Quiz 6: 2 Flashcards
Grade 2 MCL sprain: 1+
How long until they are better?
19 days
Grade 2 MCL sprain: 1+
How long should you tell them it will take until they are better?
4 weeks
Grade 2 MCL sprain: 2+
How long until they are better?
28 days
Grade 2 MCL sprain: 2+
How long should you tell them it will take until they are better?
5 weeks
What are the vascular zones of the meniscus in order from outside to inside the joint?
- red-red
- red-white
- white-white
What do the names of the meniscus zones tell you about vascularization in the joint?
You lose vascularization as you go deeper into the joint
Which meniscus zone has the best potential for healing?
Red-red
Why does the red-red zone have the best potential for healing?
has blood supply on both sides, so it’s fully vascularized
What are the names of the 4 rotary instabilities?
PLRI
PMRI
ALRI
AMRI
In which position do you test for rotary instabilities?
70˚ knee flexion
ER
IR
Which rotary instabilities are texted in IR?
PLRI
ALRI
Which rotary instabilities are tested in knee ER?
AMRI
PMRI
Draw the diagram and list the structures tested for rotary instabilities
Do this shit
You are testing for anterior instabilities when you:
Pull anteriorly
You are testing for posterior instabilities when you:
Push posteriorly
Non-operative tx of meniscal tears is implicated for what type of tear?
Degenerative
Why is non-op tx indicated for degenerative tears?
- horizontal cleavage of degenerative tear
- fraying of tissue
- poor blood supply
- degenerative quality of meniscus in tear area
What age group commonly gets degenerative tears?
Over 50
Recreational athlete
What type of pt is typically a candidate for surgical repair?
Young athlete
Which president was sworn in the same year Dr. Davies received his bachelor of physical education?
Nixon
What year was Nixon sworn in?
1969
What are 3 techniques to help with a meniscal repair procedure?
- fibrin clot injection
- vascular access channel creation
- synovial abrasion
What are 3 types of meniscus surgeries?
- total meniscectomy
- arthroscopic partial meniscectomy
- arthroscopic meniscus repair
- meniscus allograft
When there is damage to the meniscus, this type of surgery is always preferable if possible
Arthroscopic meniscus repair
What are the vascular zones of the meniscus listed from outside to inside of the joint?
- red-red
- red-white
- white-white
What do the names of these regions tell you about vascularization the joint?
lose vascularization as you go deeper into the joint
Which meniscus zone has the best potential for healing?
red-red
Why does the red-red zone have the best potential for healing?
- has blood supply on both sides
- it’s fully vascularized
What are the names of the 4 rotary instabilities?
PLRI
PMRI
ALRI
AMRI
In what position do you test for rotary instabilities?
- 70˚ knee flexion
- Knee IR
- Knee ER
Rotary instabilities: Which ones do you test in IR?
PLRI
ALRI
Rotary instabilities: Which ones do you test in ER?
PMRI
AMRI
Draw the diagram for rotary instabilities
UGHHHHH just do the damn thing
Structures implicated: PLRI
- post 1/3 of capsule
- arcuate complex
Structures implicated: ALRI
- ACL
- middle 1/3 of lateral capsule
Structures implicated: PMRI
- posterior 1/3 of capsule
- PMOL
Structures implicated: AMRI
middle 1/3 of medial capsule
Anterior instabilities = (motion)
when you pull anteriorly
Posterior instabilities = (motion)
when you push posteriorly
Non-operative tx of meniscal tears is implicated for what type of tear?
degenerative
Why is non-op tx preferred for degenerative meniscal tears?
- horizontal cleavage of degenerative tear
- fraying of tissue
- poor blood supply
- degenerative quality of meniscus in area of tear
What age group is susceptable to degenerative meniscal tears?
over 50
recreational, older athlete
What type of patient is typically a candidate for a surgical repair?
young athlete
What are 3 techniques to help with a meniscal repair procedure?
- fibrin clot injection
- vascular access channel creation
- synovial abrasion
What are 3 types of meniscus surgeries?
- total meniscectomy
- arthroscopic partial meniscectomy
- arthroscopic meniscus repair
- meniscus allograft
When there is damage to the meniscus, this type of surgery is always preferable if possible
arthroscopic meniscus repair