Orthopaedic Knee Conditions Flashcards
1
Q
Orthopaedic knee conditions
A
Fracture Acute on chronic degenerative joint disease Meniscal injury Ligament injury Tendon injury
2
Q
Meniscal injury
A
Twisting movement on a loaded fixed knee Painful "squelch" Slow swelling (quicker in the young) Painful to weight bear "Locked" knee
3
Q
ACL tear
A
Forward momentum, leg fixed +/- rotation
“Pop”
Quick swelling
Often able to weight bear
4
Q
Collateral tear
A
Lateralised pain
Feel of “crack”, sharp pain
No or minimal effusion
Bruising to one side
5
Q
LOOK
A
For scars, bruising and swelling
Joint line irregularity
6
Q
FEEL
A
- Effusion
- Crepitus
- Heat
- Tenderness
- Tissue lumps or defects
7
Q
MOVE
A
Passive and active Straight leg raise Range of movement Ligament testing Dynamic testing
8
Q
X rays
A
Fracture Loose bodies Ligament avulsion Osteochondral defect Degenerative joint disease Lipohaemarthrosis
9
Q
Ultrasound
A
Tendon rupture
Some meniscal tears
Swelling
Cysts
10
Q
Non surgical management
A
Restoration of function Physiotherapy Analgesia Swelling reduction Range of motion Normal movement
11
Q
From where does the perimeniscal capillary originate?
A
Branches of the inferior medial and lateral geniculate arteries
12
Q
What does the perimeniscal plexus form?
A
Circumferential vessels and penetrating radial vessels
13
Q
ACL
A
Anterior cruciate ligament
14
Q
Osteochondral injuries
A
Debridement Reattachment of fragment Removal of loose bodies Microfracture chondroplasty ACI
