Test 2.5 Flashcards
whats the characteristic of a transverse meniscal tear
- mid-substance tear
- associated with traumatic rotation
- leads to further tears
whats the characteristics of a flap tear
- extends from the middle of the meniscus to mid-substance
- more common in lateral meniscus
what the characteristic of a torn horn tear
- often breaks periphery of meniscus
- usually in posterior horn
- tear flaps in joint
whats the characteristics of a bucket-handle tear
-longitudinal tear from one horn to the other
where does a meniscal tear usually occur
posterior horn
which heals faster the outer 1/3 or inner 2/3
outer 1/3
whats the MOI of a meniscal tear
- may be due to MCL sprain
- cutting motion with plated leg externally rotated
what the signs and symptoms for a meniscal tear
- “locking” at the knee preventing extension
- crepitus with AROM
- joint-line tenderness
- slow onset of effusion
whats the special test for a meniscal tear
- McMurrays
- Apleys compression and distraction
- Thessalys
what does the unhappy or unholy tri-ad consist of
ACL, MCL, medial menicus lesion
which of the following is not a good test
1) McMurray
2) Apley’s compressive and distraction
3) Thessalys
McMurrays
how is the McMurrays test performed
patient supine, stand on lateral side, passive flex hip and knee at 90 degrees, use thumb and index finger, IR tibia and add valgus force which loads lateral menicus. Then do Varus load, which loads medial menicus. Watch for crepitus
how is Apleys Compressive and Distraction test performed
Patient prone, knee at 90 degrees, compress around distal shank and twist. Positive test results in pain.
Distraction test is the same thing without the twist but pull upward
how is Thessalys test performed
patient standing, bend knee at 30 degrees and stand on one leg and hold patients hand while they twist. Positive test results in pain.
For the Thessalys test does IR stress medial or lateral menicus and does ER stress medial or lateral
IR= medial menicus
ER=lateral menicus
how is Hoffa syndrome preformed
patient sitted, pinch infrapatellar tendon and ask to passive extend. Do the test with and without pinching the tendon. Positive test results in pain
what is the best medicine for Osgood-Schlatter’s Disease
rest
what is the best therapy for tendinopathy
heat, massage, and eccentric loading
which mensical tear heals well and which is vascular
outer 1/3 is vascular and heals well
true or false
Bursitis is due to acutely or chronically injuries
true
which is more common prepatellar or infrapatellar
prepatellar
how does prepatellar bursa occur
direct blow (edema) Continsous Kneeling
how does infrapatellar bursa occur and what does it result in
due to hyperextension
swelling over medial and lateral aspects of infrapatellar tendon
whats the cause of suprapatellar bursitis, superficial infrapatellar bursitis, pes anserine bursitis
suprapatellar; Overuse
superficial infrapatellar; direct blow
pes anserine; overuse and distance runners
whats another term for fat pad impingement
Hoffas syndrome
what the MOI for fat pad impingement
pathomechanics of fat pad travel
chronic irritation from kneeling
direct blow
what is another term for popliteal cyst
baker’s cyst
define a popliteal Cyst
collection of fluid resulting in popliteal fossa from a herniation of synovial tissue through posterior capsule wall
what is Osgood Schlatter’s Disease
Apophysitis of tibial tuberostiy (excess of bone)
in what population is Osgood-Schlatter’s Disease common in
adolescents and boys
whats the MOI for Osgod Schlatter’s Disease
rate of tendon tensile strength exceeds development of bone = SAID principle
what is patellar tendinopathy also referred to as
Jumper’s Knee
what is MOI for patellar tendinopathy
overtraining
describe the stages of patellar tendinopathy
stage 1: pain post activity
stage 2: pain during and after activity
stage 3: pain during and after that hinders performance
