Patient presentation- knee Flashcards
Why are the amounts of presenting complaints set to increase?
People getting older
people getting fatter
What do patients often present with?
pain - anterior,ofen localised stiffness swelling/lump giving way deformity loss of sleep loss of function
Examination- when looking what is important to look for
deformity
how the patient walks
swelling
scars
Examination- what is important to feel for
bony landmarks
- any tenderness
- any effusion
- Knee stability
- get the PT to demonstrate where it is sore
- patellar apprehension test
Examination- what is is important to check when moving?
extension, flexion and quad strength
What investigations can be used?
Usually none x-ray MRI Viscocity Urate
What management may be needed?
Explanation Keep mobile support NSAIDS-short term Analgesia Physiotherapy referral for surgery
What are the common problems?
Ligament strain often medial collateral
bursitis
Osgood-schlatter’s
Osteoarthritis
What is the biomechanics role of cruciate ligaments?
Prevents anterior translation tibia
Prevents excessive internal rotation of tibia
What are the clinical tests for ACL ligament?
Lachman
Anterior Drawer
Pivot Shift
ACL rupture is the easies tot repair T/F
F- you can’t repair ACL rupture. Need to use tendon graft to reconstruct
