Treatment Flashcards

1
Q

Traumatic Arthritis

A

Strengthen musculature surrounding knee, NSAIDs,

Cortisol injections, Surgery (debridement)

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2
Q

Hemarthrosis

A

Joint aspiration gold standard

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3
Q

Monoarticular Steroid-Sensitive Arthritis

A

Intra-articular steroid injections

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4
Q

Crystal Synovitis

A

Triamcinolone,

Oral NSAID

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5
Q

Septic Arthritis

A

Antibiotics,

Joint aspiration

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6
Q

Rheumatoid Arthritis

A
Strengthening exercises (knee stability), 
NSAIDS, 
DMARDs, 
Glucocorticoids,
TKA if very severe
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7
Q

Early Arthrosis

A

Strengthen musculature surrounding knee, NSAIDs,

Cortisol injections, Surgery (debridement)

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8
Q

Discoid Meniscus

A

Total and partial meniscectomy; cryotherapy, analgesics, NSAIDs;
PT strengthening quads, hams, hip;
ROM; neuromuscular coordination and proprioceptive re-ed; progressive weight-bearing

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9
Q

Bucket-Handle Meniscal Lesion

A

Stable tears - observation, PT intervention;

Unstable tears - arthroscopic meniscectomy or meniscal repair

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10
Q

Posterior Lesion

A

Manipulation

Surgery or prophylaxis

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11
Q

Loose Bodies in Adolecents

A

Manipulation,

Extraction

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12
Q

Loose Bodies Complicating Arthrosis

A

Manipulation,

Extraction

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13
Q

Medial Coronary Ligament Injuries

A

Deep friction or infiltration

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14
Q

Medial Colateral Ligament (MCL) Injuries

A

Acute: deep friction and mobilization or triamcinolone;
Chronic: manipulation after deep friction

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15
Q

Intra-articular Adhesions

A

Arthroscopic surgery, CPM,
Joint mobilization,
Joint manipulation

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16
Q

Advanced Arthrosis

A

Strengthen musculature surrounding knee, NSAIDs,

Cortisol injections, Surgery (debridement)

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17
Q

Subsynovial Hematoma

A

Aspiration

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18
Q

Medial Collateral Bursitis

A

Aspiration,

Triamcinolone

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19
Q

Medial Mensicus Injury

A

Manipulation,
Conservative management,
Surgery

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20
Q

Patellar Bursitis

A

Aspiration/infiltration,

Surgery

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21
Q

Popliteal (Baker’s) Cyst

A

Ice massage,
Hamstring stretching & quad strengthening,
Aspiration

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22
Q

Adherent Vastus Intermedius

A

ROM exercises,

Surgical correction

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23
Q

Chronic Non-Adherent Ligamentous lesion (Plica Mediopatellaris)

A

Triamcinolone, Arthroscopic section

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24
Q

Loose Body

A

Manipulation,

Extraction

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25
Q

Plica Synovialis Syndrome

A

Cryotherapy (pain), hamstring flexibility,

Quad strengthening

26
Q

Posterior Capsular Strain

A

PRICE,
NSAIDs,
Strength exercises for extension/ER

27
Q

Iliotibial Tract Bursitis

A
PRICE,
Stretching,
NSAIDS, 
Corticosteroids, 
Aspiration
28
Q

Patellar Bursitis

A

PRICE

29
Q

Patellofemoral Pain Disorders

A

VMO training,

Taping

30
Q

Patellofemoral Arthrosis

A

Infrapatellar strap

31
Q

Sprain of the Anterior Cruciate Ligament (ACL)-

Anterior Insertion

A

Conservative management, Triamcinolone,

Surgery

32
Q

Sprain of the Posterior Cruciate Ligament (PCL)-

Anterior Insertion

A

Conservative management,
Triamcinolone,
Surgery

33
Q

Suprapatellar Tendinitis

A

Deep friction,

Triamcinolone

34
Q

Infrapatellar Tendinitis

A

Deep friction,

Triamcinolone

35
Q

Infrapatellar Tenosynovitis

A

Triamcinolone

36
Q

Quadriceps Expansion Tendinitis

A

Deep friction

37
Q

Lesions at Tibial Tuberosity (Osgood-Schlatter’s or Avulsion of the Tendon)

A

PRICE,
Bracing
Surgery (serious avulsions),
Immobilization (moderate avulsions)

38
Q

Medial Quadriceps Expansion Tendinitis

A

Deep friction

39
Q

Pes Anserinus Tendinitis

A

Deep friction,

Triamcinolone

40
Q

Lateral Coronary Ligament

A

PRICE,
TENS,
Strengthening and flexibility

41
Q

Lateral Colateral Ligament (LCL) Injuries

A
PRICE
Short-term AD
Early ambulation WBAT,
Short-hinged brace
Severe injuries require surgery
42
Q

Lateral Meniscus Tear

A
PRICE,
Manipulation,
Conservative management,
Surgery, 
NSAIDs,
PT post-op
43
Q

Lateral Meniscus Cyst

A
PRICE, 
Anti-inflammatory medicine,
Aspiration
Cortisone,
Arthroscopy
44
Q

Quadriceps Lesion

A

Conservative:
RICE,
TENS,
Muscle strengthening;

Surgical:
Isometric quad exercises

45
Q

Strained Iliotibial Band

A

Rest,
Reduction of weight bearing flexion/extension at the knee,
Ice massage,
Possible gait correction, Corticosteroids,
Ultrasound

46
Q

Rupture of Quadriceps

A

Conservative (incomplete tear):
Immobilization, Strengthening & ROM once pain & swelling resolve,
SLR;

Surgery (complete tear)

47
Q

Patellar Fracture

A

Control pain & edema,
Maintain ROM in unaffected joints,
ROM exercises for knee after immobilization period

48
Q

Rupture of Patellar Tendon

A

Conservative: Immobilization for 3-6 weeks,
Quad strengthening;

Surgical:
Immobilization following procedure,
WB precautions protocol depends on procedure

49
Q

L3 Nerve Root Lesion

A

Conservative (first 6-8 weeks): pain-relieving meds, traction, manipulation, ultrasound, hot pack, core/abdominal stability and strengthening;

Surgical (after at least 6 weeks): discectomy

50
Q

Femoral Nerve Lesion

A
Exercises,
Education (avoid ER/abd of hip),
Knee bracing,
Nerve stimulation treatment,
Surgery
51
Q

Hamstrings Lesion

A

Need for surgery is rare

52
Q

Biceps Femoris Tendinitis

A

Pain management,
Stretching & strengthening of knee musculature,
Patient education

53
Q

Lesion of Upper Tibiofibular Joint

A

Triamcinolone at the anterior ligament

54
Q

Lesions of Pes Anserinus

A
PRICE
Stretching of hamstrings,
NSAIDs, 
Strengthening of adductor/abductor/quads,
Cortisone injections
55
Q

Strained Popliteus Muscle

A

PRICE,
Gentle hamstring stretches following acute phase,
Deep tissue massage, Strengthen quads & hams

56
Q

Gastrocnemius Lesion

A

PRICE
WBAT
AROM knee/ankle exercises in pain-free range
Equipped heel-lift or crutch if needed due to altered gait pattern,
Bracing in maximal dorsiflexion as tolerated,
Progress to RROM dorsiflexion exercises then weight-bearing exercises

57
Q

S1 Nerve Root Lesion

A

Often conservative including: stretching, corticosteroid injections, and traction

58
Q

S2 Nerve Root Lesion

A

Often conservative including: stretching, corticosteroid injections, and traction

59
Q

Rotary Instability

A

Often, surgery–followed by a progressive rehabilitation program

60
Q

Apophysitis

A

Rest

61
Q

Recurrent Dislocation

A

Bracing,
Taping,
VMO training,
Surgery