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MSK > Orthopaedic Knee Conditions > Flashcards

Orthopaedic Knee Conditions Flashcards

1
Q

Function of meniscii

A

Aid force transmission,

Increase stability

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2
Q

Causes of meniscal tear?

A

Acute (twisting esp in deep flexion)

Degenerative (OA)

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3
Q

Meniscal tear presentation (CLIP)

A

Clicking
locking
Intermittent swelling
Pain

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4
Q

Examination of meniscal tear

A 
Tender joint line,
Mechanical block to movement, 
McMurrays test positive, 
Fail deep squat, 
Thassaly’s test positive
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5
Q

What tests will be positive in meniscal tear?

A

McMurrays test,

Thassalys Test

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6
Q

Meniscal tear investigations?

A

Xray,

MRI

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7
Q

Meniscal tear non-operative treatment?

A

Rest,
NSAIDs,
Physiotherapy

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8
Q

Operative meniscal tear treatment?

A

Arthroscopy

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9
Q

Blood supply of ACL?

A

Middle geniculate artery

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10
Q

Innervation of ACL?

A

Posterior articular nerve

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11
Q

Common cause of ACL

A

Non-contact pivot injury,

Landing biomechanics

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12
Q

Presentation of ACL tear?

A

Heard a “pop” or “crack”,
Immediate swelling due to haemarthrosis,
Deep pain,
Effusion

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13
Q

Movement tests completed in an ACL tear?

A

Anterior draw,
Lachmann’s test,
Pivot shift

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14
Q

ACL tear treatment?

A

Focussed quadricep programme,

ACL reconstruction

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15
Q

Cause of MCL tear?

A

Severe valgus stress

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16
Q

Associated injuries with MCL tear?

A

ACL tear,

Meniscal tear

17
Q

MCL tear presentation?

A

Heard a “pop” or “crack”,
Pain ++ on medial side,
Bruising on medial knee,
Localised swelling

18
Q

Examination findings of MCL tear?

A

Tender medial joint line,
Tender femoral insertion of MCL,
Painful in full extension,
Opening on valgus stress

19
Q

MCL tear non-operative treatment?

A

Rest,
NSAIDs,
Physiotherapy,
Brace for comfort

20
Q

MCL tear operative indications?

A

Severe tears,

Failed non-operative management

21
Q

MCL tear operative managements?

A

Avulsion,

Reconstruction

22
Q

what is Osteochondritis dissecans?

A

Pathological lesion affecting articular cartilage and subchondral bone

23
Q

Cause of osteochondritis dissecans

A

Hereditary,
Traumatic,
Vascular

24
Q

Location of osteochondritis dissecans?

A

Knee

Posterolateral aspect of medial femoral condole

25
Q

Presentation of osteochondritis dissecans?

A 
Activity related pain, 
Recurrent effusions,
Stiffness, 
Localised tenderness, 
Block to movement
26
Q

Treatment of osteochondritis dissecans?

A

Restricted weight bearing,
Rom brace,
Arthroscopy,
Open fixation

MSK (40 decks)

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