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The Knee

History or subjective

QuestionAnswerTensile Forces Tensile Forces Compressive Forces Compressive Force
Questions on onset will give us what 2 pieces of information? What are we thing about maybe injured given this information? 1. Is it acute: ligamentous vs. muscle injury (sprain vs. strain), bony injury, meniscus 2. Is it chronic: inflammation conditions, patellofemoral problems Valgus Medial structure: MCL, medial joint capsule, pes anserine muscle group, medial meniscus Valgus Lateral meniscus
What do questions on location of pain tell us? Tear directly to ligaments normally result in pain directly corresponding to area of trauma Varus Lateral structure: LCL, lateral joint capsule, IT band, bicep femoris Varus Medial meniscus
How is ACL pain described? As deep, often the knee feels weird or just not right Anterior Tibial Displacement ACL, IT band, LCL, MCL, medial & lateral joint capsule Anterior Tibial Displacement Posterior portion of the medial & lateral meniscus
Where is meniscus pain usually felt? Often at joint line & referred backward toward back of knee Posterior Tibial Displacement PCL, politeus, medial & lateral joint capsules Posterior Tibial Displacement Anterior portion of the medial & lateral meniscus
What else do we want to know about the injury? (1) 1. Was the foot fixed at time of injury? Foot fixation means the tibia is set and the femur is moving independent (ligamentous injury) Internal Tibial Rotation Anterolateral joint capsule, posteromedial joint capsule, posterolateral joint capsule, ACL, LCL Internal Tibial Rotation Anterior horn of the lateral meniscus, posterior horn of the medial meniscus
What else do we want to know about the injury? (2) 2. Associated sounds or sensation? ligaments tend to pop or snap when injured (look for bruises) External Tibial Rotation Posterolateral joint capsule, MCL, PCL, LCL, ACL External Tibial Rotation Anterior horn of the medial meniscus, posterior horn of the lateral meniscus
What else do we want to know about the injury? (3) 3. Prior history: Have they had a knee injury before? How does this compare? Hyper-extension ACL, posterior joint capsule, PCL Hyper-extension Anterior portion of the medial and lateral meniscus
Hyper-flexion ACL, PCL Hyper-flexion Posterior portion of the medial and lateral meniscus
Created by: poly4life