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NMS3 Knee Orthos

NWHSU NMS-3 Knee Orthos

QuestionAnswer
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"
Created by: wizdumbslp