Knee conditions

Question 1

Ligament sprains - four major ligaments may be involved

Answer 1

ACL PCL MCL LCL

Question 2

ACL laxity may result in _____ instability

Answer 2

single plane anterior instability

Question 3

PCL laxity may result in ____ instability

Answer 3

single place posterior instability

Question 4

ACL and MCL laxity may result in ___ instability

Answer 4

anteromedial rotary instability

Question 5

ACL and LCL laxity may result in ___ instability

Answer 5

anterolateral rotary instability

Question 6

PCL and MCL laxity may result in ___ isntability

Answer 6

posteromedial rotary instability

Question 7

PCL and LCL laxity may result in ___ instability

Answer 7

posterolateral rotary instability

Question 8

Classification of injury with ligament sprain -

Answer 8

first degree - little or no instability
second - minimal to moderate instability
third - extreme instability

Question 9

ligament sprain - unhappy triad

Answer 9

injury to MCL, ACL, medial meniscus from combination of valgum, flexion, and ER forces applied to knee when foot is planted

Question 10

Meniscal injuries - result from

Answer 10

combination of forces to include tibiofemoral joint flexion, compression, and rotation which places abnormal shear stress on meniscus

Question 11

Meniscal injuries - special tests

Answer 11

Mcmurry

Apley

Question 12

Patellofemoral conditions - abnormal patella positions - patella alta

Answer 12

Malalignment where patella tracks superiorly in femoral intercondylar notch

Question 13

Patellofemoral conditions - abnormal patella positions - patella alta - what sign will be seen

Answer 13

positive camel back sign (two bumps over anterior knee region instead of typical one)

Question 14

Patellofemoral conditions - abnormal patella positions - patella baja

Answer 14

Malaligment where patella tracks inferiorly in femoral intercondylar notch

Question 15

Patellofemoral conditions - abnormal patella positions - patella baja results in

Answer 15

restricted knee extension with abnormal cartilaginous wearing, resulting in DJD

Question 16

Patellofemoral conditions - abnormal patella positions - lateral patellar tracking - could result if there is an

Answer 16

increase in Q angle with tendency for lateral subluxation or dislocation

Question 17

Patellofemoral pain syndrome - common dysfunction that may be interrelated with

Answer 17

chondromalacia patellae and/or patella tendonitis

Question 18

Patellafemoral pain syndrome - DONT USE

Answer 18

quadriceps sets, single leg raise flexion, and isolated quad exercises for patellofemoral pain

Question 19

Patellar tendonosis/tendonopathy (jumpers knee) - degeneration of ____
May be related to

Answer 19

patellar tendon
May be related to overload and/or jumping
Might be itnerrelated to patellofemoral dysfunction

Question 20

Pes anserine bursitis - typically caused by

Answer 20

overuse or a contusion

Question 21

Fractures - Femoral condyle - what is most often invovled

Answer 21

medial femoral condyle is most often involved because of anatomical design

Question 22

Fractures - femoral condyle - common MOI

Answer 22

fall with knee subjected to shearing force

Question 23

Fractures - tibial plateau - common MOI

Answer 23

combination of valgum and compression forces to knee when knee is in a flexed position

Question 24

Fractures - tibial plateau - often occurs in conjunction with

Answer 24

medial collateral ligamentous injury

Question 25

Fractures - epiphyseal plate - MOI

Answer 25

WB torsional stress

Presents more frequently in adolescents (would be ACL injury in adults)

Question 26

Fractures - patella - MOI

Answer 26

direct blow to patella with a fall