Knee - Jigsaw Questions Flashcards
Patellofemoral Pain Syndrome
- Condition Summary = ?
- Expected Impairments = ?
- Specific Treatments = ?
Knee Jigsaw
Patellofemoral Pain Syndrome:
- Condition Summary :
- Annual Prevalence, 22.7%
- Higher for adolescents, women, and athletes (esp. Running/jumping).
- Usually due to compression of the patella (quads / IT band) or unstable tracking (Ligament laxity).
- Can cause inflammation and pain of the joint surface.
- After long periods of having PFPS, articular cartilage breaks down and starts to soften.
- Pinching of the Vestigial synovial fold is also common for the medial side of the patellla
- Expected Impairments :
- Localized, anterior knee pain
- Poor patellar tracking
- Pain with squatting/stairs
- Hyper/hypo joint play
- Decreased end range flexion ROM (unless hypermobile)
- Specific Treatments :
- Activity Reduction, Ice
- Switch to forefoot running/neutral strike.
- STM to Quad Muscles & IT
- If hypo focus on stretching then strengthening: quad & ITB stretching.
- If laxity focus on strengthening/improving muscular balance: glute max, glute med, peroneal, squat/stair progression.
- Overall prioritize glute med.
A 22 year old female comes into your clinic with anterior knee pain. She explains that she is a long jumper for the University of Saint Mary’s and feels the pain when she is doing squats during her weight-lifting practices. You as the physical therapist assessed inferior glide joint play and scored it a 2/6.
Which special test would be best to rule in PFPS?
- A - Femoral Neural Tension
- B - McMurray’s Test
- C - Ege’s Test
- D - Clarke’s Grind Test
Knee Jigsaw
A 22 year old female comes into your clinic with anterior knee pain. She explains that she is a long jumper for the University of Saint Mary’s and feels the pain when she is doing squats during her weight-lifting practices. You as the physical therapist assessed inferior glide joint play and scored it a 2/6.
Which special test would be best to rule in PFPS?
- A - Femoral Neural Tension
- B - McMurray’s Test
- C - Ege’s Test
- D - Clarke’s Grind Test
Which structures are shortened or overly active, causing excessive compression to the anterior knee, during loading through the anterior extensor mechanism?
- A - Adductor Magnus & Adductor Brevis
- B - Glute Med & Glute Max
- C - IT Band & Quadriceps
- D - Hamstrings & Glute Min
Knee Jigsaw
Which structures are shortened or overly active, causing excessive compression to the anterior knee, during loading through the anterior extensor mechanism?
- A - Adductor Magnus & Adductor Brevis
- B - Glute Med & Glute Max
- C - IT Band & Quadriceps
- D - Hamstrings & Glute Min
A 23 year-old male weightlifter presents with pain in the front of the knee. It started after hitting the gym last Tuesday and hurts when he goes up and down the stairs. A small click occurs on the medial side of the knee from 0 – 30 degrees of extension. With this information, which structure is most likely being impacted?
- A - Anterior horn of meniscus
- B - Plica
- C - Anterior Cruciate Ligament
- D - Patellar tendon
Knee Jigsaw
A 23 year-old male weightlifter presents with pain in the front of the knee. It started after hitting the gym last Tuesday and hurts when he goes up and down the stairs. A small click occurs on the medial side of the knee from 0 – 30 degrees of extension. With this information, which structure is most likely being impacted?
- A - Anterior horn of meniscus
- B - Plica
- C - Anterior Cruciate Ligament
- D - Patellar tendon
Patellar Tendinopathy
- Condition Summary = ?
- Expected Impairments = ?
- Specific Treatments = ?
Knee Jigsaw
Patellar Tendinopathy:
- Condition Summary :
(a) With patellar tendinopathy it is a result of overuse injury. There are three phases of the inner tendon:
- Reactive : Inflammatory, and increase of proteoglycans
- Disrepair : Separation and type 3 collagen, neural ingrowth
- Degenerative : Breakdown of the tendon and cell death
(b) FOCUS ON THE DONUT, NOT THE HOLE!
- Increase the tendon thickness on the outside
(c) Risk factors:
- People aged from 35-50 (degenerative)
- Repetitive movements (tend to be younger more athletic patients)
- Heavy body mass
- Expected Impairments :
- Pain pattern locally in the proximal patellar ligament.
- Pain with palpation or contraction.
- Swelling in the area.
- Specific Treatments :
(a) Exam Tests:
- (+) Resisted knee extension
- (+) Stair climbing, jumping
- (-) Patellofemoral Testing
(b) Treatments:
- Activity reduction
- Cross friction (one directional)
- Quad/ ITB stretching
(c) Four step loading program:
- I Isometric
- II Eccentric
- III Rapid eccentrics
- IV Rapid concentrics
When rehabbing a patient with patellar tendinopathy which of the following is the BEST and most correct sequence of a four-step loading program?
- A - Slantboard heel taps, Split squats, Box Jumps, Depth Jumps
- B - Quad sets, Banded knee extension, Wall squats, Single leg balance
- C - Slantboard isometric, Split stance eccentrics, Depth jumps, Box jumps
- D - Knee Flexion stretching, Air squats, Heisman hops, Knee proprioceptive work
Knee Jigsaw
When rehabbing a patient with patellar tendinopathy which of the following is the BEST and most correct sequence of a four-step loading program?
- A - Slantboard heel taps, Split squats, Box Jumps, Depth Jumps
- B - Quad sets, Banded knee extension, Wall squats, Single leg balance
- C - Slantboard isometric, Split stance eccentrics, Depth jumps, Box jumps
- D - Knee Flexion stretching, Air squats, Heisman hops, Knee proprioceptive work
A 32-year-old female track athlete presents to the clinic with knee pain while training for her track meet. Her pain presents anterior side of the knee with her pain staying localized. She has signs of swelling and pain with palpation and is positive for the resisted knee extension test. Due to her results of examination, you declare she has patellar tendinopathy, what phase is she in?
- A - Reactive
- B - Degenerative
- C - Disrepair
- D - Decomposition
Knee Jigsaw
A 32-year-old female track athlete presents to the clinic with knee pain while training for her track meet. Her pain presents anterior side of the knee with her pain staying localized. She has signs of swelling and pain with palpation and is positive for the resisted knee extension test. Due to her results of examination, you declare she has patellar tendinopathy, what phase is she in?
- A - Reactive
- B - Degenerative
- C - Disrepair
- D - Decomposition
Your patient comes into the clinic with complains of localized, proximal knee pain on the anterior side of the knee. You think they have patellar tendinopathy, what is a special test that you could do?
- A - Resisted Knee extension
- B - Maudsleys
- C - McMurray’s
- D - Thessaly
Knee Jigsaw
Your patient comes into the clinic with complains of localized, proximal knee pain on the anterior side of the knee. You think they have patellar tendinopathy, what is a special test that you could do?
- A - Resisted Knee extension
- B - Maudsleys
- C - McMurray’s
- D - Thessaly
Tibial Tubercle Apophysitis
- Condition Summary = ?
- Expected Impairments = ?
- Specific Treatments = ?
Knee Jigsaw
Tibial Tubercle Apophysitis:
Condition Summary :
- Osgood-Schlatter Disease
- Localized pain pattern in the tibial tubercle
- More often in overweight boys than girls
- Boys aged 8-15
- The apophysis is the site of the bone growth that is not connected to the joint line.
- It is 2-5x weaker than the surrounding bones and tendons, therefore can result in injury if stressed.
- Risks include heavy body mass, repetitive knee extension, and being a boy aged 8-15 years old.
- Mechanism of injury
- Rapid bone growth without muscle lengthening.
- Occurs when there is too high/ repetitive and poorly controlled force.
- Expected Impairments :
- Pain and sensitivity over the tibial tuberosity.
- Pain with stair climbing, squatting, running, jumping, resisted leg extension.
- Focal swelling and warmth over tibial tubercle.
- Specific Treatments :
- Soft tissue massage and stretching of the quads and TFL will decrease the tone of these muscles and decrease the tension on the tibial tubercle.
- Progressive gluteal strengthening such as bridges, side planks, forward step ups, and hip thrusts.
- Determine mechanical compensations during actions such as stair walking, squats, lunges, and deadlifts to decrease the load on the patellar tendon and thus the tibial tubercle.
- Progress to return to sport activities with proper body mechanics and increased strength.
What knee pathology can present with repetitive knee extension, heavy body mass, swelling, and is similar in terms of pathophysiology and treatment for Little Leaguers elbow, and Sever disease in the calcaneus?
- A - Patellar tendinopathy
- B - Meniscal tear
- C - PFPS
- D - Tibial Tubercle Apophysitis (Osgood Schlatter’s)
Knee Jigsaw
What knee pathology can present with repetitive knee extension, heavy body mass, swelling, and is similar in terms of pathophysiology and treatment for Little Leaguers elbow, and Sever disease in the calcaneus?
- A - Patellar tendinopathy
- B - Meniscal tear
- C - PFPS
- D - Tibial Tubercle Apophysitis (Osgood Schlatter’s)
A 10 y/o male pt presents to PT with knee pain. His mother says that he has been active on his club soccer team as well as has been growing a lot the last few months. His pain is mainly on the bump below his kneecap. What treatment combination would be BEST to treat this likely impairment?
- A - Ice, position changing during games to be a little less active, and femoral nerve glides.
- B - Hip drops, lunge progression, and biomechanical training for squats.
- C - ACL cross friction massage, grade I posterior tibiofemoral mobilizations at the knee, and quad stretching.
- D - Glute Strength progression, knee extensor stretching, and appropriate biomechanics instruction relating to soccer.
Knee Jigsaw
A 10 y/o male pt presents to PT with knee pain. His mother says that he has been active on his club soccer team as well as has been growing a lot the last few months. His pain is mainly on the bump below his kneecap. What treatment combination would be BEST to treat this likely impairment?
- A - Ice, position changing during games to be a little less active, and femoral nerve glides.
- B - Hip drops, lunge progression, and biomechanical training for squats.
- C - ACL cross friction massage, grade I posterior tibiofemoral mobilizations at the knee, and quad stretching.
- D - Glute Strength progression, knee extensor stretching, and appropriate biomechanics instruction relating to soccer.
A 8-year-old male patient presents with tibial tubercle apophysitis. Which test would provide you the MOST evidence to support this pathoanatomical diagnosis.
- A - Pain with palpation of patellar ligament.
- B - Positive patellar tilt test
- C - Pain with a stair step up
- D - Positive lateral pull test of the patella
Knee Jigsaw
A 8-year-old male patient presents with tibial tubercle apophysitis. Which test would provide you the MOST evidence to support this pathoanatomical diagnosis.
- A - Pain with palpation of patellar ligament.
- B - Positive patellar tilt test
- C - Pain with a stair step up
- D - Positive lateral pull test of the patella
Meniscus Injury
- Condition Summary = ?
- Expected Impairments = ?
- Specific Treatments = ?
Knee Jigsaw
Meniscus Injury:
Condition Summary :
- Meniscus injuries/tears impact either the medial or lateral meniscus, with the medial meniscus being more commonly affected of the two.
- The most common cause of this pathology is rotation at the knee, especially when the knee is in a closed-chain position.
- The outer 1/3 of the meniscus has the best healing prognosis due to adequate innervation and blood supply.
Expected Impairments :
- Vague pain along either medial or lateral joint line
- Delayed swelling (ACL immediate swelling)
- Ability to WB immediately (ACL inability to WB immediately)
- Feeling of leg “giving out”
Specific Treatments :
- Patient education : reduce activity, avoid closed chain rotation
- Cross friction : meniscotibial, patellomeniscal, 2 minutes light followed by 2 minutes heavy unidirectional.
- Early on work on flexion and extension and make sure screw home mechanism is intact, then work on tibial rotation
- Joint mobs for hypomobility or pain relief
- Progressive ROM
- Weight bearing
- Rotational motor control starting with open chain progressing to closed chain.
Ex. Airex pad for balance, rotational step outs,
- Strengthen quads and hamstrings
Ex. Multiple plane lunges
- Angle reproduction with laser, reflex reactivation.
Ex. Heiden hops, box jumps, rotational box jumps
A pt is being evaluated for vague knee pain. They are able to ambulate but complain of being unstable. The PT decides to perform some meniscal tests and uses McMurray’s and Ege’s tests. Which portion of the meniscus is tested?
- A - Anterior portion
- B - Posterior portion
- C - Mid-substance portion
- D - Mid-substance portion
Knee Jigsaw
A pt is being evaluated for vague knee pain. They are able to ambulate but complain of being unstable. The PT decides to perform some meniscal tests and uses McMurray’s and Ege’s tests. Which portion of the meniscus is tested?
- A - Anterior portion
- B - Posterior portion
- C - Mid-substance portion
- D - Mid-substance portion
What muscle would you want to target the most if your patient had a tear in the anterior horn of the meniscus?
- A - Biceps femoris
- B - Quadriceps muscles
- C - Gastrocnemius
- D - Semimembranosus
Knee Jigsaw
What muscle would you want to target the most if your patient had a tear in the anterior horn of the meniscus?
- A - Biceps femoris
- B - Quadriceps muscles
- C - Gastrocnemius
- D - Semimembranosus
Which of the following would not be a common observation seen in a patient presenting with a meniscus injury?
- A - Delayed effusion
- B - Apprehension to WB due to “dead-leg feeling”
- C - Guarded knee ROM
- D - Pinpoint pain patterns
Knee Jigsaw
Which of the following would not be a common observation seen in a patient presenting with a meniscus injury?
- A - Delayed effusion
- B - Apprehension to WB due to “dead-leg feeling”
- C - Guarded knee ROM
- D - Pinpoint pain patterns
ACL Injury
- Condition Summary = ?
- Expected Impairments = ?
- Specific Treatments = ?
Knee Jigsaw
ACL Injury:
- Condition Summary :
- Prehab before athletics and surgery have better outcomes.
- If you know the ACL post -surgical protocol, then PCL will be 2x the amount, and MCL is ½ amount of recovery.
- Women > men.
- High retear rate (24-30%)
- 50% will go on to develop OA
- MOI: noncontact injury
- Age: 15-50
- Pivot Sports
- Expected Impairments :
- Loss knee ROM-immediate swelling
- Antalgic gait
- Pain-most movements
- Decrease in quad strength
- Specific Treatments :
- Prehabilitation
- Early mobility and WB
- Ice & bracing
- Prevention is key- 52%-88% decrease in tear rate (ie. Healthy BMI, Core Hip, and Knee Strength training) (Strength and plyometrics)
- Work core, hip, AND knee
- Closed Chain strength and motor control < 4 weeks
- 4 weeks: Open Chain
Which option includes the correct mechanism of injury cluster for ACL.
- A - Rapid acceleration in low flexion angle, anterior tibial shear > valgus, tibial internal rotation.
- B - Rapid deceleration in low flexion angle, anterior tibial shear > valgus, tibial external rotation.
- C - Rapid acceleration in high flexion angle, anterior tibial shear > valgus, tibial internal rotation.
- D - Rapid deceleration in low flexion angle, anterior tibial shear > valgus, tibial internal rotation.
Knee Jigsaw
Which option includes the correct mechanism of injury cluster for ACL.
- A - Rapid acceleration in low flexion angle, anterior tibial shear > valgus, tibial internal rotation.
- B - Rapid deceleration in low flexion angle, anterior tibial shear > valgus, tibial external rotation.
- C - Rapid acceleration in high flexion angle, anterior tibial shear > valgus, tibial internal rotation.
- D - Rapid deceleration in low flexion angle, anterior tibial shear > valgus, tibial internal rotation.
Patients with ACL injuries earlier on in life they are at risk for what pathology once they reach the age of 50?
- A - RA
- B - OA
- C - ACL tear again
- D - Patellar tendonitis
Knee Jigsaw
Patients with ACL injuries earlier on in life they are at risk for what pathology once they reach the age of 50?
- A - RA
- B - OA
- C - ACL tear again
- D - Patellar tendonitis
Which of the following is NOT a benchmark to begin ACL Prehabilitation?
- A - Limited to No Effusion
- B - Minimal Pain
- C - Ability to hop on one leg if incorporating plyo
- D - Ability to achieve 90% of Full ROM
Knee Jigsaw
Which of the following is NOT a benchmark to begin ACL Prehabilitation?
- A - Limited to No Effusion
- B - Minimal Pain
- C - Ability to hop on one leg if incorporating plyo
- D - Ability to achieve 90% of Full ROM
PCL Injury
- Condition Summary = ?
- Expected Impairments = ?
- Specific Treatments = ?
Knee Jigsaw
PCL Injury:
- Condition Summary :
- The PCL is responsible for controlling posterior translation of the tibia.
- This condition usually occurs as a result of trauma and along with other ligament injuries.
- There are three grades of this pathology, with
1 being considered microtrauma,
2 being partial tear, and
3 being a complete tear
- It can occur due to either hyper extension or posteriorly directed force on a flexed knee.
- These patients will often need surgery, with rehab possibly taking twice as long as the ACL.
- Risks include being ages 18-44 and contact sports.
- Expected Impairments :
- Deep, diffuse pain (similar to ACL)
- Often non-contact but typically secondary to trauma.
- Observations: posterior tibial translation, knee external rotation.
- Pain in most movements
- Weight bearing status
- Specific Treatments :
- Pt. Education – Recovery expectations, WB precautions, ice, crutch training, orthotics – adjustable hinged knee brace.
- Manual Therapy - Joint mobs – patellofemoral joint III – IV, STM/MFR - ITB, quads, hamstrings, calves.
- Non-operative: 2-4 weeks immobilized in a full EXT cast. A stabilization and quadricep focused program follows.
- Operative: Healing takes twice as long as ACL but has similar treatment protocols. Immobilization time of 3-6 weeks with a bracing time of 2-4 months. Program focuses on progressive WB, limiting posterior tibial shear, limiting hamstring recruitment, and promoting quadricep activation.
For operative PCL’s injuries, you should focus on what type of exercises during treatment?
- A - Limiting Quad Recruitment
- B - Promote Hamstring Activation
- C - Progressive Weight Bearing
- D - Limiting Anterior Tibial Shear
Knee Jigsaw
For operative PCL’s injuries, you should focus on what type of exercises during treatment?
- A - Limiting Quad Recruitment
- B - Promote Hamstring Activation
- C - Progressive Weight Bearing
- D - Limiting Anterior Tibial Shear
You are working with a patient who is beginning to transition to the strengthening phase of rehab. This person is post-op from a grade III PCL tear. Which of the following would be the focus at this point in the rehab program?
- A - Limit hamstring recruitment and STM to the MCL.
- B - Promote quad activation and STM to the MCL.
- C - Limit hamstring recruitment and STM to the ITB.
- D - Limit quad activation and STM to the ITB
Knee Jigsaw
You are working with a patient who is beginning to transition to the strengthening phase of rehab. This person is post-op from a grade III PCL tear. Which of the following would be the focus at this point in the rehab program?
- A - Limit hamstring recruitment and STM to the MCL.
- B - Promote quad activation and STM to the MCL.
- C - Limit hamstring recruitment and STM to the ITB.
- D - Limit quad activation and STM to the ITB
A patient presents to your clinic after suffering forced hyperextension of the knee during a motor vehicle accident. Which of the following aspects of post-operative recovery would be most appropriate to educate your patient about?
- A - Immobilization in full FLX, a very long recovery time, and a focus on quadricep strengthening.
- B - Immobilization in full EXT, a very long recovery time, and a focus on quadricep strengthening.
- C - Early mobility and WB, avoiding close chain exercises, and a long recovery time.
- D - Early mobility and WB, avoiding open chain exercises, and a long recovery time.
Knee Jigsaw
A patient presents to your clinic after suffering forced hyperextension of the knee during a motor vehicle accident. Which of the following aspects of post-operative recovery would be most appropriate to educate your patient about?
- A - Immobilization in full FLX, a very long recovery time, and a focus on quadricep strengthening.
- B - Immobilization in full EXT, a very long recovery time, and a focus on quadricep strengthening.
- C - Early mobility and WB, avoiding close chain exercises, and a long recovery time.
- D - Early mobility and WB, avoiding open chain exercises, and a long recovery time.
Collateral Injury
- Condition Summary = ?
- Expected Impairments = ?
- Specific Treatments = ?
Knee Jigsaw
Collateral Injury:
- Condition Summary :
- MOI: Traumatic; blow to lateral knee will affect the MCL ; blow to medial knee affects the LCL. This injury is usually not seen in isolation due to the high-energy trauma required to injure ligament.
- G1 Tear happens at a microscopic level and has the best prognosis of 1-2 weeks.
- G2 Will present with less than 10mm of laxity in valgus and has a prognosis of 3 weeks.
- G3 Tears are a full rupture and often have co-occurring pathologies (mostly ACL). They are often associated with little pain due to the severence of nerve endings.
- Expected Impairments :
- Pain parallel to side of injury (LCL or MCL), pain with palpation, antalgic gait, pain with end-range knee movements.
- (+) testing: valgus or varus testing (10 mm or 5-15 degrees)
- (-) testing: ACL, PCL, meniscus
- Specific Treatments :
(a) Joint mobilizations (rare):
- Patellofemoral joint (3-4)
- Tibiofemoral joint (1-4)
(b) Cross friction massage to the LCL/MCL
(c) Surgical Protocol:
- Phase 1 (1-4 weeks)
- Inflammation control, ROM, progressive WB
- Phase 2 (4-6 weeks)
- Full WB, WB strengthening
- Phase 3 (6-12 weeks)
- Sport specific training
- Return-to-Sport (Consider around 3 months)
A patient presents with a grade 2 LCL strain. The patient is fitted with an orthotic device. Which of the following would be most beneficial for the patient?
- A - Hinged Knee Brace
- B - Varus Unloading Brace
- C - Patellar Tendon Strap
- D - Prophylactic Brace
Knee Jigsaw
A patient presents with a grade 2 LCL strain. The patient is fitted with an orthotic device. Which of the following would be most beneficial for the patient?
- A - Hinged Knee Brace
- B - Varus Unloading Brace
- C - Patellar Tendon Strap
- D - Prophylactic Brace
Which of the following exercises would be included in a conservative rehab program for a collateral injury patient that would not be included for an ACL/PCL injury?
- A - Reverse Lunge
- B - Depth Jump
- C - Pelvic Drops
- D - Copenhagen’s
Knee Jigsaw
Which of the following exercises would be included in a conservative rehab program for a collateral injury patient that would not be included for an ACL/PCL injury?
- A - Reverse Lunge
- B - Depth Jump
- C - Pelvic Drops
- D - Copenhagen’s
After a side blow to the knee during a game, a 17 y/o football player presents to the clinic with antalgic gait, pain at the medial knee, and pain will full knee flexion. Examination results in a positive valgus stress test and decreased abduction ROM of the hip due to overactive adductors. Which treatment would best benefit this patient at this point in his rehabilitation?
- A - Cross friction to the LCL
- B - Grade I anterolateral hipmobilization
- C - Cross friction to the MCL
- D - Planks
Knee Jigsaw
After a side blow to the knee during a game, a 17 y/o football player presents to the clinic with antalgic gait, pain at the medial knee, and pain will full knee flexion. Examination results in a positive valgus stress test and decreased abduction ROM of the hip due to overactive adductors. Which treatment would best benefit this patient at this point in his rehabilitation?
- A - Cross friction to the LCL
- B - Grade I anterolateral hipmobilization
- C - Cross friction to the MCL
- D - Planks
Osteoarthritis
- Condition Summary = ?
- Expected Impairments = ?
- Specific Treatments = ?
Knee Jigsaw
Osteoarthritis:
- Condition Summary :
- Osteoarthrosis (OA), presents with diffuse knee pain and is influenced by various risk factors including age over 45, higher BMI, previous knee trauma, more prevalent in women.
- Physical observations often include an antalgic gait, varus deformity, and bony enlargements.
- During examination, patients may experience pain during closed-chain range of motion, reduced ROM with clicking/catching, morning stiffness, and crepitus. Patient education focuses on strategies like ice or heat therapy, compression, use of braces, and weight management.
- Referral for treatments like injections, medications, topicals, and supplements such as turmeric or glucosamine/chondroitin may be recommended.
- Interventions include joint mobilization, soft tissue massage, and exercises targeting functional motor patterns, gluteal and foot intrinsic muscle strength, and sensory assessments for balance and proprioception.
- Rehabilitation progresses through stages, starting from post-operative care to advanced activity rehabilitation over weeks.
- Expected Impairments :
- Antalgic Gait
- Decreased ROM overall but more limitations in flexion
- Crepitus and morning stiffness
- Varus Deformity
- Pain/ Swelling
- Specific Treatments :
(a) Motor:
- Functional motor patterns
- Glute max/med strength
- Foot intrinsic strength
- Peroneal strength
(b) Sensory:
- Balance
- Proprioception
(c) TKA Protocol Stages (weeks):
- Post-operative (1-2) -Activate quad
- Motion (3-6)- Flexion ROM
- Intermediate (7-12) - Strength and endurance
- Advanced activity (13-26) - “Luxury” b/c most patients d/c at this point.
What would put you at the least risk for OA after an ACL tear?
- A - Isolated ACL tear
- B - Repeated ACL tears
- C - ACL and Chondral damage
- D - ACL and PCL tear
Knee Jigsaw
What would put you at the least risk for OA after an ACL tear?
- A - Isolated ACL tear
- B - Repeated ACL tears
- C - ACL and Chondral damage
- D - ACL and PCL tear
A patient presents with morning stiffness in their knee that eases throughout the day. Patient’s major limitations are in flexion with a hard end feel. What would be their diagnosis.
- A - OA of the Hip
- B - Patellofemoral pain syndrome
- C - OA of the knee
- D - Collateral injury
Knee Jigsaw
A patient presents with morning stiffness in their knee that eases throughout the day. Patient’s major limitations are in flexion with a hard end feel. What would be their diagnosis.
- A - OA of the Hip
- B - Patellofemoral pain syndrome
- C - OA of the knee
- D - Collateral injury
Which of the following interventions has low levels of supportive evidence for knee OA?
- A - Joint mobilization
- B - Soft tissue massage
- C - Aquatic therapy
- D - Strength Training
Knee Jigsaw
Which of the following interventions has low levels of supportive evidence for knee OA?
- A - Joint mobilization
- B - Soft tissue massage
- C - Aquatic therapy
- D - Strength Training
