Knee Disorders - MSK Flashcards
1
Q
Iliotibial Band Syndrome (ITB Syn)
A
- over training, running on uneven surface
- lat knee pain as ITB rubs over lat fem condyle, tender Gerdy’s tubercle
- RICE (rest, ice, elevation, compression), heat, NSAIDs, steroid injection, PT (ITB and TFL stretching, hip adductor strengthening
2
Q
Pes anserine bursitis
A
- pain and tenderness at medial prox tibia
- RICE, heat, NSAIDs, steroid inj, PT (sartorius, gracilis, hamstring stretching and modalities)
3
Q
Patellofemoral Pain Syndrome
A
- overuse, muscular imbalance, pes planus (flat foot), increased Q angle
- anterior knee pain worse with prolonged sitting or descending stairs
- RICE, PT to address the biomechanical imbalances, quad strengthening
4
Q
Ligament or Meniscus Disruption
A
- excessive pivoting or cutting, hyperext or hyperflex, lateral trauma
- RICE, NSAIDs, PT and ortho or physiatry referrals
5
Q
“My knee locks up some times”
A
- Meniscal tear with fragment : especially if poor extension
- Loose body
- Patellofemoral or tibiofemoral cartilage injury
- Patellar instability / sublux / dislocation / malalignment
- Patellofemoral Pain Syndrome
- Chondromalacia Patella
- OA
6
Q
“My knee gives out all the time”
A
- Patellar instability / patellofemoral pain
- ACL tear (“knee moves in many directions”)
- Meniscal tear
- Loose body
- Quad weakness
7
Q
“My knee is swollen”
A
- Arthritis: Inflammatory, Septic, OA
- Hemarthrosis: Bleeding d/o?
- Avascular necrosis
- Contusion, hematoma
- Osgood-Schlatter
- Loose body, meniscal tear
- Baker’s cyst
- Any ligament tear
- Any sprain / strain
- Any bursitis / tendinitis
8
Q
“The front of my knee hurts”
A
- OA
- Femoral / tibial fx
- Medial or lateral meniscal tear
- Medial or lateral collateral ligament strain
- Osteonecrosis of femoral condyles
- Patellar bursitis / tendinitis
- Recurrent patellar sublux / dislo / malalignment
- Patellofemoral Pain Syndrome
9
Q
“The outside of my knee hurts”
A
- OA
- Lateral bursitis
- ITB syndrome
- LCL tear / bursitis / sprain
- Lateral meniscus injury
- Patellar fx
- Patellofemoral Pain Syndrome
10
Q
“The inside of my knee hurts”
A
- OA
- Medial meniscal injury
- MCL tear / bursitis / sprain
- Pes anserine bursitis
