LE Flashcards
Complaint of instability of the knee you should think what?
Chronic ACL damage
Complaint of painful locking of the knee you should think what?
Meniscus tear
What injury of the knee would result from hyperextension?
ACL tear or patellar dislocation
What injury of the knee would result from hyperflexion?
PCL tear and or associated ACL tear
What injury of the knee would result from sudden deceleration ?
ACL tear
What injury of the knee would result from a vagus force?
MCL
What injury of the knee would result from vagus force with rotation ?
ACL, MCL and menisci
What injury of the knee would result from a blow to the flexed knee?
Contusion, patellar Fx, PCL tear
Tests for ACL ?
Lachmans, Ant drawer, pivot shift
Meniscus tests?
Compression/distraction, mchmurrarys
What are the Ottawa knee rules?
Patient over 55, iso tenderness or the patella and fibular head, cant flex knee to 90, cant bear weight immediately or take 4 steps.
What fx is associated with a ACL tear?
Segonds fx
The ACL lines in what plane
10-15 degrees externally rotated to the sagittal plane
What is the name of the triad and what are the 3 things it involves when talking about the knee?
O’Donohues triad, ACL, MCL, medial meniscus.
What sign is associated with a PCL?
SAG sign
Segonds fx indicate a tear of the ACL what percent of the time?
75-100%
If you see a segonds fx what do you need to next?
Take an MRI
If someone says their knee gives away what do you think is wrong?
Meniscus tear
Meniscal tears appear how ?
Extending to the articular outside surfaces
What is another name for osgood schlatters?
Traction apophysitis
Is a osgood schlatters a clinical diagnosis or a radiograpic one?
CLINICAL FINDINGS**
A young patient comes in with insidious onset of anterior knee pain with a limp what are you thinking ?
Osteochondroma desicacans