Knee & Ankle Flashcards

1
Q

The knee is _____ articulations in _____ capsule.

A

Two; One

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2
Q

What are the two joints in the knee?

A

Tibiofemoral Joint and Patellofemoral Joint

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3
Q

The articular surfaces of the tibia have two discs called the _____. Where are they located?

A

Menisci; between the tibia and femur

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4
Q

What are the tendon and ligament supports that the joints have?

A

Medial & Lateral

Cruciate (Anterior and Posterior)

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5
Q

How many degrees of freedom?

A

Actually 2
Flexion/Extension
Rotation (automatic rotation at the end of extension & cannot control it)

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6
Q

Where is the knee most stable?

A

Extension; takes more force, but would cause more damage

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7
Q

Where is the knee least stable?

A

Flexion; when it is most easiest to damage

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8
Q

AROM for knee flexion

A

150

Functional is 90

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9
Q

Position for knee flexion

A

Supine or Prone (neither of these are 100% against gravity)

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10
Q

Test motion for knee flexion

A

Bringing knee up to chest

Slide heel if they cannot lift leg

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11
Q

End feel for knee flexion

A

Usually soft, but can be firm due to tension of quads

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12
Q

Axis for knee flexion

A

Lateral epicondyle of femur

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13
Q

Stationary arm for knee flexion

A

Midline of femur

In line with greater trochanter

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14
Q

Movable arm for knee flexion

A

Midline of fibula

Line up with lateral malleolus

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15
Q

AROM for knee extension

A

0
In children it may go beyond 0
In adults if it is beyond 5 (up to 10 ok) it is hyperextension or genu recurvatum

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16
Q

What is another way to say hyperextension

A

Genu recurvatum

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17
Q

Position for knee extension

A

Supine or prone

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18
Q

Test motion for knee extension

A

Put heel of one leg on toes of the other

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19
Q

End feel for knee extension

A

Firm

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20
Q

Axis for knee extension

A

Lateral epicondyle of femur

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21
Q

Stationary arm for knee extension

A

Midline of femur

Line up with Greater Trochanter

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22
Q

Movable arm for knee extension

A

Midline of fibula

Line up with lateral malleolus

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23
Q

Muscles for knee flexion

A

Biceps femoris
Semimembranosus
Semitendinosus

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24
Q

Palpation for Biceps Femoris

A

Along lateral posterior thigh

Tendon is proximal to the back of knee

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25
Palpation for Semimembranosus
Either side of the semitendinosus tendon
26
Palpation for Semitendinosus
Proximal to the knee Posterior on the medial side (follow the cord up)
27
Knee flexion AG
``` Prone Hip neutral; knee 10° Thigh flat on table Flex knee to 90° Resistance: mid-calf ```
28
Knee flexion GM
Sidelying
29
Knee flexion MMT scores
5: max 4: mod 3: full range 2: sidelying slide on board 1: trace
30
Muscles for knee extension
Rectus femoris Vastus medialis Vastus lateralis Vastus intermedius
31
Palpation for Rectus femoris
V shaped muscle between the sartorius and tensor fascia latae
32
Palpation for Vastus medialis
Medial thigh proximal to the patella
33
Palpation for Vastus lateralis
Cannon palpate
34
Palpation for Vastus intermedius
Cannot palpate
35
Knee extension AG
Semi-Sitting Hip flexed 45° (leaned back slightly), knee at 90° over edge of table Extend leg Resistance: mid-calf
36
Knee extension GM
Sidelying
37
Knee extension MMT scores
5: max 4: mod 3: full ROM 2: sidelying on friction free surface 1: trace
38
What does the Clarke's Grind Test asses?
Patellofemoral dysfunction
39
Starting position for Clarke's Grind Test
Supine with the knee extended
40
Test movement for Clarke's Grind Test
Place web space of your hand around the superior patella (do NOT push down) Ask client to do a quad set, resist against the patella moving up
41
Possible results for Clarke's Grind Test
Positive: pain or inability to hold contraction
42
What does McMurray's Test asses
Meniscal Tear
43
Starting position for McMurray's Test
Supine and relaxed
44
Test movement for McMurray's Test
Examiner takes leg & places the knee in as much flexion as possible Rotate the heel causing internal & then external rotation
45
Possible results for McMurray's Test
Positive: pain, but also listen and feel for clicking or popping over the meniscus
46
What does Apley's Grind Test assess
Meniscal tear
47
Starting position for Apley's Grind Test
Prone with the knee at 90°
48
Test movement for Apley's Grind Test
Examiner stabilizes the posterior thigh | Compress through the heel and rotate the leg
49
Possible results for Apley's Grind Test
Positive: pain In this same position you can do distraction Pain: ligament tear
50
**Apley's Distraction Test
Same position as Apley's Grind Test Traction applied with rotation No pain if meniscal Pain if damage to capsule or ligaments
51
What does the Anterior Drawer Test assess
ACL tear or rupture
52
What is a warning of the Anterior Drawer Test
It can yield a false positive
53
Starting position for Anterior Drawer Test
Supine with knee flexed 90° | Stabilize foot on the table
54
Test movement for Anterior Drawer Test
Grasp the proximal tibia with thumbs on the anterior | Attempt to PULL tibia anteriorly (like a drawer)
55
Possible results for Anterior Drawer Test
More than 6mm of translation at the front (feel with thumbs)
56
What can the Anterior Drawer Test also indicate
Capsule problems Medial collateral ligament Iliotibial band issues
57
What does the Posterior Drawer Test asses
PCL tear or rupture
58
Starting position for the Posterior Drawer Test
Supine with knee flexed 90° | Stabilize the foot on the table
59
Test movement for Posterior Drawer Test
Grasp the proximal tibia with thumbs on the anterior Attempt to PUSH tibia posteriorly (like a drawer) May not have to test because sometimes you get a "drop back sign"
60
Results for Posterior Drawer Test
More than 6mm of translation at the front | Can also indicate: capsule problems, medial collateral ligament, iliotibial band issues