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sports board 2020 > Knee > Flashcards

Knee Flashcards

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Sports Trivia flashcards
1
Q

Suscpect a patella fracture. What views must you get not to miss peripherial fractures.

A

Latreral- horizontal Sunrise- vertical

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2
Q

Nonsurgical managment of patella fracture

A

Start splinting in extension with gradual flexion

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3
Q

The most common area of a Tibial plateau fracture

A

Lateral

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4
Q

Absolute indications for surgery for tibial plateau fracture

A

open fracture, compartment syndrome

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5
Q

Nonoperative managment for tibial plateau fracture

A

NWB for 6 weeks.

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6
Q

Often an associated injury seen with ACl and medial meniscus injury

A

Segond’s Fx- capsular avulsion of the lateral tibial plateau.

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7
Q

2 high risk stress fractures of the knee.

A

Patella and Medial tibial plateau

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8
Q

A young female likely to present with (traumatic or nontraumatic ) patella dislocation

A

nontraumatic

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9
Q

What presentation of patella dislocation with would point to a traumatic type

A

hemarthrosis

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10
Q

What would the lateral apprehension test be used for?

A

Patella dislocation - apprehension when moving the the patella laterally

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11
Q

What imaging is needed following a patella dislocation that has relocated.

A

XRAY- ostechondral fracture or avulsion. MRI if symptoms persist, concern for osteochondral defet or multiple dislocations.

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12
Q

Type of knee dislocation from a hyperextension injury

A

Anterior ( tibia relative to femur)

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13
Q

Type of knee dislocation form a dashboard injury

A

Posterior

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14
Q

Knee dislocation usually associated with what neurovascular injuries?

A

Nerve- fibular Artery- popliteal

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15
Q

2 Test to aid in ITB Friction syndrome

A

Noble’s Test Obers Test

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16
Q

A runner with lateral knee pain while running but goes away at rest.

A

ITB Frictions syndrome

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17
Q

Runner with lateral knee pain. Where would tenderness be located on physical exam if you think ITB Friction Syndrome.

A

3cm proximal to lateral joint (over the lateral femoral condyle)

18
Q

Patellar fracture is usually seen in what demographic?

A

older female with osteoporosis

19
Q

Quad Tendon tear is usually seen in what demographic?

A

Male older then 60

20
Q

Patella tendon rupture is usually seen in what demographic?

A

Younger male around 40s

21
Q

Terrible Triad

A

ACL, Medial Meniscus, MCL

22
Q

What is the grade ACL tear for a positive Lachman 0-5mm

A

Grade 1

23
Q

What is this called?

A

Kissing contusion

ACL tear

24
Q

RTP following ACl surgery

A

6- 9 months

25
Q

PCL injury typically occurs by what mechanism

A

anterior tibia with knee flexion hits dashboard.

26
Q

Test used for PCL tears

A

POSITIVE QUAD ACTIVATION

REVERSE LACHMANS

POSTERIOR SAG

27
Q

Gold standard diagnosis for PCL

A

arthoscopy

28
Q

What muscle group needs to be strengthing in order to rehab a PCL injury?

A

quad strengthing in order to prevent posterior tibial translation

29
Q

IDENTIFY

A

PELLEGRINI-STIEDA SIGN

MCL TEAR

30
Q

WHAT IS THE ONLY REASON AN ISOLATED MCL TEAR WOULD REQUIRE SURGERY?

A

TIBIAL SIDED AVULSION

31
Q

EXPLAIN REHAB FOR MCL

A

ACUTE PHASE- RICE

HINGED KNEE BRACE

1-2 WEEKS EARLY ROM AND ADVANCE WITH MORE 4 WEEKS

32
Q

DIAL TEST :

AT 30 DEGRESS OF KNEE FLEXION INCREASED EXTERAL ROTATON BUT NOT AT 90

A

ISOLATED PLC INJURY

33
Q

DIAL TEST :

AT 30 DEGRESS OF KNEE FLEXION INCREASED EXTERAL ROTATON WITH THE SAME AT 90

A

PCL AND PLC

34
Q

MOST COMMON PLICA IS MEDIAL OR LATERAL

A

MEDIAL

Most commonly irriated from abrading medial femoral condyle

35
Q

Anterior inferior knee pain worse with sitting to standing

A

Hoffas fat pad impingement

36
Q

Symptoms to help distinguish Hoffa’s Fat Pad vs. MPF syndrome

A

MPFL- sitting

Hoffa- sitting to standing

37
Q

What is chondromalacia patella?

A

Degeneration of patella cartalige from patellofemoral syndrome

38
Q

What is MOI for lateral meniscus injury

A

Occurance after knee flexion. Squating wrestling

39
Q

Which part of the meniscus has poor blood supply?

A

Inner 2/3

40
Q

A Q ANGLE OF > ___ DEGREES IN PATELLOFEMORAL SYNDROME

A

20

ASIS—> MID PATELLA

MID PATELLA—> TIBIAL TUBERCLE

41
Q

PATELLAFEMORAL SYNDROME CAN BE A RESULT OF WEAK ___

A

Hamstrings

sports board 2020 (19 decks)

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