Question 13

active treatment options for osgood-schlatter

Answer 13

stretch quadriceps and hamstring, avoid aggravating activities

Question 14

passive treatment for osgood-schlatter disease

Answer 14

avoid adjusting over acute area

Question 15

prepatellar bursitis

Answer 15

inflammation of bursa in front of the patella

Question 16

what is another name for prepatellar bursitis?

Answer 16

housemaids knee

Question 17

cause/risk factors for prepatellar bursitis

Answer 17

working on knees

Question 18

observation of prepatellar bursitis

Answer 18

rubor, calor, edema

Question 19

s/s of prepatellar bursitis

Answer 19

significant pain and swelling when kneeling/walking

Question 20

MSR findings for prepatellar bursitis

Answer 20

motor: painful but 5/5
sensory:
reflexes: WNL (2/4) may be painful

Question 21

PARTS findings for prepatellar bursitis

Answer 21

palpatory pain noted, asymmetry between right and left patella, patellar tracking, edema and bogginess over swollen area

Question 22

prepatellar bursitis treatment

Answer 22

depends if it involves infection

Question 23

treatment for aseptic prepatellar bursitis

Answer 23

ice compresses, rest, anti-inflammatory and pain medications; occasionally requires aspiration of bursa fluid

Question 24

how long does prepatellar bursitis acute treatment last?

Answer 24

2-3 days

Question 25

passive care for prepatellar bursitis

Answer 25

adjust above and below knee, tape knee for compression

Question 26

home care for prepatellar bursitis

Answer 26

ice, avoid kneeling or protect area with padding

Question 27

co-management for prepatellar bursitis

Answer 27

corticosteroid injection, antibiotics

Question 28

how long does treatment for subacute/chronic prepatellar bursitis last?

Answer 28

weeks to months

Question 29

meniscus tear presentation

Answer 29

history of trauma or degeneration, swelling, pain, catching or locking of knee, sense of instability, rotational injury to knee

Question 30

observation of meniscus tear

Answer 30

not a lot of bruising due to lack of blood flow to area, swelling, limping gait

Question 31

PARTS findings for meniscus tear

Answer 31

limited flexion/extension, pain along joint line, clicking, swelling

Question 32

ortho test for meniscus tear

Answer 32

McMurrays, Apley compression test

Question 33

MRI findings for meniscus tear

Answer 33

correlate with clinical findings, false positives: asymptomatic tear with other pathology causing symptoms

Question 34

meniscus tear treatment

Answer 34

focus on ROM, gait, proprioception, muscle strength

Question 35

passive treatment for meniscus tear

Answer 35

adjust to patient's tolerance if it is a stable tear; induce LAD or gapping