TherEx -chp 21

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Author:
laneaustin
ID:
246179
Filename:
TherEx -chp 21
Updated:
2013-11-10 18:41:05
Tags:
knee
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Description:
the knee
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  1. ACL resists what motion?
    anterior translation of the tibia
  2. location of ACL
    lateral femoral condyle to medial tibia
  3. PCL resists what motion?
    posterior translation of the tibia
  4. location of PCL
    medial femoral condyle to lateral tibia
  5. location of ligament of wrisberg
    posteriorly to the lateral meniscus and extends to medial condyle
  6. location of transverse ligament
    anterior margins of menisci
  7. location of interosseous membrane
    attaches tibia to fibula
  8. LCL resists what?
    varus stress of the tibia
  9. MCL resists what?
    valgus stress of the tibia
  10. purpose of bursae
    protect tendons from friction
  11. what attaches to Gerdy's tubercle?
    IT band
  12. what attaches to the pes anserine?
    • Sartorius
    • Gracilis
    • Semitendinosus
  13. Full ROM of the knee per AMA?
    0-150*
  14. Functional ROM of knee?
    0* to90-100*
  15. Grade 1 or 1st degree Sprain presents with what?
    • no joint laxity
    • mild pain and tenderness
  16. Grade 2 or 2nd degree sprain presents with what?
    • torn or stretched
    • moderate pain
    • point tenderness
    • edema
    • some fibers torn and stretched
  17. Grade 3 or 3rd degree sprain presents with what?
    • severe pain at time of injury
    • edema
    • complete tear or avulsion of tissue
  18. Joint hypomobility is typically associated with what disease?
    OA
  19. Functional limitations of Joint hypomobility include:
    • decreased ROM
    • muscle inhibition
    • impaired balance
  20. management of Joint hypomobility include:
    • pt education
    • maintain mobility
    • joint mobs
    • stretching
    • isometric strengthening
    • strengthen ankle and hip muscles
  21. types of articular cartilage treatments:
    • autograft transplant
    • chondrocyte implantation
    • allograft transplant
  22. management of articular cartilage defects include:
    • WB restrictions
    • protective bracing in extension
    • low impact activities 6 months post
    • hip impact activities 8-12 months post
  23. primary goal of TKA
    • decrease pain
    • improve function
    • improve quality of life
  24. types of TKA
    • fully constrained
    • semiconstrained
    • unconstrained
  25. Management of TKA
    • WB restrictions dependent upon surgical technique
    • increase ROM 0-90*
    • isometrics
    • decrease pain & swelling
  26. Alignment associated with PFD is influenced by:
    • quadriceps line of pull
    • ligamentous, capsular, retinaculum
  27. Dynamic alignment concerning PFD
    quadriceps line of pull
  28. passive alignment concerning PFD:
    ligamentous, capsular, retinaculum
  29. IT band tightness prevents what?
    medial glide of patella
  30. pronation of the foot increases what?
    Q-angle
  31. weakness of hip abduction and ER allow for what?
    excessive adduction and IR
  32. weakness of the VMO allow for what?
    excessive lateral patellar glide
  33. painful lesions associated with PFD include:
    • plica
    • tendonitits
    • IT band syndrome
    • bursitis
  34. what is there minimal contact between the patella and femur?
    full knee extension due to compression
  35. conservative tx approach to PFD:
    • pt education
    • patellar mobs (medially)
    • McConnell taping
    • VMO stretching
    • Biofeedback
    • stretching hams and IT band
  36. surgical tx for PFD
    • soft tissue procedures
    • osseous procedures
    • articular cartilage procedures
    • TKA
    • patellectomy
  37. post-op tx of PFD
    • control pain and edema
    • restore ROM
    • functional activities
    • strengthen entire limb
  38. ACL injury is typically caused by
    extension
  39. ACL injury
    • contact at lat surface causing valgus stress
    • hyperextension
    • rotational injury
  40. PCl injury
    • contact at anterior proximal tibia with flexed knee
    • hyperflexion
    • posterior tibial translation
  41. MCL injury
    • contact lateral knee causing valgus stress
    • typically associated with unhappy triad
  42. LCL injury
    contact at medial knee causing varus stress
  43. non-op management of ligamentous injuries
    • max protection phase
    • mod protection phase
    • min protection phase
  44. max protection phase of ligamentous injury includes:
    • bracing
    • RICE
    • assistive device training
    • ROM
    • isometrics
  45. mod protection phase of ligamentous injury include:
    • PRE
    • closed chain ex
    • ROM
    • balance
    • stabilization
    • walk/jog/mini squats
  46. min protection phase of ligamentous injury include:
    • agility
    • running
    • sports specific drills
  47. Types of ACL repair
    • autograft
    • allograft
    • artificial/ synthetic ligaments
  48. harvest sites for autograft repair of ACL
    • patellar tendon
    • semitendinosus/gracilis tendon
  49. harvest site for allograft repair of ACL
    Achilles tendon

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