Skill's Check 2

Question 1

ACL:
MOI, Sx, tests, treatment

Answer 1

MOI: Sudden deceleration, valgus force, twisting w/ planted foot
Sx: Swelling, instability, pain
Tests: Lachman’s, Anterior drawer, Sweep test
Treatment: Gentle PAMs, quad sets, general strengthining.

Question 2

PCL
MOI, Sx, tests, treatment

Answer 2

MOI: Direct blow to tibia, hyperextension
Sx: Posterior knee pain, difficulty w/ knee flexion past 90
Tests: Posterior drawer, Dial test, rule out other ligaments
Treatment: Quad sets, avoid hamstring exercises, increase ROM, PAs and APs

Question 3

Meniscus
MOI, Sx, tests, treatment

Answer 3

MOI: Twisting or pivoting injury
Sx: Locking, clicking, catching, joint tenderness
Tests: McMurray’s, Apley’s compression, Thessaly’s, joint line palpation
Treatment: PRICE, muscle sets, low impact activities, activity modification

Question 4

PFPS
MOI, Sx, tests, treatment

Answer 4

MOI: Overuse, excessive loading
Sx: Anterior knee pain, stairs and prolonged sitting aggravate
Tests: Rule out other pathology - joint line palpation, meniscus tests, fxnl tests.
Treatment: Strengthen - partial squats, hamstring curls, Clamshells

Question 5

Knee OA
MOI, Sx, tests, treatment

Answer 5

MOI: Degenerative, age, prior knee injury
Sx: Morning stiffness, crepitus, decreased ROM
Tests: Knee ROM w/ goni, distraction, joint line palpation
Treatment: Distraction, strength training, thermal modalities, weight discussion

Question 6

Osgood-Schlatter disease
MOI, Sx, tests, treatment

Answer 6

MOI: Young athletes, repetitive traction at tibial tuberosity
Sx: Pain at tibial tuberosity, Swelling, tenderness
Tests: Palpate tibial tubercle, sweep test, fxnl tests.
Treatment: Quad stretch if tight, activity modification, Ice and/or NSAIDS

Question 7

Hip OA
MOI, Sx, tests, treatment

Answer 7

MOI: Degenerative, age, previous hip injury
Sx: Morning stiffness, decreased ROM (IR and flexion especially)
Tests: Scour, resisted SLR, IR under 15, flexion under 115
Treatment: Distraction, knee extensions, hamstring curls, clamshells

Question 8

Acetabular Labral Tear
MOI, Sx, tests, treatment

Answer 8

MOI: Trauma, repetitive microtrauma
Sx: Groin pain, clicking, locking
Tests: Scour, Fitzgerald’s, posterior impingement, resisted SLR, C-sign
Treatment: Activity modification (avoid deep flexion/IR movements), Hip and core - planks, glutes. NSAIDS, Surgery if conservative treatment fails

Question 9

FAI
MOI, Sx, tests, treatment

Answer 9

MOI: Structural abnormality
Sx: Deep hip pain at end ranges
Tests: Scour, posterior impingement, Faber/FADIR, resisted SLR, C-Sign
Treatment: Clamshells, endurance work (inclined walking), activity modification, surgery.

Question 10

Piriformis Syndrome
MOI, Sx, tests, treatment

Answer 10

MOI: Direct trauma, overuse or tightness
Sx: Buttock pain, radiating leg pain, prolonged sitting agg
Tests: FAIR, palpate piriformis, SLR/slump
Treatment: FAIR stretch, nerve glides, hip mobilization, take sitting breaks

Question 11

Femoral Bone Stress Injury
MOI, Sx, tests, treatment

Answer 11

MOI: Overuse, endurance sports
Sx: Deep groin pain, worse w/ WB
Tests: Fulcrum, Patellar-Pubic percussion, ask about calorie intake
Treatment: If imaging confirms BSI, NWB. Refer to nutritionist, Pt education about gradual return to activity and how to increase load safely.

Question 12

Muscle Strain
MOI, Sx, tests, treatment

Answer 12

MOI: Forceful contraction
Sx: Sudden pain at time of injury, tenderness and bruising, pain with active movements.
Tests: Resisted muscle testing, palpation
Treatment: PRICE, gentle ROM, isometric exercises