Knee Flashcards
Tenderness to palpation is a valid tool for Dx
Hamstring muscle pain
______ is a valid capsular pattern in the knee
Flexion> extension
Whats better intrarater or interrupter? duh.
intrarater
Alignment tests of knee
tibial torsion
Valgus varus
Patellar alignment
Intra-articular swelling tests for knee
ballotment test
fluctuation test
Ligament special tests of knee
Apleys distraction Valgus/varus anterior drawer lachmans slocums Lateral pivot shift Posterior drawer Posterior sag Anterior reduction
Meniscus ST
mcmurrays
alleys
thessalys
ITB special test
noble compression test
What are serious conditions of the knee?
Traumatic and stress fractures
instability
tummor/osteochondritis dessicans
Postop DVT/infection
What are ottowa knee rules for Xray referral?
pt>55 y/o
tenderness to patella or fib
can’t flex >90 deg
can’t WB 4 steps after injury
What are insufficiency Fx?
how are they characterized?
fractures with normal stress to weak bone
insidious onset
swelling
point tenderness palpation
Bone tissue death due to decreased blood supply
AVN/ Osteochondritis dessicans
AVN/ Osteochondritis dessicans 2x as common in
females
Bone tumor moree common in individuals
under 20 y/o
What are some post op conditions?
sepsis
periprosthetic Fx
DVT
Common Dx of knee
ligament laxity Meniscal tears OA infrapatellar tendinopathy ITB Fx
ligaments responsible for:
medial laxity
latera?
Posterior?
MCL
LCL
PCL
What is based on movement of tibial plateau
Rotary instability
Characteristics of Meniscal tears?
Jt. line tenderness
+thessaly
locking
Pain w/ OP of extension + end range flexion
Characteristics of Knee OA
> 39 y/o
Morning stiffness
Bony enlargement
Characteristics patella tendinopathy?
pain with HIIT/running
Pain at patellar tendon
Use eccentrics
What is the ballotable patella?
Patella tap test to examine for edema/effusion
What are the tibial femoral accessory motions??
Ant/post glide
Med/Lat gap
Med/lateral glide
Test for patellofemoral conditins
Fairbanks apprehension test
Q angle
Clarkes sign (Paterllar Grind)
Test for Plica
Hughston’s Plica test
What is slocums test
Turn lateral/medial rotation and pull anteriorly
Look to see anteromedial and medial instability
Lateral pivot shift test
Valgus stress test with medial rotation of tibia while flexing. For cruciate and rotary instability
Thessaly test
Unilateral WB with med/lat rotation 3 times each way.
Fairbanks test
Patellar instability
Plica test
90/90 tibia IR glide patella medially and then flex/extend knee (catching plica)
