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M5 > Knee > Flashcards

Knee Flashcards

1
Q

Knee conditions

A

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

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2
Q

osgood-schlatter presentation

A

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

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3
Q

which meniscus tears more often?

A

medial meniscus

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4
Q

what causes osgood-schlatter

A

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

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5
Q

which motion of the tibia does the ACL prevent?

A

anterior motion

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6
Q

which motion of the tibia does the PCL prevent?

A

posterior motion

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7
Q

sinding larsen johansson syndrome

A

involving the patellar tendon and the lower margin of the patella

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8
Q

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

A

juvenille osteochondrosis of the patella

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9
Q

s/s of osgood-schlatter disease

A

pain below patella–tibial tuberosity

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10
Q

examination of osgood-schlatter disease

A

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

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11
Q

PARTS findings for osgood-schlatter disease

A

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

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12
Q

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

A

avulsion fracture

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13
Q

active treatment options for osgood-schlatter

A

stretch quadriceps and hamstring, avoid aggravating activities

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14
Q

passive treatment for osgood-schlatter disease

A

avoid adjusting over acute area

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15
Q

prepatellar bursitis

A

inflammation of bursa in front of the patella

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16
Q

what is another name for prepatellar bursitis?

A

housemaids knee

17
Q

cause/risk factors for prepatellar bursitis

A

working on knees

18
Q

observation of prepatellar bursitis

A

rubor, calor, edema

19
Q

s/s of prepatellar bursitis

A

significant pain and swelling when kneeling/walking

20
Q

MSR findings for prepatellar bursitis

A

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

21
Q

PARTS findings for prepatellar bursitis

A

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

22
Q

prepatellar bursitis treatment

A

depends if it involves infection

23
Q

treatment for aseptic prepatellar bursitis

A

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

24
Q

how long does prepatellar bursitis acute treatment last?

A

2-3 days

25
Q

passive care for prepatellar bursitis

A

adjust above and below knee, tape knee for compression

26
Q

home care for prepatellar bursitis

A

ice, avoid kneeling or protect area with padding

27
Q

co-management for prepatellar bursitis

A

corticosteroid injection, antibiotics

28
Q

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

A

weeks to months

29
Q

meniscus tear presentation

A

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

30
Q

observation of meniscus tear

A

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

31
Q

PARTS findings for meniscus tear

A

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

32
Q

ortho test for meniscus tear

A

McMurrays, Apley compression test

33
Q

MRI findings for meniscus tear

A

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

34
Q

meniscus tear treatment

A

focus on ROM, gait, proprioception, muscle strength

35
Q

passive treatment for meniscus tear

A

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

M5 (13 decks)

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