examination and imaging of the kneeforms.acsm.org/15tpc/pdfs/17 johnson a.pdf · • fracture 1-...
TRANSCRIPT
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
LTC ANTHONY E JOHNSON MD FAAOS CHAIRMAN DEPARTMENT OF ORTHOPAEDICS amp REHABILITATION
CO-CHAIRMAN US ARMED FORCES SPORTS MEDICAL ADVISORY GROUP TEAM PHYSICIAN USA PARALYMPIC BASKETBALL
ACSM Team Physician Course 6 February 2015
Examination and Imaging of the Knee
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Focused History Questions
bull Onset of Pain ndash Date of injury or when symptoms started
bull Location of Pain ndash Anterior ndash Medial ndash Lateral ndash Posterior
bull Injury-Associated Events ndash Pop heard or felt ndash Swelling after injury (immediate vs delayed) ndash Catching Locking ndash Buckling Instability (ldquogiving wayrdquo)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Focused History Questions
bull Degree of Immediate Dysfunction
|------------------------| Unable to Antalgic Continued Ambulate Gait to Participate
bull Aggravating Factors ndash Activities changing positions stairs kneeling
bull Relieving Factorstreatments tried ndash Ice medications crutches
bull History of previous knee injury or surgery
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Historical Clues to Knee Injury Diagnoses
Noncontact injury with ldquopoprdquo ACL tear Contact injury with ldquopoprdquo MCL or LCL tear meniscus
tear fracture Acute swelling ACL tear PCL tear fracture
knee dislocation patellar dislocation
Lateral blow to the knee MCL tear Medial blow to the knee LCL tear Knee ldquogave outrdquo or ldquobuckledrdquo ACL tear patellar dislocation Fall onto a flexed knee PCL tear
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Differential Diagnosis of Knee Hemarthrosis
bull ACL 65 - 70 bull Meniscus 125 - 50 bull Fracture 1- 20 bull Patellar dislocation 11 - 20 bull w Osteochondral lesion 5 bull PCL 1-5
Benedetto KP Knee joint hemarthrosis--differential diagnostic considerations for planning an operation Orthopade 1990 Apr19(2)69-76
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Observe ndash Static Alignment
bull Medial aspects of knees and ankles in contact
httpwwworthoseekcomarticlesimgbowl1gif
Genu valgum Genu varum
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Ottawa Knee Rules
bull When to order a knee x-ray after acute injury ndash Age gt 55 or lt 18 ndash Unable to walk ndash TTP on PATELLA ndash TTP on FIBULAR HEAD ndash Unable to flex 90 deg
bull 100 sensitive ndash Reduced radiographs by 49
Emparanza JI Validation of the Ottawa Knee Rules Ann Emerg Med 2001 Oct38(4)364-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellofemoral Joint Exam
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar Tilt nl is 15deg
Patellar Slide normal is 25-50
Patellar Apprehension w lateral movement
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationsubluxation
bull Mechanism of injury ndash Direct trauma ndash Rotation over planted
foot (ie softball swing) ndash Sudden cutting
movements ndash Prior injury predispose
for recurrence
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationinstability
bull Imaging ndash Standard knee x-rays a
good start ndash MRI to ro associated
injuries bull Hemearthrosis
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
13
Valgus Stress Test for MCL
Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Location MCL Tissue Damage
bull Proximal ruptures heal more quickly ndash But have more stiffness
bull Complete ruptures can displace into the joint
bull Damage over entire ligament associated with persistent laxity after non-operative treatment
Nakamura N (2003) Acute grade III MCL injury of the knee associated with ACL tear usefulness of MRI in determining treatment regimenrdquo Am J Sports Med 31(2) 261-7
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Focused History Questions
bull Onset of Pain ndash Date of injury or when symptoms started
bull Location of Pain ndash Anterior ndash Medial ndash Lateral ndash Posterior
bull Injury-Associated Events ndash Pop heard or felt ndash Swelling after injury (immediate vs delayed) ndash Catching Locking ndash Buckling Instability (ldquogiving wayrdquo)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Focused History Questions
bull Degree of Immediate Dysfunction
|------------------------| Unable to Antalgic Continued Ambulate Gait to Participate
bull Aggravating Factors ndash Activities changing positions stairs kneeling
bull Relieving Factorstreatments tried ndash Ice medications crutches
bull History of previous knee injury or surgery
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Historical Clues to Knee Injury Diagnoses
Noncontact injury with ldquopoprdquo ACL tear Contact injury with ldquopoprdquo MCL or LCL tear meniscus
tear fracture Acute swelling ACL tear PCL tear fracture
knee dislocation patellar dislocation
Lateral blow to the knee MCL tear Medial blow to the knee LCL tear Knee ldquogave outrdquo or ldquobuckledrdquo ACL tear patellar dislocation Fall onto a flexed knee PCL tear
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Differential Diagnosis of Knee Hemarthrosis
bull ACL 65 - 70 bull Meniscus 125 - 50 bull Fracture 1- 20 bull Patellar dislocation 11 - 20 bull w Osteochondral lesion 5 bull PCL 1-5
Benedetto KP Knee joint hemarthrosis--differential diagnostic considerations for planning an operation Orthopade 1990 Apr19(2)69-76
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Observe ndash Static Alignment
bull Medial aspects of knees and ankles in contact
httpwwworthoseekcomarticlesimgbowl1gif
Genu valgum Genu varum
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Ottawa Knee Rules
bull When to order a knee x-ray after acute injury ndash Age gt 55 or lt 18 ndash Unable to walk ndash TTP on PATELLA ndash TTP on FIBULAR HEAD ndash Unable to flex 90 deg
bull 100 sensitive ndash Reduced radiographs by 49
Emparanza JI Validation of the Ottawa Knee Rules Ann Emerg Med 2001 Oct38(4)364-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellofemoral Joint Exam
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar Tilt nl is 15deg
Patellar Slide normal is 25-50
Patellar Apprehension w lateral movement
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationsubluxation
bull Mechanism of injury ndash Direct trauma ndash Rotation over planted
foot (ie softball swing) ndash Sudden cutting
movements ndash Prior injury predispose
for recurrence
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationinstability
bull Imaging ndash Standard knee x-rays a
good start ndash MRI to ro associated
injuries bull Hemearthrosis
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
13
Valgus Stress Test for MCL
Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Location MCL Tissue Damage
bull Proximal ruptures heal more quickly ndash But have more stiffness
bull Complete ruptures can displace into the joint
bull Damage over entire ligament associated with persistent laxity after non-operative treatment
Nakamura N (2003) Acute grade III MCL injury of the knee associated with ACL tear usefulness of MRI in determining treatment regimenrdquo Am J Sports Med 31(2) 261-7
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Focused History Questions
bull Degree of Immediate Dysfunction
|------------------------| Unable to Antalgic Continued Ambulate Gait to Participate
bull Aggravating Factors ndash Activities changing positions stairs kneeling
bull Relieving Factorstreatments tried ndash Ice medications crutches
bull History of previous knee injury or surgery
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Historical Clues to Knee Injury Diagnoses
Noncontact injury with ldquopoprdquo ACL tear Contact injury with ldquopoprdquo MCL or LCL tear meniscus
tear fracture Acute swelling ACL tear PCL tear fracture
knee dislocation patellar dislocation
Lateral blow to the knee MCL tear Medial blow to the knee LCL tear Knee ldquogave outrdquo or ldquobuckledrdquo ACL tear patellar dislocation Fall onto a flexed knee PCL tear
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Differential Diagnosis of Knee Hemarthrosis
bull ACL 65 - 70 bull Meniscus 125 - 50 bull Fracture 1- 20 bull Patellar dislocation 11 - 20 bull w Osteochondral lesion 5 bull PCL 1-5
Benedetto KP Knee joint hemarthrosis--differential diagnostic considerations for planning an operation Orthopade 1990 Apr19(2)69-76
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Observe ndash Static Alignment
bull Medial aspects of knees and ankles in contact
httpwwworthoseekcomarticlesimgbowl1gif
Genu valgum Genu varum
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Ottawa Knee Rules
bull When to order a knee x-ray after acute injury ndash Age gt 55 or lt 18 ndash Unable to walk ndash TTP on PATELLA ndash TTP on FIBULAR HEAD ndash Unable to flex 90 deg
bull 100 sensitive ndash Reduced radiographs by 49
Emparanza JI Validation of the Ottawa Knee Rules Ann Emerg Med 2001 Oct38(4)364-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellofemoral Joint Exam
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar Tilt nl is 15deg
Patellar Slide normal is 25-50
Patellar Apprehension w lateral movement
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationsubluxation
bull Mechanism of injury ndash Direct trauma ndash Rotation over planted
foot (ie softball swing) ndash Sudden cutting
movements ndash Prior injury predispose
for recurrence
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationinstability
bull Imaging ndash Standard knee x-rays a
good start ndash MRI to ro associated
injuries bull Hemearthrosis
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
13
Valgus Stress Test for MCL
Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Location MCL Tissue Damage
bull Proximal ruptures heal more quickly ndash But have more stiffness
bull Complete ruptures can displace into the joint
bull Damage over entire ligament associated with persistent laxity after non-operative treatment
Nakamura N (2003) Acute grade III MCL injury of the knee associated with ACL tear usefulness of MRI in determining treatment regimenrdquo Am J Sports Med 31(2) 261-7
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Historical Clues to Knee Injury Diagnoses
Noncontact injury with ldquopoprdquo ACL tear Contact injury with ldquopoprdquo MCL or LCL tear meniscus
tear fracture Acute swelling ACL tear PCL tear fracture
knee dislocation patellar dislocation
Lateral blow to the knee MCL tear Medial blow to the knee LCL tear Knee ldquogave outrdquo or ldquobuckledrdquo ACL tear patellar dislocation Fall onto a flexed knee PCL tear
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Differential Diagnosis of Knee Hemarthrosis
bull ACL 65 - 70 bull Meniscus 125 - 50 bull Fracture 1- 20 bull Patellar dislocation 11 - 20 bull w Osteochondral lesion 5 bull PCL 1-5
Benedetto KP Knee joint hemarthrosis--differential diagnostic considerations for planning an operation Orthopade 1990 Apr19(2)69-76
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Observe ndash Static Alignment
bull Medial aspects of knees and ankles in contact
httpwwworthoseekcomarticlesimgbowl1gif
Genu valgum Genu varum
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Ottawa Knee Rules
bull When to order a knee x-ray after acute injury ndash Age gt 55 or lt 18 ndash Unable to walk ndash TTP on PATELLA ndash TTP on FIBULAR HEAD ndash Unable to flex 90 deg
bull 100 sensitive ndash Reduced radiographs by 49
Emparanza JI Validation of the Ottawa Knee Rules Ann Emerg Med 2001 Oct38(4)364-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellofemoral Joint Exam
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar Tilt nl is 15deg
Patellar Slide normal is 25-50
Patellar Apprehension w lateral movement
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationsubluxation
bull Mechanism of injury ndash Direct trauma ndash Rotation over planted
foot (ie softball swing) ndash Sudden cutting
movements ndash Prior injury predispose
for recurrence
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationinstability
bull Imaging ndash Standard knee x-rays a
good start ndash MRI to ro associated
injuries bull Hemearthrosis
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
13
Valgus Stress Test for MCL
Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Location MCL Tissue Damage
bull Proximal ruptures heal more quickly ndash But have more stiffness
bull Complete ruptures can displace into the joint
bull Damage over entire ligament associated with persistent laxity after non-operative treatment
Nakamura N (2003) Acute grade III MCL injury of the knee associated with ACL tear usefulness of MRI in determining treatment regimenrdquo Am J Sports Med 31(2) 261-7
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Differential Diagnosis of Knee Hemarthrosis
bull ACL 65 - 70 bull Meniscus 125 - 50 bull Fracture 1- 20 bull Patellar dislocation 11 - 20 bull w Osteochondral lesion 5 bull PCL 1-5
Benedetto KP Knee joint hemarthrosis--differential diagnostic considerations for planning an operation Orthopade 1990 Apr19(2)69-76
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Observe ndash Static Alignment
bull Medial aspects of knees and ankles in contact
httpwwworthoseekcomarticlesimgbowl1gif
Genu valgum Genu varum
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Ottawa Knee Rules
bull When to order a knee x-ray after acute injury ndash Age gt 55 or lt 18 ndash Unable to walk ndash TTP on PATELLA ndash TTP on FIBULAR HEAD ndash Unable to flex 90 deg
bull 100 sensitive ndash Reduced radiographs by 49
Emparanza JI Validation of the Ottawa Knee Rules Ann Emerg Med 2001 Oct38(4)364-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellofemoral Joint Exam
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar Tilt nl is 15deg
Patellar Slide normal is 25-50
Patellar Apprehension w lateral movement
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationsubluxation
bull Mechanism of injury ndash Direct trauma ndash Rotation over planted
foot (ie softball swing) ndash Sudden cutting
movements ndash Prior injury predispose
for recurrence
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationinstability
bull Imaging ndash Standard knee x-rays a
good start ndash MRI to ro associated
injuries bull Hemearthrosis
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
13
Valgus Stress Test for MCL
Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Location MCL Tissue Damage
bull Proximal ruptures heal more quickly ndash But have more stiffness
bull Complete ruptures can displace into the joint
bull Damage over entire ligament associated with persistent laxity after non-operative treatment
Nakamura N (2003) Acute grade III MCL injury of the knee associated with ACL tear usefulness of MRI in determining treatment regimenrdquo Am J Sports Med 31(2) 261-7
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Observe ndash Static Alignment
bull Medial aspects of knees and ankles in contact
httpwwworthoseekcomarticlesimgbowl1gif
Genu valgum Genu varum
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Ottawa Knee Rules
bull When to order a knee x-ray after acute injury ndash Age gt 55 or lt 18 ndash Unable to walk ndash TTP on PATELLA ndash TTP on FIBULAR HEAD ndash Unable to flex 90 deg
bull 100 sensitive ndash Reduced radiographs by 49
Emparanza JI Validation of the Ottawa Knee Rules Ann Emerg Med 2001 Oct38(4)364-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellofemoral Joint Exam
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar Tilt nl is 15deg
Patellar Slide normal is 25-50
Patellar Apprehension w lateral movement
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationsubluxation
bull Mechanism of injury ndash Direct trauma ndash Rotation over planted
foot (ie softball swing) ndash Sudden cutting
movements ndash Prior injury predispose
for recurrence
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationinstability
bull Imaging ndash Standard knee x-rays a
good start ndash MRI to ro associated
injuries bull Hemearthrosis
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
13
Valgus Stress Test for MCL
Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Location MCL Tissue Damage
bull Proximal ruptures heal more quickly ndash But have more stiffness
bull Complete ruptures can displace into the joint
bull Damage over entire ligament associated with persistent laxity after non-operative treatment
Nakamura N (2003) Acute grade III MCL injury of the knee associated with ACL tear usefulness of MRI in determining treatment regimenrdquo Am J Sports Med 31(2) 261-7
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Ottawa Knee Rules
bull When to order a knee x-ray after acute injury ndash Age gt 55 or lt 18 ndash Unable to walk ndash TTP on PATELLA ndash TTP on FIBULAR HEAD ndash Unable to flex 90 deg
bull 100 sensitive ndash Reduced radiographs by 49
Emparanza JI Validation of the Ottawa Knee Rules Ann Emerg Med 2001 Oct38(4)364-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellofemoral Joint Exam
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar Tilt nl is 15deg
Patellar Slide normal is 25-50
Patellar Apprehension w lateral movement
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationsubluxation
bull Mechanism of injury ndash Direct trauma ndash Rotation over planted
foot (ie softball swing) ndash Sudden cutting
movements ndash Prior injury predispose
for recurrence
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationinstability
bull Imaging ndash Standard knee x-rays a
good start ndash MRI to ro associated
injuries bull Hemearthrosis
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
13
Valgus Stress Test for MCL
Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Location MCL Tissue Damage
bull Proximal ruptures heal more quickly ndash But have more stiffness
bull Complete ruptures can displace into the joint
bull Damage over entire ligament associated with persistent laxity after non-operative treatment
Nakamura N (2003) Acute grade III MCL injury of the knee associated with ACL tear usefulness of MRI in determining treatment regimenrdquo Am J Sports Med 31(2) 261-7
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Ottawa Knee Rules
bull When to order a knee x-ray after acute injury ndash Age gt 55 or lt 18 ndash Unable to walk ndash TTP on PATELLA ndash TTP on FIBULAR HEAD ndash Unable to flex 90 deg
bull 100 sensitive ndash Reduced radiographs by 49
Emparanza JI Validation of the Ottawa Knee Rules Ann Emerg Med 2001 Oct38(4)364-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellofemoral Joint Exam
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar Tilt nl is 15deg
Patellar Slide normal is 25-50
Patellar Apprehension w lateral movement
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationsubluxation
bull Mechanism of injury ndash Direct trauma ndash Rotation over planted
foot (ie softball swing) ndash Sudden cutting
movements ndash Prior injury predispose
for recurrence
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationinstability
bull Imaging ndash Standard knee x-rays a
good start ndash MRI to ro associated
injuries bull Hemearthrosis
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
13
Valgus Stress Test for MCL
Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Location MCL Tissue Damage
bull Proximal ruptures heal more quickly ndash But have more stiffness
bull Complete ruptures can displace into the joint
bull Damage over entire ligament associated with persistent laxity after non-operative treatment
Nakamura N (2003) Acute grade III MCL injury of the knee associated with ACL tear usefulness of MRI in determining treatment regimenrdquo Am J Sports Med 31(2) 261-7
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellofemoral Joint Exam
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar Tilt nl is 15deg
Patellar Slide normal is 25-50
Patellar Apprehension w lateral movement
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationsubluxation
bull Mechanism of injury ndash Direct trauma ndash Rotation over planted
foot (ie softball swing) ndash Sudden cutting
movements ndash Prior injury predispose
for recurrence
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationinstability
bull Imaging ndash Standard knee x-rays a
good start ndash MRI to ro associated
injuries bull Hemearthrosis
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
13
Valgus Stress Test for MCL
Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Location MCL Tissue Damage
bull Proximal ruptures heal more quickly ndash But have more stiffness
bull Complete ruptures can displace into the joint
bull Damage over entire ligament associated with persistent laxity after non-operative treatment
Nakamura N (2003) Acute grade III MCL injury of the knee associated with ACL tear usefulness of MRI in determining treatment regimenrdquo Am J Sports Med 31(2) 261-7
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar Tilt nl is 15deg
Patellar Slide normal is 25-50
Patellar Apprehension w lateral movement
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationsubluxation
bull Mechanism of injury ndash Direct trauma ndash Rotation over planted
foot (ie softball swing) ndash Sudden cutting
movements ndash Prior injury predispose
for recurrence
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationinstability
bull Imaging ndash Standard knee x-rays a
good start ndash MRI to ro associated
injuries bull Hemearthrosis
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
13
Valgus Stress Test for MCL
Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Location MCL Tissue Damage
bull Proximal ruptures heal more quickly ndash But have more stiffness
bull Complete ruptures can displace into the joint
bull Damage over entire ligament associated with persistent laxity after non-operative treatment
Nakamura N (2003) Acute grade III MCL injury of the knee associated with ACL tear usefulness of MRI in determining treatment regimenrdquo Am J Sports Med 31(2) 261-7
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationsubluxation
bull Mechanism of injury ndash Direct trauma ndash Rotation over planted
foot (ie softball swing) ndash Sudden cutting
movements ndash Prior injury predispose
for recurrence
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationinstability
bull Imaging ndash Standard knee x-rays a
good start ndash MRI to ro associated
injuries bull Hemearthrosis
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
13
Valgus Stress Test for MCL
Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Location MCL Tissue Damage
bull Proximal ruptures heal more quickly ndash But have more stiffness
bull Complete ruptures can displace into the joint
bull Damage over entire ligament associated with persistent laxity after non-operative treatment
Nakamura N (2003) Acute grade III MCL injury of the knee associated with ACL tear usefulness of MRI in determining treatment regimenrdquo Am J Sports Med 31(2) 261-7
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Patellar dislocationinstability
bull Imaging ndash Standard knee x-rays a
good start ndash MRI to ro associated
injuries bull Hemearthrosis
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
13
Valgus Stress Test for MCL
Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Location MCL Tissue Damage
bull Proximal ruptures heal more quickly ndash But have more stiffness
bull Complete ruptures can displace into the joint
bull Damage over entire ligament associated with persistent laxity after non-operative treatment
Nakamura N (2003) Acute grade III MCL injury of the knee associated with ACL tear usefulness of MRI in determining treatment regimenrdquo Am J Sports Med 31(2) 261-7
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
13
Valgus Stress Test for MCL
Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Location MCL Tissue Damage
bull Proximal ruptures heal more quickly ndash But have more stiffness
bull Complete ruptures can displace into the joint
bull Damage over entire ligament associated with persistent laxity after non-operative treatment
Nakamura N (2003) Acute grade III MCL injury of the knee associated with ACL tear usefulness of MRI in determining treatment regimenrdquo Am J Sports Med 31(2) 261-7
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Location MCL Tissue Damage
bull Proximal ruptures heal more quickly ndash But have more stiffness
bull Complete ruptures can displace into the joint
bull Damage over entire ligament associated with persistent laxity after non-operative treatment
Nakamura N (2003) Acute grade III MCL injury of the knee associated with ACL tear usefulness of MRI in determining treatment regimenrdquo Am J Sports Med 31(2) 261-7
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Collegiate Football Severity vs Return
bull Grade I ndash 106 days bull Grade II ndash 195 days
Derscheid GL and JG Garrick Am J Sports Med 1981 9(6) p 365-8
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Varus Stress Test for LCL Note Direction Of Forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
17
Lachman Test
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
18
Anterior Drawer Test for ACL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence ndash ACL
bull Lachman Test Sens 87 Spec 93 bull Anterior Drawer Sens 48 Spec 87 bull Pivot Shift Test Sens 61 Spec 97
Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Sex Issues Related to ACL Injuries
bull Females more likely to sustain an ACL injury than males ndash Soccer - 26X ndash Basketball - 575X
bull Wider pelvis bull Greater flexibility bull Less-developed musculature bull Hypoplastic vastus medialis oblique bull Narrow femoral notch bull Genu valgum bull External tibial torsion
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Segond fracture ndash Avulsion of the lateral
capsular ligament)
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
ACL Radiographic Findings
bull Avulsion of the intercondylar tubercle
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Review of Evidence - Meniscus
bull Joint Line Tenderness Sens 76 Spec 29 bull McMurray Test Sens 52 Spec 97 Jackson JL OrsquoMalley PG Kroenke K Evaluation of Acute Knee Pain in Primary Care Ann Intern Med 2003139575-588
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Posterior Drawer Test - PCL
Note direction of forces
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
External Rotation Dial Test - (PLC)
Symmetric = NORMAL Asymmetric = ABNORMAL
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Flexibility
Popliteal Angle Thomas Test
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Iliotibial Band Sydrome
Clinical symptoms bull Lateral knee pain bull Associated with hills
and banked surfaces bull Common running injury
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
bull Noblersquos test ndash Palpate lateral femoral
condyle ndash Flex and Extend Knee ndash + Test is pain at site of
palpation
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Mechanism Injuries I
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries II
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Extensor Tendon Injuries III
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
Osgood-Schlatter
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-
San Antonio Military Medical Center
The warrior above all others prays for peace for it is the warrior above all others who must suffer and bear the deepest wounds and scars of warrdquo
- Slide Number 1
- Focused History Questions
- Focused History Questions
- Historical Clues to Knee Injury Diagnoses
- Differential Diagnosis of Knee Hemarthrosis
- Observe ndash Static Alignment
- Slide Number 7
- Ottawa Knee Rules
- Patellofemoral Joint Exam
- Slide Number 10
- Patellar dislocationsubluxation
- Patellar dislocationinstability
- Valgus Stress Test for MCL
- Location MCL Tissue Damage
- Collegiate Football Severity vs Return
- Varus Stress Test for LCL
- Lachman Test
- Anterior Drawer Test for ACL
- Review of Evidence ndash ACL
- Sex Issues Related to ACL Injuries
- ACL Radiographic Findings
- ACL Radiographic Findings
- Review of Evidence - Meniscus
- Posterior Drawer Test - PCL
- External Rotation Dial Test - (PLC)
- Flexibility
- Iliotibial Band Sydrome
- Slide Number 28
- Extensor Mechanism Injuries I
- Extensor Tendon Injuries II
- Extensor Tendon Injuries III
- Osgood-Schlatter
- Slide Number 34
-