Lower Limb Injuries

Question 1

Knee dislocation

Answer 1

Medical emergency as can be associated with damage to popliteal artery +/- peroneal nerve

Apply firm longitudinal traction, whilst assistant generates counter-traction

Question 2

Elbow dislocation

Answer 2

Medical emergency as can be associated with damage to brachial artery +/- nerves

Apply firm longitudinal traction, whilst assistant generates counter-traction

Question 3

Finger dislocation

Answer 3

Ring block

Apply firm longitudinal traction, whilst assistant generates counter-traction

Question 4

Patella dislocation

Answer 4

Bend knee to 45’

Grasp patella and push medially whist straightening leg

Question 5

Ankle dislocation

Answer 5

Reduce asap and splint

Question 6

Medial knee ligament

Answer 6

Stress test

• stress medial ligament out by pushing ankle out laterally
• tender to palpate
• laxity

Question 7

Lateral knee ligament

Answer 7

Stress test

• push foot in medially to abduct leg
• laxity in joint

Question 8

Anterior cruciate

Answer 8

Anterior draw test

- laxity in joint / easily displaces forward

Question 9

Posterior cruciate

Answer 9

Posterior draw test

- laxity in joint / easily displaced backwards

Question 10

Meniscal injury

Answer 10

Oedema / pain palpation of joint line
Clicks felt
Mcmurray’s test