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NMS3 Knee Orthos
NWHSU NMS-3 Knee Orthos
Question | Answer |
---|---|
Apley Compression Test is also known as what other two names? | Apley Distraction Test and Apley Grinding Test -Evans, 3rd Ed, Pg861 |
Apley Compression Test assesses for what two things? | Collateral ligament injury and Meniscus tears -Evans, 3rd Ed, Pg861 |
The two test commonly used to aid in the diagnosis of a torn meniscus are? | Apley test and McMurray test -Evans, 3rd Ed, Pg861, 6paragraph |
How many steps does Apley Compression Test involve? | 4 steps -Evans, 3rd Ed, Pg862, 1st bullet point |
If at any time during the 4 steps in Apley Compression test, you elicit knee pain or clicking, this means? | The test is positive -Evans, 3rd Ed, Pg862, 1st bullet point |
Does the patient lay prone or supine in Apley Compression test? | Prone -Evans, 3rd Ed, Pg862, 2nd bullet point |
How far must the knee be flexed after strongly rotating the leg internally in Apley Compression Test? | Flex knee past 90 degrees - Evans, 3rd Ed, Pg862, 3rd bullet point |
What are additional test to do after a positive Apley Compression Test? | Abduction stress test, Adduction Stress test, Bounce home test, McMurray sign, Payr sign, Steinmann sign -Evans, 3rd Ed, Pg862, Under "next steps" |
Bounce Home test assesses for? | Meniscal tear -Evans, 3rd Ed, Pg867 |
During Bounce Home test is the patient supine or prone? | Supine -Evans, 3rd Ed, Pg868, 1st bullet point |
During Bounce Home test is the patients knee flexed or extended? | Completely flexed -Evans, 3rd Ed, Pg868, 2nd bullet point |
During Bounce Home test is the patients knee supposed to stay flexed or drop into extension? | Drop into extension -Evans, 3rd Ed, Pg868, 3rd bullet point |
What indicates a positive test in Bounce Home test? | If the knee does NOT drop into extension -Evans, 3rd Ed, Pg868, 4th bullet point |
The Drawer test is an assessment for injury to some degree of what 8 things? | 1-Anterior Cruciate Ligament 2-Posterolateral Capsule 3-Posteromedial Capsule 4-Medial Collateral ligament 5-Illiotibial Band 6-Posterior Oblique Ligament 7-Arcuate-Popliteus Complex 8-Posterior Cruciate Ligament -Evans, 3rd Ed, Pg873 |
What knee orthopedic test do you perform if you suspect the medial tibial condyle has subluxated anteriorly (anteromedial instability)? | Drawer test -Evans, 3rd Ed, Pg877, figure 11-17 |
What knee orthopedic test do you perform if you suspect the lateral tibial condyle has subluxated anteriorly (anterolateral rotary instability)? | Drawer test -Evans, 3rd Ed, Pg877, figure 11-17 |
What knee orthopedic test do you preform if the lateral tibial condyle has subluxated posteriorly (posterolateral rotary instability)? | Drawer test -Evans, 3rd Ed, Pg877, figure 11-17 |
During Drawer test, is the patient supine or prone? | Supine -Drawer test -Evans, 3rd Ed, Pg877, see procedures |
During Drawer test, how far is the knee flexed? | Flexed to 90 degrees -Drawer test -Evans, 3rd Ed, Pg877, 1st bullet point |
During Drawer test, what must the doctor to on the side of the flexed knee to the foot? | The foot is flat on table and held down by the doctor -Drawer test -Evans, 3rd Ed, Pg877, 2nd bullet point |
During Drawer test, how much is normal tibia movement? | Approximately 6mm -Drawer test -Evans, 3rd Ed, Pg877, 4th bullet point |
During Drawer test, when the tibia moves forward more than 6 mm on the femur, this means? | The test is positive -Drawer test -Evans, 3rd Ed, Pg877, 5th bullet point |
During the Drawer test, how do you test the Posterior Cruciate ligament? | The tibia is then pushed back on the femur -Drawer test -Evans, 3rd Ed, Pg877, 6th bullet point |
During the Drawer test, when testing the Posterior Cruciate ligament, what does a positive test indicate? | Excessive movement -Drawer test -Evans, 3rd Ed, Pg877, 7th bullet point |
After positive Drawer test, what orthopedic tests could you do next? | Lachman test, lateral pivot shift maneuver, Losee test, Slocum test -Drawer test -Evans, 3rd Ed, Pg877, under "next steps" |
Lachman test assesses for injury to some degree of what 3 things? | 1-Anterior Cruciate Ligament 2-Posterior Oblique Ligament 3-Arcuate-Popliteus Complex -Evans, 3rd Ed, Pg888 |
During Lachman test, is patient supine or prone? | Supine -Evans, 3rd Ed, Pg888, 1st bullet point |
During Lachman test, the patients knee is held between full ____ and ___ degrees in flexion. | Extension / 30 -Evans, 3rd Ed, Pg888, 2nd bullet point |
Describe a positive sign in Lachman test? | A mushy, or soft, end-feel when the tibia is moved forward on the femur and the infrapatellar tendon slope disappears is a positive sign -Evans, 3rd Ed, Pg888, 4th bullet point |
After a positive Lachman test, what are the next orthopedic test to preform? | Drawer test, lateral pivot shift maneuver, Losee test, Slocum test -Evans, 3rd Ed, Pg888, under "next steps" |
During Lachman test, how far down inferiorly from the knee joint should the doctors hand be placed to stabilize the tibia? | 2 cm below knee joint -Evans, 3rd Ed, Pg887, figure 11-58 |
Lachman test is similar to what other knee orthopedic test? | Anterior Drawer test. In Lachmans, knee is held in 30degrees flexion and tibia pulled forward on the femur -Evans, 3rd Ed, Pg887, 7th paragraph |
McMurray sign assesses for? | Medial or lateral meniscus injury -Evans, 3rd Ed, Pg897 |
What knee orthopedic test should you do on a patient that suffered a twisting force while knee was semi-flexed or flexed | McMurray sign -Evans, 3rd Ed, Pg897, 1st paragraph |
What knee orthopedic test should you do if clinically, the patient complains of troublesome and persistent pain at the medial aspect of the knee at the joint level? | McMurray sign -Evans, 3rd Ed, Pg897, 8th paragraph |
During McMurray sign, the patient is supine or prone? | Supine -Evans, 3rd Ed, Pg898, 1st bullet point |
During McMurray sign, how far does the patient flex the thigh and leg? | Until the heel approaches the buttock -Evans, 3rd Ed, Pg898, 1st bullet point |
During McMurray sign, the doctor first ___ rotates and slowly extends the leg. | Internally -Evans, 3rd Ed, Pg898, 3rd bullet point |
During McMurray sign, after internally rotating the leg, the doctor then ____ rotates and slowly extends the leg. | Externally -Evans, 3rd Ed, Pg898, 4th bullet point |
McMurray sign is present if, at some point in the arc, a what is heard? | A painful click or snap is heard -Evans, 3rd Ed, Pg898, 5th bullet point |
During McMurray sign, the snap is heard with internal rotation, what meniscus is involved? | Lateral meniscus -Evans, 3rd Ed, Pg898, 8th bullet point |
During McMurray sign, the higher the leg is raised when the snap is heard, the more ____ the lesion is in the meniscus. | Posterior -Evans, 3rd Ed, Pg898, 9th bullet point |
During McMurray sign, the snap is heard with external rotation, what meniscus is involved? | Medial meniscus -Evans, 3rd Ed, Pg898, 10th bullet point |
After positive McMurray sign, what knee orthopedics to do next? | Bounce home test, Payr sign, Steinmann sign -Evans, 3rd Ed, Pg898, under "next steps" |
Slocum test assesses for? | Anterolateral Rotary Instability -Evans, 3rd Ed, Pg910 |
Slocum test assesses for injury to some degree of what 6 things? | 1-Anterior Cruciate ligament 2-Posterolateral capsule 3-Arcuate-Popliteus Complex 4-Lateral Collateral ligament 5-Posterior Cruciate ligament 6-Iliotibial band -Evans, 3rd Ed, Pg910 |
During Slocum test, what position is the patient in? | Sitting or supine -Evans, 3rd Ed, Pg911, 1st bullet point |
During Slocum test, the knee is flexed to what degree? | 80-90 degrees -Evans, 3rd Ed, Pg911, 2nd bullet point |
During Slocum test, the hip is flexed to what degree? | 45 degrees -Evans, 3rd Ed, Pg911, 2nd bullet point |
During Slocum test, the foot is ___ rotated and is held as the tibia is pulled ____. | Internally / Anteriorly -Evans, 3rd Ed, Pg911, 3rd & 4th bullet point |
During Slocum test, where would movement occur for a positive test? | On lateral side of the knee -Evans, 3rd Ed, Pg911, 5th bullet point |
During Slocum test, if movement occurs on the lateral side of the knee, which is positive, what does this indicate? | This movement indicates Anterolateral rotatory instability -Evans, 3rd Ed, Pg911, 6th bullet point |
During Slocum test, if done in seated position, where should the knees be? | Knees flexed over the edge of the examination table -Evans, 3rd Ed, Pg911, 8th bullet point |
During a SEATED Slocum test, pulling on the tibia test for? | Anterior rotary instability -Evans, 3rd Ed, Pg911, 10th bullet point |
During a SEATED Slocum test, pushing on the tibia test for? | Posterior rotary instability -Evans, 3rd Ed, Pg911, 10th bullet point |
After positive Slocum test, what knee orthopedics should you do next? | Drawer test, lateral pivot shift maneuver, Losee test, Lachman test -Evans, 3rd Ed, Pg911, under "next steps" |
Steinmann sign assesses for ? | Lateral or Medial meniscus tear -Evans, 3rd Ed, Pg912 |
What knee orthopedic would you do if your patient was injured while bearing weight on the knee, knee was flexed, and knee underwent a rotation strain? | Steinmann sign -Evans, 3rd Ed, Pg912, figure 11-23 |
During Steinmann sign, patient lying supine or prone? | Supine -Evans, 3rd Ed, Pg913, figure 11-91 |
During Steinmann sign, knee pain moves anterior when the knee is ? | Extended -Evans, 3rd Ed, Pg912, 1st bullet point |
During Steinmann sign, the knee pain moves posteriorly when the knee is? | Flexed -Evans, 3rd Ed, Pg912, 1st bullet point |
What is a positive sign in Steinmann sign? | The movement of pain -Evans, 3rd Ed, Pg912, 2nd bullet point |
During Steinmann sign, medial pain is elicited by? | Lateral rotation -Evans, 3rd Ed, Pg912, 4th bullet point |
During Steinmann sign, lateral pain is elicited by? | Medial rotation -Evans, 3rd Ed, Pg912, 5th bullet point |
After positive Steinmann sign, what knee orthopedics should you do next? | Bounce home test, McMurray sign, Payr sign -Evans, 3rd Ed, Pg912, under "next steps" |