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Quiz: MCL/LCL injuries
Ans: pain, swelling, ecchymosis, stiffness
dx: varus/valgus testing
Quiz: grade I & II: conservative (RICE, NSAIDS
grade III: +/-surgery
Ans: tx for MCL/LCL injury (diff tx depending on grade)
Quiz: ACL injury
Ans: -MC ligament injury in the knee
-pivoting injury
-pop and swelling, hemarthrosis
Quiz: lachman's, anterior drawer
Ans: special tests for ACL
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, Quiz: segond fracture
Ans: -avulsion of lateral tibial condyle
-pathognomonic for ACL tear
Quiz: injury to: ACL, MCL and medial meniscus
Ans: what does donoghue's triad (unhappy) consist of (3)
Quiz: meniscal tears
Ans: -MOI: squatting, twisting
-locking, popping, "giving way", effusion
Quiz: mcmurray, apley grind
Ans: special tests for meniscal tear
Quiz: patellar fracture
Ans: MC direct blow to knee cap, young pt
Quiz: sunrise view (X-ray)
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, Ans: dx of patellar fracture (special view)
Quiz: -nondisplaced: knee immobilizer, leg cast x 6 weeks
-displaced:surgery
Ans: tx of patellar fracture (displaced vs nondisplaced)
Quiz: patellar and quadriceps tendon rupture
Ans: -forceful quad contraction (fall on flexed knee)
-MC males, systemic ds (DM, gout)
-sharp knee pain, inability to extend knee/SLR
-tx: surgery
Quiz: patella baja
Ans: deformity seen on X-ray with quadriceps tendon rupture
Quiz: patella alta
Ans: deformity seen on X-ray with patellar tendon rupture
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, Quiz: patellar dislocation
Ans: valgus stress after twisting injury
-apprehension sign (push laterally)
Quiz: closed reduction (anterior medially), knee immobilizer
Ans: tx of patellar dislocation
Quiz: Knee (tibiofemoral dislocations)
Ans: -high velocity injury
-severe limb threatening EMERGENCY (popliteal artery rupture)
gross deformity, may reduce by itself
-get arteriography
Quiz: ortho consult/longitudinal traction
Ans: tx of knee dislocation (tibiofemoral)
Quiz: femoral condyle fractures
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