Leg/Knee Flashcards
MCL rupture how
symptoms
treatment
valgus tress
laxity and pain on valgus stress. tenderness over MCL
usually heals unless ACL as well
acute tears - hinged knee brace
chronic MCL instability
MCL tightening to reconstruction with tendon graft
LCL rupture how
symptoms
treatment
varus stress
marked instability on rotation movement
completely rupture - urgent repair if early
later - reconstruction
high risk of what nerve injury with LCL
common perineal
ACL rupture how
high rotational force
sports injury
ACL rupture symptoms
pop heard/felt haemarthrosis develops within 1 hour deep pain in knee knee gives away when turning on planted foot lachmans positive
ACL reconstruction
possible with autograft, allograft or synthetic graft
PCL tear
direct blow to anterior tibial whilst flexed
PCL symptoms
popliteal knee pain and bruising
recurrent hyperextension or feel unstable when going down stairs
posterior drawer test positive
PCL treatment
fix if along with other ligament injuries
Meniscal tears types
sport injuries in young
degenerative in elderly >40
symptoms of meniscal tears
localised pain to medial or lateral joint line effusion develops next day pain and mechanical symptoms catching sensation/locking knee feels like its going to give way Steinmanns test positive
acute locked knee 15 degree springy block
BHT
degenerative tears
20% over 50
1st stage of OA
treatment for degenerative tears
steroid injection
