Orthopaedic Knee Conditions Flashcards

1
Q

what is the tibia plateau

A

shaped to fit condyles and movement

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2
Q

what kind of bone is the patella

A

sesamoid shaped bones

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3
Q

what are the cruciate ligaments

A

lateral and medial cruciate ligaments

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4
Q

what are the two collateral ligaemnts

A

lateral and medical collateral ligaments

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5
Q

what is the shape of the medical menisii

A

circular

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6
Q

what is the shape of the lateral menisii

A

c shaped, thicker and smaller

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7
Q

describe a meniscal tear

A

acute usually due to twisting
degenerative due to osteoarhritis-irregular surface catching on the menisci like a frayed carpet
medial are more common

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8
Q

what does a meniscal tear present like

A
pain
clicking
locking
intermittent swelling
exmaintion-
LOOK- effusion
FEEL_tender 
MOVE-fail deep squat, mcmurrays test
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9
Q

what investigations would you do for a meniscal tear

A

x ray

MRI

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10
Q

what is the treatment for a meniscal tear

A

unlikely to heal due to poor blood supply
nonoperative- NSAIDS, physiotherapy
surgery-athroscopy or repair and resect

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11
Q

what is the function of ACL

A

primary restraint to anterior translation of the tibia relative to the femur
acute is always lateral

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12
Q

what does an ACL tear present like

A
pop or crack
swelling
deep pain
unable to play on
examination-
LOOK-effusion
FEEL-
MOVE-lachermanns test
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13
Q

how do you investigate an ACL tear

A

x ray

MRI

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14
Q

what are the treatments for ACL tear

A

ACL reconstruction

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15
Q

what is an MCL injury

A

medical collateral ligament

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16
Q

what does an MCL injury present like

A
pop or crack
pressure on side of leg
pain on side of leg 
examiantion
LOOK-brusing on medial side
FEEL-tender medial joint
MOVE_painful on full extension
17
Q

how do you invtestigate an MCL tear

A

x ray

MRI

18
Q

what is the treatment for an MCL tear

A
rest 
NSAIDS
brace
physiotherapy 
surgery- repair or reconstruct
19
Q

what is osteochondritis dissicans

A

pathological lesion affecting the articular cartilage and subchondral bone
cracks form

20
Q

what is the cause of osteochondritis dissecans

A
hereditary 
traumatic 
vascular 
usually in active children 
most common in knee
21
Q

how does dissecans present

A

poorly localised pain
recurrent effusions
locking

22
Q

what are the investigations for dissecans

A
x ray
MRI
LOOK-effusion
FEEL-tenderness
MOVE-stiffness
23
Q

what is the treatment for dissecans

A

brace

arthroscopy