Knee Flashcards

0
Q

normal knee flexion aaos

A

10-0-135

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1
Q

two joints at knee

A

patellofemoral, tibiofemoral

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2
Q

aaos extension of knee

A

135-0-10

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3
Q

resting position of tibiofemoral joint

A

25 degrees flexion

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4
Q

closed pack position of tibfem joint

A

full ext/lat rotation

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5
Q

best knee questionnaire for all LE conditions… especially for THA and TKA

A

LE functional scale

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6
Q

clicking usually correlates to

A

meniscus

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7
Q

> 55 year old, tenderness head of fibula, patella tenderness, inability to flex knee to 90, unable to walk four normal steps

A

ottawa knee rules

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8
Q

snapping could indicate

A

synovial plica, tendon over bone

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9
Q

decision rules where age younger than 12 or older than 50, blunt trauma,

A

pittsburgh decision rules

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10
Q

grating could indicate

A

chondromalacia, oa, osteochondritis

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11
Q

tearing could be

A

muscle/ligament

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12
Q

catching could be

A

meniscal tear, subluxing patella

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13
Q

popping

A

acl, meniscal tear, muscle

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14
Q

tingling could be

A

nerve, circulatory

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15
Q

hyperesthesia could be

A

nerve

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16
Q

warmth could be

A

inflammation

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17
Q

common cause of pain going up stairs

A

anterior horns of menisci

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18
Q

common cause of pain going down stairs

A

posterior horns of menisci

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19
Q

patellar tendonitis will not have pain during

A

PROM knee extension

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20
Q

patellar problem from repeated friction, a direct blow, or repetitive trauma

A

prepatellar bursitis

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21
Q

prepatellar bursitis has the inability to blank

A

kneel

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22
Q

moi of this injury is valgus or varus force applied to flexed knee

A

meniscal

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23
Q

meniscal tear can be described by effusion, locking, click, catching, or blank

A

giving away

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24
sudden cut/deceleration, rotation motion with varus or valgus, and hyperextension are all MOI for blank
acl
25
complete tear is usually blank after inflammatory stage
painless
26
moi is hyperflexion, hyperextension, or rotational motion with varus or valgus force
pcl
27
ligament damaged by acute valgus force
mcl
28
mcl can be caused by overuse syndromes like blank
breast stroke
29
moi that develops over a long period of time due to lack of movement through range
capsular restriction
30
moi is repetitive use and misalignment characterized by pain at lateral aspect of knee that worsens with activity... usually runners
ITB syndrome
31
moi can be associated with oa, ra, gout, and can have a popliteal mass, swelling, aching
baker's cyst
32
pain and stiffness in the morning that goes away in a couple hours
oa
33
if there is hemarthrosis from about 30 mins to 2 hours inside joint, then it may be one of these strcutures
acl, patellar subluxation, pcl, fracture, meniscus
34
hemarthrosis in joint from 6 hours to 24 hours may be of blank origin and due to these
synovial meniscal tear
35
squinting patella faces blank
medial
36
q angle is the angle of the blank
femur
37
repetitive stress or indirect trauma to the insertion of the patellar tendon which causes large tibial tuberosity
osgood schlatter
38
capsular restriction, flexed knee, decreased stance time can be observed during
gait
39
edema, atrophy, and patellar posture can be observed during
long sit
40
patellar position, patellar tendon, and tracking of patella can be observed in blank
short sit
41
5 reasons to perform lqs
insidious, referred/radicular, doubt location of sx, altered sensation, unusual pattern of sx
42
for a capsular restriction in the knee, grade 3 and 4 non thrust manipulations should be blank sets of blank minutes
3, 3
43
if no soreness is present from previous day's exercise, then change one blank
variable (# of reps or sets)
44
open chain seated knee extension is best for blank
rectus femoris
45
closed chain squatting/leg press is best for
hip stabilizers/vmo
46
if soreness from last visit goes away during warm up, the pt should
do same exercises as last time
47
if soreness from last visit does not go away after warm up then the pt should
not do what they did last time or get the day off
48
pfps means
patellofemoral pain syndrome
49
cause of camel sign
patella alta, infrapatellar fat pad showing
50
people with pfps often prsent with blank of rearfoot
eversion
51
eversion of rearfoot results in runners having blank knee flexion and abduction
increased
52
congenital anomaly where patella is separate pieces and is asymptomatic until trauma occurs
bipartite patella
53
osgood schlatter is more prevalent in blank people because of blank
athletic, overuse
54
apophysitis at inferior pole of patella... patient may also have osgood
slj syndrome
55
small localized tear to peripheral 1/3 of meniscus are blank candidates
non operative management
56
rehab of meniscal tear focuses on managing blank symptoms
inflammatory
57
proliferation phase rehab should focus on restoring these
arom/prom, improve compressive load tolerance, maximize quad/hamstring balance, minimize quad strength loss
58
maturation phase of meniscal tear should focus on
avoiding cutting while healing is occurring
59
acl sprain/partial tear are classified as blank
copers
60
copers pass these criteria
> 80 noyes > 80 knee outcome survey > 60 groc only 1 episode of giving away
61
copers are successful in blank term but not blank term
short, long
62
mcl rehab during weeks 1-3 focuses on
decrease pain/effusion
63
mcl rehab during weeks 3-6
restore pain free rom and adls and balance
64
mcl weeks 5-8
improve strength
65
mcl during weeks 8-12
return to sport/plyos