Knee Flashcards

1
Q

The first muscle to atrophy in knee injiury, what action

A

Vastus Medialis Obliquus, last 15 degrees of extension

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2
Q

Most important step in PE

A

check the normal side first, then, compare to the injured side

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3
Q

Presence of ___ in the synovium is indicative of a fracture, and can be seen on a ___

A

fat, T2 MRI

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4
Q

glycoprotein that is the key lubricating component of synovial fluid

A

Lubricans

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5
Q

Nature of mensicus healing

A

Poor vascular supply, unlikely to heal

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6
Q

Deposition of calcium pyrophosphate, can cause loose bodies, and for the menisci to appear more radio opaque on MRI

A

Chondrocalcinosis

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7
Q

Chronic Tear of the meniscus presents as

A

able to still walk unless knee is locked

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8
Q

A test for Torn Meniscus that involves circumduction and extension with valgus force, feeling for a pop on the joint line

A

McMurrays Test

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9
Q

Which horn of the menisci is thickest

A

Posterior

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10
Q

Repair of menisci

A

only 5% are repairable, if the tear occurs in the part that has blood supply- red cell

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11
Q

indicative of a displaced bucket handle tear of the medial meniscus in the presence of a normal MCL

A

Double PCL Sign

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12
Q

ACL components and their action

A
  • Anteromedial—tight in flexion

* Posterolateral – tight in extension

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13
Q

Most sensitive test for ACL tear, how does it differ from drawers

A

Lachman’s, knees bent at 30 degrees not 90

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14
Q

Terrible Triad involves the

A

ACL, MCL, and medial meniscus

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15
Q

Common causes of PCL tear

A

Dashboard injury/posterior force on tibia

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16
Q

Pain with stairs

A

Chondromalacia

17
Q

Pain increases with squatting, kneeling, and stairs

A

Chondromalacia

18
Q

Test for chondromalacia

A

Clarks– pull down on patella and have them tighten their quads

19
Q

tear of deep portion of colalteral ligament, not superficial, still some collateral stability

A

2nd Degree

20
Q

Most common cause of loose bodies in the knee

A

Osteochondritis desicans

21
Q

Hip pain frequently presents as _____ due to the _______

A

Medial hip pain, obturator nerve

22
Q

2 Layers of Collateral Ligament

A

o Superficial—strongest

o Deep—attaches to medial meniscus for stabilization

23
Q

Reason why medial meniscus tears more often

A

o Deep—attaches to medial meniscus for stabilization