Knee

Question 1

What are the best modalities of choice to evaluate the knee?

Answer 1

MRI and U/S

Question 2

What is used for chronic symptoms of internal derangement?

Answer 2

MRI

Question 3

What is used when there is tendon disease and effusions?

Answer 3

U/S

Question 4

What are the three major knee sections?

Answer 4

superior to patella, inferior to patella, popliteal fossa

Question 5

What are the 4 quad muscles?

Answer 5

rectus femoris, vastus lateralis, vastus medialis, vastus intermedius

Question 6

What allows the quad muscles to connect to the superior aspects of the patella?

Answer 6

quadriceps tendon

Question 7

What continues as the patellar ligament?

Answer 7

quad tendon

Question 8

What is the pt positioning for anterior superior knee?

Answer 8

pt supine w knee bent, pillow under knee for support

Question 9

What is the probe position for anterior superior knee in long?

Answer 9

marker at 12, bottom of probe touching the knee cap

Question 10

What are the 3 interfaces of the anterior knee?

Answer 10

femur/fat pad, suprapatellar pouch, quad tendon

Question 11

What is the probe position fro anterior superior knee in transverse?

Answer 11

marker at 9, bottom of probe touching the knee cap

Question 12

What are the quad tendon images in long and trans?

Answer 12

1. long tendon w insertion
2. long tendon integrity: med/lat clip
3. trans tendon near patellar insertion
4. trans tedon integrity: sup/inf clip
5. measure cartilage AP/height (lat/med/mid)

Question 13

What attaches the bottom of the kneecap to the tibia?

Answer 13

patellar tendon

Question 14

What tendon is prone to inflammation and rupture?

Answer 14

patellar

Question 15

What is the normal patella thickness?

Answer 15

3-3.4mm

Question 16

What is caused by repeated eccentric contraction of the quad when landing from a jump?

Answer 16

jumpers knee

Question 17

What bursa causes osgood schlatters?

Answer 17

deep infrapatellar bursa

Question 18

How many subc bursa are there in the anterior knee?

Answer 18

2

Question 19

Which bursa causes housemaids knee?

Answer 19

subc bursa in anterior knee that attaches to patella

Question 20

Which bursa causes vicars knee?

Answer 20

distal, infrapatellar bursa in anterior knee

Question 21

What are the patella images in long and trans?

Answer 21

1. long tendon w insertion
2. long tendon integrity med/lat clip
3. trans tendon near patellar insertion
4. trans tendon integrity sup/inf clip

Question 22

What is the pt position for a vascular assessment of the popliteal fossa?

Answer 22

frog legged

Question 23

What is the pt position for a bakers cyst assessment?

Answer 23

prone

Question 24

What is the probe position for a vascular and bakers cyst assessment in the popliteal fossa?

Answer 24

trans marker at 9

Question 25

What should be demonstrated in a basic vascular assessment?

Answer 25

compressibility and inflow

Question 26

What can pain from a bakers cyst be similar to?

Answer 26

DVT, pop artery aneurysm, arterial ischemia/occlusion

Question 27

What is a fluid filled cyst causing pain and tightness behind the knee?

Answer 27

bakers cyst

Question 28

What does bakers cyst result from?

Answer 28

arthritis, tears/injury

Question 29

How does bakers cyst affect the patient?

Answer 29

inability to fully flex the knee

Question 30

What does a true bakers cyst always have?

Answer 30

distinct neck of origin with the synovial cavity

Question 31

What images are taken in the popliteal fossa?

Answer 31

1. trans pop vein w compression 2. trans gastrocs w compression 3. trans LSV w compression 4. trans sup to inf clip of medial pop fossa 5. long pop v color 6. long pop a w color and doppler