knee bony pathology

Question 1

how do we know if a person needs an xray?

Answer 1

ottawa knee rule: ANY MET:

1. patient over 55
2. isolated tenderness of patella
3. tenderness at head of fibula
4. inability to flex knee to 90
5. inability to bear weight both immediately and in ER

Question 2

what is knee OA epidemiology?

Answer 2

-most common joint disease worldwide
-medial compartment disease most common
-OA leading cause of disability in US
-

Question 3

what are the risk factors and symptoms fo knee OA?

Answer 3

1. joint injury or overuse
2. age
3. gender: women more likely
4. obesity
5. genetics

Question 4

what is the clinical diagnsosis criteria for knee OA?

Answer 4

1. pain in knee
and 3 of the following
1. over 50 years old
2. less than 30 min morning stiffness
3. crepitus on active motion
4. bony tenderness
5. bony enlargement
6. no palpable warmth of synovium

Question 5

what is the rehab for OA?

Answer 5

• strength training
• balance/proprio
• aquatic therapy
• estim
• manual therapy
• knee sleeves
• unloader braces
• lateral wedge insoles

Question 6

explain arthroscopic surgery

Answer 6

• not effective in knee OA

- no better than sham

Question 7

what are the TKA evidence

Answer 7

• narrowed joint space
• osteophytes and bone cysts
• squaring of condyles
• bone sclerosis

Question 8

what are the TKA symptoms

Answer 8

• severe, refractory knee pain often at night
• difficulty with ADLS
• decreased mobility
• failure to respond to conservative measures

Question 9

what is the gold standard of tKA

Answer 9

cemented

Question 10

what is the PT for TKA 1-2 days post op?

Answer 10

RICE

walk with assistance, if needed with walker

Question 11

what is the PT for TKA 0-3 weeks post op?

Answer 11

• ROM

- strengthening

Question 12

what is the PT for TKA 4-12 weeks post op?

Answer 12

return to daily actiities

• balance
• function

Question 13

what is the PT for TKA 12+weeks post op?

Answer 13

gradual return to rec activities