Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MSK: LQ > lab 7: knee joint complex > Flashcards

lab 7: knee joint complex Flashcards

1
Q

if a paitent has a MOI of a valgus or varus what do we think

A

collaterals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

if a pt has a MOI of a combo of directions what do we think

A

unhappy triad - ACL , MCL medial mencius

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

if a pt has a MOI of twisting what do we think

A

menisci

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

if a pt has a MOI of hyperextension what do we think

A

ACL
PCL
meniscus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

if a pt has a MOI that is repetitive what do we think

A

tendons
PFJ
stress sx
menisci

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

if a pt desrcibes their pain as better in AM and w activity but gets worse by the evening and they are >50 what can we think

A

OA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

if a pt is >60 years old , has a hx of type 2 DM , ischemic heart diease smoking and has a sedentary lifestyle .. they tell u they have concurrent intermittent claudication and u palpate and fell a unilateral cold extermity , a decreased pedal pulse and they have prolonged venous filling time what do u think they have and what do u do

A

peripheral artieal occlusive disease and refer out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are 3 red flags w DVT

A

calf pain , edema, tender , warm
calf pian that increases w standing or wlaking and relived w rest and elevation
recent sx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

h istory of blunt trauma, crush injury, or unaccustomed exercise
Severe, persistent leg pain that is intensified with stretch applied to involved muscles
Swelling, exquisite tenderness, and palpable tension (hardness) of involved compartment
Paresthesia, paresis, and pulselessness

if someone has this what do u think they have and what do u do

A

compartment syndrome and refer out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Constant aching and/or throbbing pain, joint swelling, tenderness, warmth
History of recent infection, surgery, or injection
Coexisting immunosuppressive disorder

what non MSK problem does this sound like

A

septic arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pain, skin swelling, warmth, and an advancing, irregular margin of erythema/reddish streaks
Fever, chills, malaise, and weakness

what non MSK problem does this sound like

A

cellulitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the ottawa knee decisions rule

A

Criteria:
1. Age > 55 years
2. Tenderness at head of fibula
3. Isolated tenderness of patella
4. Inability to flex knee to
90 degrees
5. Inability to WB and take a
minimum of 4 steps

(+) if 2-5 are positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the pittsburgh knee decision rule

A

Criteria:
1. History of blunt trauma or fall
2. Inability to weight bear or take
a minimum of 4 steps
3. Age < 12 years or > 50 years

(+) if hx of trauma and 2 or 3 are positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the Knee Decision Rule of Bauer

A

Criteria:
1. Inability to weight bear and
take a minimum of 4 steps
2. Presence of knee effusion
3. Presence of ecchymosis\

Positive finding is the presence of
any one of the 3 criteria.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is normla hyperextension

A

0-15°

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

which femorla condyle is longer

A

medial

17
Q

what is know IR/ER

A

IR: 20-30°
ER: 30-40°

18
Q

for the knee what MMT are u testing

A

knee flex/ext

hip flex/ext
IR/ER
ABD/ADD

19
Q

what are the.5 flexibility test u could do for the knee

A

obers test

modified thomas test (if decreased flexion)

elys test

gastroc/soleus length (supine leg straight for gastroc and bend of soleus)

hamstring length (if decreased knee extension)

20
Q

is the joint play for knee extension

A

for knee extesnion the the tibia glides anterior sooooo 2 options

can have a fixed tibia and push down on the distal femur which will causes tibia to go anteriorly

or

can have towel under ankle push down on femur and pull up of tibial from underneath the calf

if the patient is lacked full extension by a lot then have them lay prone and grab their ankle and push coward on the distal proximal tibi fib (like a the crest of ur knee)

21
Q

what is joint play for knee flexion

A

so for knee flexion the tibila glides posteriorly so u have a few options

can stabilize under the distal thigh and pull anteriorly on the tibia in flight knee flexion

or

have ft foot flat on mat w knee flexion and pull anteriorly on the tibia and other hand under distal thigh

or

if they lack full flexion by a lot have pt sir edge of mat and put a towel under the knee and what ever flexion they have then push anteriorly on the tibia

22
Q

how does the patella move in extension and flexion

A

superiorly during extension
inferiorly during flexion

23
Q

do u rule our meniscus or ligaments first

A

meniscus

24
Q

what ligaments are u checking w valgus and varus stress test

A

VALGUS
-PLC at 0°
- MCL at 20°

varus
LCL check at 0° and 20°

25
Q

how do u check anteromedial instability

A

anterior drawer w tibial ER

26
Q

how do u check anterolateral instability

A

anterior drawer w tibial IR

27
Q

how can u check posterolateral instability

A

posterior drawer w tibia ER

28
Q

how can u check posteromedila instability

A

posterior drawer w tibial IR

29
Q

how many test do u want to do for meniscus and what are they

A

3

mcmurrary
apley
thessalys

30
Q

how do you do the MCMurray test

A

medial meniscus: passively rotate tibia into full ER (foot out) while passively extending the knee

lateral: passively rotate tibia into dull IR (FOOT IN) while passively extending the knee

31
Q

how do u do the apleys test and what does it mean

A

pt is prone w knee bent to 90° and u add a compression force thru the lower leg ,, if that hurts then meniscus

then add distraction .. if it hurts then prob ligaments if feel better then prob meniscus

32
Q

how do u do the thessalys test

A

do this at 5° of knee flexion and 20°

have pt stand on single leg and ask pt to twist side to side while u are in front of them for support

(+) if pain , click or pop

33
Q

what do u do patellar grind test/ clarkes sign for

A

any PF dysfunction

pt is supine and u compress and stabilize superior aspect of patella and ask pt to do a quad contraction

provactive in nature

34
Q

what is the WOMAC and KOOS for in the knee

A

OA

35
Q

when would u use distraction as a manual therapy technique for the knee

A
  • useful w severe pain
    useful w severe OA
36
Q

what manual therapt would you use for knee extension

A
  • anterior glide of tibia mob
  • postieor glide of tibia mob
    combine with ER
37
Q

what manual therapt would you use for knee flexion

A
  • post glide of the tibia
  • anterior glide of the femur
  • combine with IR
38
Q

what mob can u do for PFJ

A

patella mob

MSK: LQ (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions