Knee conditions

Question 1

IT band friction syndrom

Answer 1

SS- pain along the lateral knee at the insertion of the IT band, unilateral, pain w flex

Px- Noble compression, TT TFL, IT

Pom- conserve

Question 2

Patellafemoral syndrome

Answer 2

ss- retropatellar or peripatellar pain, reproduction w squatting, stair climbing, prolonged sitting (movie goers sign)

px- Kneeling test+, resisted quad extension, clarks, squat

pom- conserve

Question 3

Knee meniscus tear

Answer 3

SS- typically post trauma/pivot/valgus, pain on med/lat knee BUT min swelling, difficult weight bearing, locking/catching

Px- Eges, Mcmurrys, Thessely, Bounce home, Joint line tenderness, Steinmann test

Question 4

Bakers cyst

Answer 4

ss- tightness behind knee, worsened by full flex/ext

Px- pain w flex

POM- surgical removal of cyst

Question 5

MCL tear

Answer 5

ss- pain along medial knee following a valgus injury, slightly more swelling, may have heard pop

px- valgus testing, medial jt line tenderness

POM- mild=conserve, Laxity=send for MRI

Question 6

LCL tear

Answer 6

ss- pain along lateral knee following virus injury, minimal to no swelling

px- varus testing and lat joint line tenderness

POM- mild=conserve, Grade III-surg

Question 7

Ottawa knee rules

Answer 7

Age >55
Tenderness at head of fib
isolated patella tenderness
inability to flex to 90
inability to bear weight/ perform 4 step test

Question 8

ACL tear

Answer 8

ss- valgus or pivoting injury, instant swelling, deep knee pain, pot popping sound

Px- ant drawer, Blachmans, lat piv shift, jt effusion

POM- conserve

Question 9

PCL tear

Answer 9

ss- forced hyper flexion/extension, deep knee pain, swelling

px- post sag sign, post drawer, active quad test, reverse piv shift

Question 10

Patellar tendinopathy

Answer 10

ss- ant knee pain worse with activity

Px- tenderness over tendon, weaknesss with entire squat or pain

pom- conserve

Question 11

Osgood-schlatter

Answer 11

ss- tenderness + pain at tibial tub due to traction injury in athletic children

px- point tenderness over tibial tub, possible swelling

POM- conserve, no X-rays needed

Question 12

Osteochondritis dessicans

Answer 12

swelling, pain, clicking, locking , pain worse w activity, catching (10-20yold)

Px- limited ROM, wilsons test (90, int rot and extend)

POM- xray, conserve

Question 13

Medial plica syndrome

Answer 13

ss- medial knee pain, swelling, locking, giving away, clicking

px- Plica compression test, medial jt line tenderness

POM- conserve