Knee Conditions Flashcards
1
Q
Single or Rotary Instability of Knee Ligament Injury
A
- ACL laxity = SP ant instability
- PCL laxity = SP post intability
- ACL & MCL = antero-medial rotary instability
- ACL & LCL = antero-lateral rotary instability
- PCL & MCL = postero-medial rotary instability PCL & LCL = postero-lateral rotary instability
2
Q
Classification of Ligament Injury
A
- 1st deg = little or no instability
- 2nd deg = minimal to moderate instability
- 3rd deg = extreme instability
3
Q
“Unhappy Triad”
A
- Injury of the ACL, MCL and medial meniscus
- resulting from a combo of valgum, flexion and ER forces applied to the knee when the foot is planted
4
Q
knee ligament injury dx
A
- MRI, though very difficult to read and often misread as slightly torn or normal
- (+) special tests for knee per ligament
5
Q
knee ligament injury and PT
A
- reduction of pain and inflammation
- post op - CPM
- Correction of ms imbalances
- Address biomechanical faults
- Coordination
- Progression to funx training
6
Q
Meniscal Injuries
A
- result from combo - tibiofemoral flex, compression, and rotation (abnormal shearing forces)
- Symptoms:
- lat/med jt pain
- effusion
- joint popping
- knee giving way during walking
- limitation in flexibility of knee and
- joint locking
7
Q
Meniscal Injuries Dx
A
- MRI, though not always sensitive enough to confirm tear
- (+) mcmurrays
- (+) Apley test
8
Q
Meniscal Injuries and PT
A
- reduction of pain and inflammation
- Correction of ms imbalances
- Address biomechanical faults
- Coordination Progression to funx training
9
Q
Abnormal Patella Positions
A
- Patella alta = glides superiorly - camel back sign
- Patella baja = tracks inferior - restricted knee EXT & DJD
- Lateral = w/ increased Q angle
10
Q
Abnormal Patella Positions Dx
A
plain film imaging - sunrise view
11
Q
Abnormal Patella Positions and PT
A
- regain funx strength of structures around the knee particularly VMO and flexibility of ITB and hamstrings,
- orthosis if appropriate and
- patellar bracing/taping
12
Q
PFPS
A
- common dysfunction that occurs on its own or in conjunction.
- Trauma, congenital, chondromalacia or patellar tendonitis
- Results in abnormal patellar tracking
13
Q
PFPS Dx
A
possible MRI to rule out other issues
14
Q
PFPS Meds
A
NSAIDs and acetaminophen
15
Q
PFPS and PT
A
- McConnel Taping is helpful to inhibit p! during rehab
- Patella Mobs
- Correct ms imbalance
- biomechanical faults