Presentation Flashcards by Jacob Vogel

Traumatic Arthritis

Follows traumatic injury to knee

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Hemartrosis

Traumatic blow to the knee

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Monoarticular Steroid-Sensitive Arthritis

Insidious onset in a single joint

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Crystal Synovitis

Inflammation,
Pain,
Swelling,
Lumps

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Septic Arthritis

Knee pain with active and passive movement,

Swelling

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Rheumatoid Arthritis

Capsular pattern,
Pain,
Swelling,
Warmth,
Stiffness

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Early Arthrosis

Insidious onset in a single joint

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Discoid Meniscus Injury

In absence of traumatic cause: visible or audible palpable snap on terminal extension (10-20’) along with pain, swelling, and locking; can also be an “annoying click” during movement

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Bucket-Handle Meniscal Lesion

Clicking or locking along with pain in the joint line

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Posterior Lesion

Non-capsular pattern, slight twinges,
Symptoms of internal derangement at the back of the knee,
Slight limitation of flexion

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Loose bodies in Adolescents

Twinges, usually on walking downstairs; non-capsular pattern; typical end-feel; “sprain without a sprain”

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Loose Bodies Complicating Arthrosis

Non-capsular pattern, twinges, moving pain, “sprain without a sprain”

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Medial Coronary Ligament

Medial knee pain

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Medial Colateral Ligament (MCL)

Medial knee pain

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Intra-articular Adhesions

Non-capsular pattern,
Limited in knee flexion (extension unimpaired),
Clicking

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Advanced Arthrosis

Insidious onset in a single joint

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Subsynovial Hematoma

Anterior knee pain

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Medial Colateral Bursitis

Medial knee pain

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Medial Meniscus

Medial knee pain

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Patellar Bursitis

Anterior knee pain

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Popliteal (Baker’s) Cyst

Posterior knee pain,
Swelling in popliteal space,
Stiffness,
Knee pain

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Adherent Vastus Intermedius

limited knee flexion, normal extension following femur fracture

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Chronic Non-adherent Ligamentous Lesion (Plica Mediopatellaris)

Medial knee pain

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Loose Body

Medial knee pain

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Plica Synovialis Syndrome

``` Pain, Popping, Effusion, Swelling, Loss of ROM ```

Posterior Capsular Strain

Full ROM and RROM, Pain near/on oblique popliteal ligament, tenderness between medial and lateral condyles

Iliotibial Tract Bursitis

Lateral hip pain, | Difficult sleeping on side

Patellar Bursitis

Anterior knee pain

Patellofemoral Pain Disorders

Anterior knee pain

Patellofemoral Arthrosis

Anterior knee pain

Sprain of Anterior Cruciate Ligament (ACL)- | Anterior Insertion

Anterior knee pain

Sprain of Posterior Cruciate Ligament (PCL)- | Anterior Insertion

Anterior knee pain

Suprapatellar Tendinitis

Anterior knee pain

Infrapatellar Tendinitis

Anterior knee pain

Infrapatellar Tenosynovitis

Anterior knee pain

Quadriceps Expansion Tendinitis

Anterior knee pain

Lesions at Tibial Tuberosity

``` Anterior knee pain, tenderness, Pain with jumping/running, Firm mass (Osgood-Schlatter's), Pain with resisted knee flexion ```

Medial Quadriceps Expansion Tendinitis

Medial knee pain

Pes Anerinus Tendinitis

Medial knee pain

Lateral coronary Ligament

Often mistaken for meniscal lesion, Pain w/ twisting movement, Joint line tenderness, Limited ROM

Lateral Colateral Ligament (LCL) Injury

Swelling, Pain and stiffness located lateral to knee, Widening of knee joint laterally

Lateral Meniscus Tear

``` Lateral knee pain (joint line), Stiffness, Swelling, Catching/locking, Decreased ROM, Knee "Gives-way" ```

Lateral Meniscus Cyst

Discomfort in lateral joint line, Pain while standing, Bump on lateral aspect of knee

Quadriceps Lesion

``` Swelling, Knee pain, Loss of function, Dent/gap just proximal to patella, Hematoma ```

Strained IT Band

Pain over lateral condyle of femur radiating up to hip or down to tibia

Quadriceps Rupture

Anterior leg pain | Most common in middle aged runner or jumper

Patellar Fracture

Swelling, significant knee pain

Patellar Tendon Rupture

Proximally displaced patella, | Incomplete extension, Indention of inferior patella

L3 Nerve Root Lesion

Diminished or absent patellar reflex, Weak hip flexors and knee extensors, Impaired distal anterior thigh sensation

Femoral Nerve Lesion

Instability/buckling of knee while climbing stairs, Medial leg numbness, Possible paresthesia of thigh, Pain near inguinal ligament

Hamstrings Lesion

Posteromedial knee pain

Biceps Femoris Tendinitis

Posterolateral knee pain

Lesion of Upper Tibiofibular Joint

Painful resisted flexion, disappearing with knee in extension

Lesions of Pes Anserinus

Pain/tenderness in the inner knee, Pain when climbing stairs, rising from a chair, at night, Local swelling

Strained Popliteus Muscle

Posterior knee pain

Gastrocnemius Lesions

Medial head pain most often, | Audible pop with swelling and ecchymosis following significant lesion

S1 Nerve Root Lesion

Gastrocnemius weakness, | Numbness on lateral dorsum of foot

S2 Nerve Root Lesion

Bladder involvement, Numbness over popliteal fossa, Weakness in resisted knee flexion

Rotary Instability

Standing posture can include genu varum or hyperextension, | Possible neurological symptoms (30% of cases)

Apophysitis

Anterior knee pain

Recurrent Dislocation

Anterior knee pain