Sports Flashcards
What tt-tg distance is abnormal
Greater then 20mm
Treatment for patellar instability
NSAIDs/PT/activity mod/patellar sleeve: first time dislocates without loose bodies
Scope debridement with loose body removal with possible ORIF: loose bodies in first time dislocator
Mpfl repair: acute first time dislocation with bony fragment within first few days of event
Mpfl recon: recurrent instability (semiT)
Ant and medial tib tub transfer: tt-tg greater than 20mm
Lateral release only if there is lateral tilt after medialization
Femoral condyle treatment algorithm for cartilage loss
Less than 2cm sq: microfrafture
2-4cm sq: oats
Greater than 4cm sq: allograft transplant or chondrocyte implantation
Location of osteochondral lesions of talus
Medial: no trauma, more common, posterior, larger and deeper
Lateral: trauma, smaller, anterior, displaced and symptomatic, lower incidence of spontaneous healing
Treatment of osteochondral lesions of talus
Acute and nondisplaced: short leg cast and NWB
Chronic or less than 1 cm: scope with removal of loose frag and microfracture or antegrade drilling
Greater than 1cm, nondisplaced: retrograde drilling or bone graft
Displaced and greater then 0.5cm: ORIF vs grafting
Pcl tear
Where is OA
Thx for chronic pcl injury
Increased varus alignment
Wear is patellofemoral and medial compartment
Opening medial wedge osteotomy with increased tibial slope
Difference in double row vs single row rtc repair
Decreased retear rate
Acl bone bruise locations
Post lat tibia and middle 1/3 of lat fem condyle
Difference in early vs accelerated acl rehab protocols
No difference in long term results
Suprascap neuropathy
Suprascap notch entrapment: weakened if Supra and infra scrap
Spinoglenoid notch entrapment: weakness of infraspinatous
Most common nerve injured in distal biceps repair
Labcn
Tx of OCD lesions
Small and stable with open physes: nonop with activity restriction
Stable lesions: subchondral drilling
Unstable: ORIF
