MS 1 knee 4
Card Set Information
MS 1 knee 4
MS 1 knee 4
locking/buckling in knees is a sign of...?
this'll happen on stairs, causing instability and falls
two biggest causes for problems in knees
trauma and OA
swelling in knee happens in what structures?
what to do if pt complains of swelling?
bursae, infrapatellar fat pad, popliteal fossa
first - palpate, then- measure
LEFS (lower extremity functional scale) what kind of test?
self reporting scale for hip, knee, and ankle
World Scale basic format
just 2 qs about whether the pt is better or worse than at 1st visit
KOOS scale - stands for?
knee injury and osteoarthritis outcome scale
is't a slef-reported scale
Ottawa Knee rules - idea and 6 q's
used for determining the necessity of ordering an x-ray
is pt > 55
tenderness over fibular head
isolated tendernes over patella
unable to flex to 90 degrees
unable to wt bear immediately and in ER
is tapping the bone exquisitely painful?
this class's numbers for how much flexion you need for tying your shoes, sitting, up stairs, down stairs, swing gait
q-angle is made by the intersection of what lines? normal numbers?
from ASIS to middle of patella
from middle of patella to tibial tuberosity
men - 10-15
women - 10-19
how do pronated feet affect the Q angle?
why you have to palpate edema
it could be one sided atropy or callus formation making it look like edema
be careful to write WHY there's a diff in girth
rule #1 about palpation
pes answerine is where?
med knee distal to tibial plateau
how to palpate the trochlear groove of the femur
flex knee 30 degrees - this gets patella out of the way w/o making quad tendon tight
the tg is in the ant distal femur - where the patella rests
look for ER of tibia as leg extends
if this doesn't happen, there's a block stopping the tibia from rotating
in active movement testing you want what degrees of flex and ext?
: 0, or -5 to -10 (a bit of hyper ext)
diff btwn hyperext and genu recurvatum
hyperext is the ability to get knee past 0 (most of us get 5-10 past)
genu recurvatum is when you stand in this position or get into it on a regular basis
endfeels of flex, ext, and IR/ER
: capsular (firm and abrupt)
position for testing end feel of IR/ER
supine, nkee flexed, ankle on table
have her rotate foot w yr hands on sup knee and sup tibia
position for doing resisted mvmnt testing for knee
put pt in resting pos of 25-40 degrees flexion
resist flex and ext
however, the break test here doesn't give a ton of info, so it's best to have pt go thru the range
position of knee for valgus stress test
full extension but not hyper ext
then repeat stress w knee slightly flexed
structures involved w supporting knee in extension, in order of support
medial quadriceps expansion
predictor variables for MCL tear
history of external force to leg
pain and laxity w valgus stress
posterior oblique ligament
upper margin of the intercondyloid fossa and posterior surface of the femur close to articular margins of the condyles, --> posterior margin of the head of the tibia
to test for instab of MCL, hand placement
: sup to joint on distal lat femur, with a finger on the knee joint to feel for movement - can angle elbow into yr waist
: on distal fibula
what not to do in MCL instability test
don't add ER to tibia
don't rotate hip
varus stress test (testing primarily the LCL)
support the knee and press on the ankle as in the MCL test
should have less movement than did the valgus test
: when we put knee in flexion we get rid of the screw home mechanism