Knee

Question 1

Anterior Pain knee

Answer 1

Patellofemoral syndrome
Patellar tendinitis
Quadriceps Tendinits
Bursitis
Patellar fx

Question 2

Posterior Pain knee

Answer 2

Meniscus tear
Posterior Cruciate Ligament (PCL) injury
Bakers cyst

Question 3

Lateral Pain knee

Answer 3

Meniscus tear
ligament injury
iliotibial band syndrome

Question 4

Medial Pain knee

Answer 4

Mensicus tear
Ligament Injury
Pes anserine bursitis

Question 5

pain up or down hills/steps and prolonged sitting (theater sign) in knee

Answer 5

patellofemoral syndrome

Question 6

locking and catching noise in knee

Answer 6

Meniscal

Question 7

swelling in knee

Answer 7

intraarticular- trauma, tear, acl.pcl injury, fx

extraacrticular- bursitis, contusion, sprain

Question 8

instability in knee

Answer 8

true giving away- ligament injury

giving away because of pain- patellar subluxation/dislocation

Question 9

acute knee pain

Answer 9

ACl, fx dislocation

Question 10

gradual knee pain

Answer 10

overuse injury, bursitis, tendionpathy

Question 11

N/T with knee pain

Answer 11

spine? dermatomes?

Question 12

Systemic symptoms with knee pain

Answer 12

signs of infection

Question 13

other joints involved

Answer 13

hip or ankle

Question 14

hyperextension injury knee leads to dx…

Answer 14

ACL

medial meniscus

Question 15

hyperflexion injury to knee leads to dx…

Answer 15

medial meniscus

Question 16

valgus stress (direct force outside of knee) injury leads to dx…

Answer 16

MCL with
medial menisucs? with
ACL?

Question 17

twisting injury of knee leads to dx…

Answer 17

ACL+ or - menicus

dislocation of patella

Question 18

direct blow to anterior tibia with flexed knee injury leads to dx…

Answer 18

PCL

Question 19

direct blow to patella or femoral condyle

Answer 19

patellar fx

chondral fx of articular surface

Question 20

Patellofemoral Pain syndrome

Answer 20

overuse of knee
bilateral, anterior part of knee
worse with activity that loads ie steps OR theaters sign
no effusion

Question 21

Pes Ancerine Bursitis

Answer 21

Inflammation to medial knee
Spontanouse pain medial to knee
Self limiting- stretch/rehab

Question 22

1st degree ligament sprain

medial or lateral collateral ligament

Answer 22

Ligament fibers attached
Tenderness along body of ligament
Minimum or no swelling
No joint widening with ligament stress

Question 23

2nd degree ligament sprain

Answer 23

Partial avulsion of fivers from femoral condyle
Pain at joint line of ligament insertion
Swelling with tenderness localized to attachment point
Slight to moderate increase in joint widening with stress

Question 24

3rd degree ligament sprain

Answer 24

Complete rupture of ligament (often associated with anterior or posterior cruciate ligament tears or tibial plateau fractures
Significant pain at ligament insertion and joint line
Significant swelling with ecchymosis
Increased joint widening with minimum stress

Question 25

Thessaly test

Answer 25

for meniscal tear
pt stand on one foot, slight bent, twist
pain = +/injury

Question 26

Mc Murray Test

Answer 26

for meniscal tear
Pain with palpation = (+)
Compress/grind meniscal tissue- listen for click or snap

Question 27

Lachman Test

Answer 27

ACL tear specific
Best overall in ruling in /out
Pt lay supine, knee 30 degrees, make c clamp on thigh, then use thumb to anterior pull on tibia – movement = abnormal

Question 28

Meniscus Injuries

Answer 28

Crescent shaped fibrocartilaginous structure on articular surface of tibia-Shock absorbers for knee, control knee motion
Medial is torn more freq than lateral
Joint effusion,Tenderness along joint line, Pt feels unstable, Quads atrophy
Mcmurray test-Apley compression test-Thessaly test
DX: MRI or xray for bone abnormality r/o
RICE, crutches , non-weight bearing, rehab

Question 29

ACL injuries

Answer 29

loose with knee in flexion, keep femur and tibia relationship in line,
pop feeling, swelling, hamstring spasm
Lachman, anteior drawer
Dx: xray, MRI
Tx: conservative partial, brace, immobilize, non-weight,rehab, 6-9 months recovery