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OPTIM OCS: LQ > Knee: Examination 1 > Flashcards

Knee: Examination 1 Flashcards

1
Q

Joint effusion: grade 0

A

none

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2
Q

Joint effusion: grade “trace”

A

milk medially, sweep laterally

small amount back

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3
Q

Joint effusion: grade 1+

A

milk it out and does not return on its own

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4
Q

Joint effusion: grade 2+

A

milk it out and immediately returns to full pouch

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5
Q

Joint effusion: grade 3+

A

cannot milk it out

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6
Q

joint mobility end feels:

normal for knee flexion with hip flexed

A

soft (soft tissue approximation)

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7
Q

joint mobility end feels:

normal for flexion with hip extended

A

firm (quad tension)

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8
Q

joint mobility end feels:

abnormal - empty

A

unwillingness or inability to allow assessment

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9
Q

joint mobility end feels:

abnormal/empty endfeel might indicate

A
  • serious pathology (fx)

- excessive laxity

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10
Q

joint mobility end feels:

normal for extension

A

firm

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11
Q

joint mobility end feels:

abnormal for extension

A

bony

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12
Q

joint mobility end feels:

abnormal bony endfeel implications

A

may require surgical intervention

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13
Q

MMT in strong patients has poor (2)

A
  • reliability

- sensitivity

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14
Q

muscle strength: preferred method

A

use of handheld dynamometer if available

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15
Q

Ligament testing: grade 1+

A

3-5 mm

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16
Q

Ligament testing: grade 2+

A

5-10 mm

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17
Q

Ligament testing: grade 3+

A

> 10 mm

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18
Q

Collateral ligament testing: In this position, preferentially testing the collateral ligaments

A

20-30˚

19
Q

Collateral ligament testing: varus/valgus testing at 0˚

which structures

A

both collateral and secondary restraints

20
Q

Collateral ligament testing: secondary restraints

A

cruciate ligaments

21
Q

Collateral ligament testing: higher sensitivity/specificity with (valgus/varus) stress testing

A

valgus

22
Q

Collateral ligament testing: higher sensitivity or specificity for pain and laxity?

A

sensitivity

23
Q

(+) Anterior drawer = (#) mm translation with endfeel

A

6 mm

24
Q

Anterior drawer tests this bundle of ACL

A

anteromedial

25
Q

ACL testing: Which test is better for chronic ACL tears?

A

Anterior drawer

26
Q

ACL testing: Anterior drawer

sensitivity

A

55%

27
Q

ACL testing: Anterior drawer

specificity

A

92%

28
Q

ACL testing: Lachman

tests this bundle

A

posterolateral

29
Q

ACL testing: gold standard for ACL

A

Lachman

30
Q

ACL testing: Lachman

sensitivity

A

85%

31
Q

ACL testing: Lachman

specificity

A

94%

32
Q

ACL testing: This test may be limited d/t significant pt guarding clinically

A

pivot shift

33
Q

ACL testing: pivot shift

specificity

A

98%

34
Q

ACL testing: pivot shift

sensitivity

A

24% clinically

35
Q

ACL testing: must beware of false (positives/negatives)

A

positives

36
Q

ACL testing: If this structure is injured, the tibia may be posteriorly subluxed and cause a false (+) ACL

A

PCL

37
Q

PCL testing: tibial (ER/IR) tightens the PCL

A

tibial ER

38
Q

PCL testing: interpretation

If laxity increases with ER, consider…

A

posterolateral corner injury

39
Q

PCL testing: posterior drawer

sensitivity

A

90%

40
Q

PCL testing: posterior drawer

specificity

A

99%

41
Q

PCL testing: posterior sag

sensitivity

A

79%

42
Q

PCL testing: posterior sag

specificity

A

100%

43
Q

Posterolateral corner: composed of these structures

A
  • arcuate ligament
  • LCL
  • popliteal tendon
  • lateral head of gastroc
44
Q

Posterolateral corner: tests

A
  • posterolateral drawer
  • prone ER test (dial test)
  • reverse pivot shift test
  • ER recurvatum test

OPTIM OCS: LQ (43 decks)

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