Soft tissue knee injuries

Question 1

Which is more mobile, medial or lateral miniscus

Answer 1

lateral

Question 2

What shape generally is the menisci?

Answer 2

Convex

Question 3

which meniscus is under more stress?

Answer 3

medial menisci

Question 4

Which ligament resists valgus stress

Answer 4

MCL

Question 5

LCL resists what type of stress

Answer 5

varus

Question 6

what does the ACL resist?

Answer 6

anterior subluxation of tibia and internal rotation of tibia in extension

Question 7

Which ligament resists posterior subluxation of the tibia and hyperextension of the knee

Answer 7

PCL

Question 8

What are the 4 types of meniscal tears

Answer 8

longitudinal, bucket handle, radial and parrot beak tear

Question 9

Which type of people commonly get meniscal tears?

Answer 9

young sports players or getting up from squatting position

Question 10

60% of ACL ruptures have a meniscal tear too, true or false

Answer 10

false- 50% have ACL and meniscal

Question 11

How would you investigate a meniscal tear?

Answer 11

MRI

Question 12

Which is more common, medial or lateral meniscal tears?

Answer 12

Medial

Question 13

Will radial tears heal?

Answer 13

naw

Question 14

How would you surgically repair meniscus

Answer 14

arthroscopic meniscectomy

Question 15

What type of tear would result in locking of knees

Answer 15

bucket handle tear

Question 16

Does MCL usually heal well?

Answer 16

Yes, unless combined with ACL or PCL

Question 17

What is most important factor in MCL repair

Answer 17

PHYSIO

Question 18

What is th only way to fix aCL

Answer 18

reconstruction using patellar tendon or hamstring (semitendinous or semimembraneous)

Question 19

True or false- arthritis shown on X-ray with ACL repair within 10 years

Answer 19

HELL TO THE YES

Question 20

How would you typically get a PCL rupture?

Answer 20

direct blow to the anterior tibia or hyperextension

Question 21

Does PCL need reconstruction?

Answer 21

yes if part of a multilligament injury

Question 22

In which sex is patellar dislocation more common

Answer 22

females

Question 23

What sounds can you often hear with an ACL rupture

Answer 23

Pop or snap

Question 24

IF they are able to play on, is it likely to be serious?

Answer 24

nup- man the fuck up

Question 25

What ligament damage do you get haemarthrosis in

Answer 25

ACL

Question 26

When do you get an effusion

Answer 26

in meniscal or chondral injury

Question 27

What is hyaline cartilage consist of?

Answer 27

water, collagen, proteoglycans, chondrocytes

Question 28

Can partial thickness injuries heal?

Answer 28

No- only full thickness can heal

Question 29

What is the healing with?

Answer 29

fibrocartilage

Question 30

What is osteochondritis dissecans

Answer 30

surface of knee loses its bloody supply and cartilage/ bone can break off

Question 31

Which form of surgery for cartilage regeneration is the cheapest and easiest?

Answer 31

micro fracture repair

Question 32

what type of surgery is used for larger defects/ n=bone loss

Answer 32

osteochondral allograft

Question 33

Should you prescribe injections for early osteoarthritis?

Answer 33

no no no no- steroids are only for acute flare ups

Question 34

Osteotomy can be used in treatment of early osteoarthritis true or false

Answer 34

true

Question 35

Should total knee replacements be undertaken in young individuals

Answer 35

no- it will need replaced in 15-20 years anyway and could cause more harm than good, wait out the storm until older