Knee

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Author:
jacho
ID:
246655
Filename:
Knee
Updated:
2013-11-13 00:26:42
Tags:
Knee
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  1. Patella Tendon Rupture
    • Signs & Symptoms:
    • -Extreme pain with an immediate drop in pain -Significant swelling
    • -Window shade effect
    • -Complete loss of knee extension
    • -Previous history of chronic tendinitis

    • Treatment:-
    • Surgical repair is the only treatment option
    • -6-8 months minimum recovery
  2. Knee Dislocation
    • Signs & Symptoms:
    • -Immediate pain that may decrease dramatically
    • -Obvious deformity (usually anteriorly)
    • -Significant swelling
    • -Decreased blood flow and neural sensation

    • Treatment:
    • -Splinted and transported to hospital immediately
    • -Surgical intervention is often required for neurovascular and ligament repair
  3. Patellar Tendinitis
    • Signs & Symptoms:
    • -Pain in patella tendon or at inferior pole of patella
    • -Pain increases with activity
    • -Squeaking noise with motion
    • -Slight swelling

    • Treatment:
    • -Modality treatment
    • -Ice or ice massage
    • -Ultrasound
  4. Knee Contusion
    • Signs & Symptoms:
    • -Pain at affected site
    • -Moderate swelling and discoloration
    • -Loss of ROM
    • -Decreased weight bearing

    • Treatment:
    • -RICE therapy
  5. Meniscus Contusion
    • Signs & Symptoms:
    • -Pain, especially at full extension
    • -Loss of ROM in extension
    • -Slight swelling

    • Treatment:
    • -RICE therapy
  6. Meniscus Tears
    (S+S)
    • Signs & Symptoms:
    • -Pain, especially when moved similarly to the mechanism of injury
    • -Pain with full extension or flexion
    • -Diffuse swelling in the joint (effusion)
    • -Pain along the line of the joint
    • -Sensation of locking or giving out
    • -Clicking or popping sound with movement
  7. Meniscus Tears
    (Sp Tests and Treatment)
    • Special Tests:
    • -McMurray’s Test
    • -Apley’s Compression Test
    • -Bounce Home Test

    • Treatment:
    • -Referral to a physician
    • -Surgery is often required for full recovery.
    • -RTP depends on surgical option selected.
  8. ACL Sprain
    • Signs & Symptoms:
    • -Pain in the joint
    • -Athlete hears ‘pop’ at time of injury
    • -Sense of looseness in joint, giving away, or shifting
    • -Swelling that increases rapidly post-injury
    • Special Tests:
    • -Anterior Drawer Test
    • - Lachman’s Test
    • -Pivot Shift Test

    • Treatment:
    • -Grade 1 or 2 may be treated conservatively.
    • -Grade 3 tear will require surgery.
  9. PCL Sprain
    • Signs & Symptoms:
    • -Pain in posterior aspect of knee
    • -Slight swelling
    • -Joint laxity
    • -Loose feeling with walking

    • Special Tests:
    • -Posterior Sag Test
    • -Posterior Drawer Test
    • -External Rotation Recurvatum Test

    • Treatment:
    • -Grade 1 or 2 may be treated conservatively
    • -Grade 3 tear will require surgery
  10. MCL Sprain
    • Signs & Symptoms:
    • -Pain increasing with severity
    • -Joint stiffness
    • -Slight to moderate swelling
    • -Decreased ROM
    • -Joint laxity medially

    • Special Tests:
    • -Valgus Stress Test
    • -Apley’s Distraction Test

    • Treatment:
    • -RICE Therapy
    • -Immobilization
    • -Progressive strengthening program
  11. LCL Sprain
    • Signs & Symptoms:
    • -Pain over lateral aspect of knee
    • -Slight to moderate swelling
    • -Joint laxity laterally
    • -Joint stiffness
    • -Decreased ROM

    • Special Tests:
    • -Varus Stress Test
    • -Apley’s Distraction Test

    • Treatment:
    • -RICE Therapy
    • -Immobilization
    • -Progressive strengthening program
  12. Knee Joint Rehab:
    General Body Conditioning
    Weight Bearing
    Mobilization
    • General Body Conditioning:
    • -Must be maintained with non-weight bearing activities

    • Weight Bearing:
    • -Initial crutch use, non-weight bearing
    • -Gradual progression to weight bearing while wearing rehabilitative brace

    • Knee Joint Mobilization:
    • -Used to reduce arthrofibrosis
    • -Patellar mobilization is key following surgery
    • -CPM units
  13. Knee Joint Rehab:
    Flexibility
    Muscular Strength
    Neuromuscular control
    • Flexibility:
    • -Must be regained, maintained and improved

    • Muscular Strength:
    • -Progression of isometrics, isotonic training, isokinetics and plyometrics
    • -Incorporate eccentric muscle action
    • -Open versus closed kinetic chain exercises

    • Neuromuscular Control:
    • -Loss of control is generally the result of pain and swelling
    • -Through exercise and balance equipment proprioception can be enhanced and regained
  14. Knee Joint Rehab:
    Bracing
    Functional Progression
    • Bracing:
    • -Variety of braces for a variety of injuries and conditions
    • -Typically worn for 3-6 weeks after surgery
    • -Used to limit ranges for a period of time
    • -Some are used to control for specific injuries while others are designed for specific forces, stability, and providing resistance

    • Functional Progression:
    • -Gradual return to sports specific skills
    • -Progress w/ weight bearing, move into walking and running, and then onto sprinting and change of direction
  15. Knee Joint Rehab:
    Return to Activity
    • Return to Activity:
    • -Based on healing process - sufficient time for healing must be allowed
    • -Objective criteria should include strength and ROM measures as well as functional performance tests

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