pcl, mcl, & lcl ligaments -exam 3 Flashcards

1
Q

Which ligament is thicker and stronger than the ACL

A

PCL

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2
Q

PCL attachment
-runs

A

attaches centrally and posterior on the tibia plateau
attaches ant. on the medial aspect of the intercondylar fossa
runs sup. and ant.

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3
Q

PCL primary restraint:

A

excessive post. glide and IR

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4
Q

The PCL is the MOST injured knee ligament. T or F

A

False; LEAST injured

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5
Q

Etiology of PCL injury:

A

hyper-flexion primary but also hyperextension i.e. car wreck

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6
Q

S&S of PCL injury:

A

consistent with any ligament injury plus
–ROM limited and P!ful, least limited in ER
—(+) PCL special test

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7
Q

What are the special test(s) for PCL:

A

Quads active
Posterior Drawer
Post Sag
Reverse pivot shift

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8
Q

Before performing the PCL special tests ensure that the ___________ are relaxed

A

Quadriceps

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9
Q

Which of the following PCL special test(s) is being described:

In hook lying, pt. slides foot forward; PT guides foot
—________ tibial translation indicates (+) test

A

Quadriceps active
Anterior

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10
Q

Which of the following PCL special test(s) is being described:

Stabilize pt. foot w/ 90º knee flx in supine HL; glide tibia post
—checking for ______ end feel

A

Posterior Drawer
abnormal (soft/late empty)

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11
Q

Which of the following PCL special test(s) is being described:

Support heel with hip/knee in 90º/90º flx
–checking for _____ tibia

A

Post Sag -no force applied
sagging tibia (concavity)

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12
Q

Which of the following PCL special test(s) is being described:

Lay pt. in supine and Erot; apply valgus stress w/EXT

A

Reverse Pivot Shift

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13
Q

PT Rx for PCL: primary focus

A

emphasizes on limiting post. tibia gliding

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14
Q

Flat, broad ligament w/ two bands:

A

MCL or TCL

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15
Q

MCL attachment to: (3)
–runs from

A

medial meniscus
posterior capsule
adjacent muscle/tendon units

–runs from medial condyle of femur and tibia

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16
Q

MCL limits what excessive motion?

–ant band limits
–post band limits

A

Valgus and ER stresses
ant. limits flx
post limits hyperext.

17
Q

MCL is the MOST injured ligament? T or F

A

True

18
Q

Etiology of MCL injury?

A

excessive valgus and/or ER stress and/or hyperextension

19
Q

S&S of MCL injury? consistent w/ligament injury + :

A

ROM impaired and painful, least limited in IR
(+) MCL and possibly medial meniscus special test
TTP

20
Q

MCL special test?

A

valgus stress @ 0º and 30º
–if after trauma w/ rotation LR + = 6.4

21
Q

MCL special test: More extended positions tests other structures like _______ and _________

A

cruciates and capsules

22
Q

PT Rx: MCL: ligament Rx plus emphasis on:

A

early protection w/valgus and ER stress and end ranges of flx/ext

23
Q

MOST MCL injuries will NOT need Sx because

A

ligament is extraarticular and can scar/heal on blended capsule

24
Q

Round cordlike ligament:

A

Radial Collateral Ligament aka LCL

25
Q

LCL attachment:

A

attaches the lateral condyle of the femur to fibular head
–no menisci attachment

26
Q

LCL primary restraint:

A

excessive varus and ER stresses

27
Q

LCL prevalence:

A

strong, seldom injured

28
Q

Etiology of LCL:

A

excessive varus and/or ER stress and hyperextension

29
Q

S&S of LCL injury:

A

ROM: limited and painful, particularly ext and ER
(+) LCL special tests
TTP

30
Q

LCL special test:

A

varus stress @ 0º and 30º (minimal to no support)

31
Q

PT Rx for LCL:

A

early protection w/varus and ER stresses

32
Q

LCL injury may need Sx b/c

A

ligament remains from the capsule even though it is extraarticular

33
Q

PT Rx MET: ALL Sprains

A

combo of supervised and HEP better than either alone
combo of open/closed chain exercises (strong support)
coordination training