Knee CS

Question 1

ACL TP

Answer 1

at widest portion of popliteal space

on the tendons of the hamstring muscles (medial and lateral) maybe just above crease

Question 2

ACL Tx

Answer 2

pt supine with towel under distal femur, superior to knee

shearing force on proximal tibia, distal to knee to relive tension on ACL

Question 3

PCL TP

Answer 3

close to the middle of the popliteal space

Question 4

PCL Tx

Answer 4

pt supine with towel under proximal tibia, inferior to knee

shearing force on distal femur, proximal to knee to relive tension on PCL

Question 5

MCL TP

Answer 5

Medial aspect of joint line

MCL and Medial Meniscus

Question 6

MCL Tx

Answer 6

pt supine with ph seated on tx side
leg hangs off table with knee flexed at ~60°
cephalad hand on tp @ knee, leg on ph thigh
caudad hand around foot applying MOSTLY internal oration with a slight varus (leg adduction) force

Question 7

Medial Hamstring TP

Answer 7

2 locations
medial to midline halfway along femur
posteriomedial aspect of proximal tibia (attachment of semi-membrinosis)

Question 8

Medial Hamstring Tx

Answer 8

pt supine with ph on tx side
knee flexed
cephalad hand monitoring
caudad hand on ankle
internally rotate the tibia with slight adduction (varus)
note: compression can be added to calcaneus to elicit plantar flexion of the foot

Question 9

Medial Hamstring m

Answer 9

Semi-mebrinosis

Question 10

LCL TP

Answer 10

Lateral aspect of the meniscus along the joint line

LCL and Lateral meniscus

Question 11

LCL Tx

Answer 11

pt supine with ph seated on tx side
pt leg off table and on ph thigh
ph cephalad hand monitoring
caudad hand wrapped around medial foot
introduce mostly abduction (valgus) fore with mild rotation if needed

Question 12

Lateral Hamstring TP

Answer 12

2 location
lateral to midline halfway down femur
posteriolateral joint line near head of fibula

Question 13

Lateral Hamstring Tx

Answer 13

pt supine with ph seated on tx side
pt leg off table and on ph thigh
ph cephalad hand monitoring
caudad hand wrapped around medial ankle with compression force of calcaneus to induce plantar flexion
introduce mostly external rotated with mild abduction (valgus) force if needed

Question 14

Lateral Hamsting m

Answer 14

Biceps Femoris

Question 15

Knee Extenders TPs

Answer 15

1. anterior to medial meniscus
2. patellar tendon just distal to patella
3. anteriomedial surface of tibia

Question 16

Knee Extenders Txs

Answer 16

pt supine with ph on tx side
either towel under distal tibia or (3) leg on ph thigh
1. anterior to medial meniscus
- hyperextension and IR of thigh
2. patellar tendon just distal to patella
- hyperextension and IR of thigh
3. anteriomedial surface of tibia
- hyperextension and ER of thigh
May put oh knee on table to assist with hyperextension