Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
27 Cards in this Set
- Front
- Back
|
What does MCL connect to? |
Femur, tibia, medial meniscus |
|
|
Why does the patella track laterally? |
Q angle Weak VM Tight IT band Tight dorciflexors |
|
|
Joint disorders of knee |
OA RA ( genu valgus) Patella femoral pain |
|
|
What is effusion? What position does knee assume when this is present? |
Liquid in the capsule Knee is 25° flexed. Extension is a problem |
|
|
Joint hypomobility acute stage goals: What is contraindicated? |
Control pain Minimize aggravating activities Range of motion Grade one into joint mob Joint distraction Setting exercises
Stretching contraindicated |
|
|
Joint mobilization grade functions |
Grade 1/2: modify perception of pain Grade 3/4: stretching maneuvers |
|
|
What type of exercise should a patient do several times throughout the day, especially when they are first beginning to move? |
Muscle setting exercises and range of motion |
|
|
When do you start to add resistance with knee joint issues? What do u add first? |
When they are at return to function phase Add reps before resistance |
|
|
Knee flexion for level surfaces and stairs |
65° for level surface 95° to a send stairs 85° to descend stairs |
|
|
What potential postoperative complications are there for the knee? |
DVT displacement of internal fixation Pulmonary complications Adhesions and scar tissue |
|
|
TKA Weeks 1-4 Goals? ROM to what degree? Get strength to what level? |
Control swelling and pain Get knee to 90° 3/5 or 4/5 |
|
|
TKA weeks 4–8 Goals? ROM? Strength? WB? Exercises? |
Reduce swelling 110° FWB 4/5 to 5/5 Stretching, CKC, aerobics, joint mobility |
|
|
What do you knee arthroscopies need more than TKA? |
ROM. Otherwise same protocols as TKA |
|
|
Signs of patella femoral pain |
Inflammation Crepitus Lateral and medial tracking Compression of patella from tight hamstring Breakdown of cartilage |
|
|
Signs of patella femoral pain |
Inflammation Crepitus Lateral and medial tracking Compression of patella from tight hamstring Breakdown of cartilage |
|
|
Interventions for patellofemoral pain |
Quad and hamstring strength in pain-free range Stretch hamstrings, IT band, patella Ice packs, bracing Activity modification like stairs |
|
|
Patellofemoral surgery goals |
Same as TKA, they will start therapy in 1-2 days. More women because of Q angle |
|
|
Where is ACL located? |
Within knee capsule, anterior tibia. This is why it swells more than MCL or LCL. |
|
|
What might a patient have in their need joint after ACL surgery?
What kind of strength does the ACL have initially?
When does it revascularize? What strength then? |
Hemarthrosis( blood)
ACL might have a vascular necrosis, starts out weaker.
3 months, 50% |
|
|
What must you not do with an ACL repair early in therapy? |
No terminal knee extension!! No SAQ or LAQ. No OKC extension! Passive extension only |
|
|
Avoid what angles of CKC squats for ACL?
For OKC where to put resistance? |
60° to 90°
Resistance proximal to knee, not down by angle |
|
|
What is a terrible triad injury |
MCL, ACL, medial meniscus |
|
|
Meniscus injury precautions ROM?
WB exercises...to what angles? When hamstring curls? Avoid what motion? |
Increase range of motion gradually (raise seat bike high to limit ROM)
WB: only to 45° at four week mark, 60° to 70° for eight week mark
Hamstring curls at eight weeks
Avoid twisting in WB |
|
|
Meniscus: no what for 4 to 6 months?
|
No deep squats, deep lunges, twisting, pivoting No jogging either |
|
|
What do you do if you hear a clicking sensation in the knee? |
Report immediately or call Dr., meniscus injury |
|
|
MCL Presents with what kind of tenderness? Add what to RICE? How injured? |
Pinpoint Add P: protection Lateral blow |
|
|
How was the meniscus injured? How is recovery? |
Compression and some sort of rotation Long recovery because of low vascularity |
