Knee Diseases, Injuries & Treatments (Msq Drill 180)

1. When is the PCL ligament most taught?

In extension

In flexion

2. What is the 2nd largest bone in the skeleton?

Humerus

Femur

Tibia

3. The ACL limits:

Flexion

Hyperextension

4. The transverse meniscal ligament basically stabilizes the meniscus. True or false?

True

False

5. When the knee is flexed 90 degrees is the ACL tight?

Yes

No

6. In an injury the most likely injury will occur to the:

Lateral meniscus

Medial meniscus

7. Does the arcuate popliteal cover the popliteal tendon and strengthen the posterior capsule?

Yes

No

8. Which ligament resists varus stress?

Lateral collateral ligament

Medial collateral ligament

9. The normal range of motion of the knee is

0-60 degrees

0-100 degrees

0-150 degrees

10. A lesion of the tibia with protruding fragements:

Legg calve perthes disease

Slipped capitus epiphyses

Osgood schlatter

11. Very common problem Young patients (athletes) Defined as anterior knee pain Associated with increased patellofemoral forces Pain worsened with running, squatting

Osgood schlatter

Sinding-Larsen-Johansson

Patellofemoral syndrome

Fat pad impingement

12. Is patellofemoral syndrome usually self limiting?

Yes, but you can also treat with braces, injections, nsaids or quad exercises

No

13. In both patella baja and alta the extremity is unable to flex or extend?

Cannot flex

Cannot extend

14. The number one cause of the pain the popliteal foss is:

Osteocohndritis dessicans

Baker's cyst

Osgood schlatter

Gastroc bursitis

15. The patella bone:

Is a sesamoid bone

Protects the knee joint

Submit

16. Why are the meniscal fibers radial, and longitudinal?

To contain hoop stress

To dissipate hoop stress

17. What test do you do to test for patellar instability?

Apprehension test

Anterior drawer test

Straight leg test

Thompson test

18. ROM against gravity with some resistance: What is the grading?

0/5

1/5

2/5

3/5

4/5

5 – ROM against gravity with full resistance
4 – ROM against gravity with some resistance
3 – ROM against gravity
2 – ROM with gravity eliminated
1 – Evidence of slight contractility, no motion
0 – No evidence of contractility

Explanation

5 – ROM against gravity with full resistance
4 – ROM against gravity with some resistance
3 – ROM against gravity
2 – ROM with gravity eliminated
1 – Evidence of slight contractility, no motion
0 – No evidence of contractility

19. Is the MCL attached to the medial meniscus?

Yes

No

20. What are the functions of the meniscus?

Load bearing

Shock absorption

Joint lubrication

Submit

21. ***** In the lateral view is the fibula anterior or posterior to the tibia?

22. Which bursae is deep to the quads and communicates with the joint cavity?

Suprapatellar

Infrapatellar

Popliteus

Anserine

Gastro & semimbranous

23. The ACL is most taught in extension or flexion?

Extension

Flexion

It resists forward motion of hte tibia

Explanation

It resists forward motion of hte tibia

24. What injuries occur when bones of the leg twist in opposite directions under full body weight?

MCL

LCL

ACL

PCL

25. *** A quadriceps tendon rupture will manifest as a low or high riding patella?

Low riding patella or patella baja

High riding patella or patella Alta

patella alta is a high riding patella

Explanation

patella alta is a high riding patella

26. Which muscles insert on the pes anserine?

Sartorius

Gracilis

Semimebranosus

Semitendinosus

Submit

27. Which of the following are knee joint bursae?

Suprapatellar

Infrapatellar

Popliteus, anserine

Gastroc & semimembranous

Submit

28. Which ligament is tight in extension?

LCL

MCL

29. The number one surgical procedure in USA is:

Lateral meniscus repair

Medial collateral ligament repair

Medial meniscus repair

30. Pallatofemoral syndrome can be caused by:

Increased valgus

Muscle imbalance

Anterior incongruity of p-f joint

Lateral subluxation of the patella

Patella tendinitis

Submit

31. Injury to the osteochondral structure Most common in the medial femoral condyle Trauma – ischemia - Genetics Predominately effects males Not osteonecrosis (rich underlying blood supply

Sail sign

Osteochondritis dissecans

Osteoarthritis

Avascular necrosis

32. Which bursa is the common site of housemaid's knee?

Suprapatellar

Infrapatellar

Prepatellar

Popliteus

33. The medial meniscus has 2x the excursion of the lateral meniscus during knee range of motion. True or false?

True

False

the lateral meniscus is much stronger than the medial meniscus.

Explanation

the lateral meniscus is much stronger than the medial meniscus.

34. The meniscus is made of type _ collagen

1

2

3

4

35. What nerve innervates the ACL?

Femoral nerve

Common peroneal

Tibial nerve

Popliteal nerve

36. Does the ACL go posterior to anterior or anterior to posterior?

Anterior to posterior

Posterior to anterior

37. In which of the following situations should a knee x-ray be done?

Age less than 12 years or greater than 50

Blunt trauma or fall as the mechanism of injury

Open growth plates

Inability to walk four weight bearing steps int he ER

Submit

38. Which of the following are treatments for osteochondritis dessicans?

Conservative

Removal of fragment

Bone drilling

Osteoarticular transfer system

Submit

39. Total knee replacements are always an option for degenerative knee diseases. True or false?

True

False

40. The blood supply of the meniscus is only on the inner margin of the meniscus.True or false?

True

False

It is only on the outer margin

Explanation

It is only on the outer margin

41. Which meniscus is more rounded or looks like a closed C, and is more mobile?

Medial meniscus

Lateral meniscus

42. Which ligaments connect the medial meniscus to the depp portion of the MCL?

Ligament of Humphry (anterior

Ligament of Wriseberg (posterior

Transverse Meniscal

Coronary ligaments

43. What ligament is responsible for:

expansion of semimembranous tendon resists hyperextension

Oblique popliteal

Arcuate popliteal

Posterior cruciate

Anterior cruciate

44. Which ligament stabilizes the lateral meniscus to the PCL?

Ligament of Humphry (anterior)

Ligament of Wriseberg (posterior

Transverse Meniscal

45. What is the ligament of Wriseberg's function?

Stabilizes lateral meniscus to PCL

Stabilizes medial meniscus to the PCL

Knee Diseases, Injuries & Treatments (Msq Drill 180)

1. When is the PCL ligament most taught?

2.

What first name or nickname would you like us to use?

2. What is the 2nd largest bone in the skeleton?

3. The ACL limits:

4. The transverse meniscal ligament basically stabilizes the meniscus. True or false?

5. When the knee is flexed 90 degrees is the ACL tight?

6. In an injury the most likely injury will occur to the:

7. Does the arcuate popliteal cover the popliteal tendon and strengthen the posterior capsule?

8. Which ligament resists varus stress?

9. The normal range of motion of the knee is

10. A lesion of the tibia with protruding fragements:

11. Very common problem Young patients (athletes) Defined as anterior knee pain Associated with increased patellofemoral forces Pain worsened with running, squatting

12. Is patellofemoral syndrome usually self limiting?

13. In both patella baja and alta the extremity is unable to flex or extend?

14. The number one cause of the pain the popliteal foss is:

15. The patella bone:

16. Why are the meniscal fibers radial, and longitudinal?

17. What test do you do to test for patellar instability?

18. ROM against gravity with some resistance: What is the grading?

19. Is the MCL attached to the medial meniscus?

20. What are the functions of the meniscus?

21. ***** In the lateral view is the fibula anterior or posterior to the tibia?

22. Which bursae is deep to the quads and communicates with the joint cavity?

23. The ACL is most taught in extension or flexion?

24. What injuries occur when bones of the leg twist in opposite directions under full body weight?

25. *** A quadriceps tendon rupture will manifest as a low or high riding patella?

26. Which muscles insert on the pes anserine?

27. Which of the following are knee joint bursae?

28. Which ligament is tight in extension?

29. The number one surgical procedure in USA is:

30. Pallatofemoral syndrome can be caused by:

31. Injury to the osteochondral structure Most common in the medial femoral condyle Trauma – ischemia - Genetics Predominately effects males Not osteonecrosis (rich underlying blood supply

32. Which bursa is the common site of housemaid's knee?

33. The medial meniscus has 2x the excursion of the lateral meniscus during knee range of motion. True or false?

34. The meniscus is made of type _ collagen

35. What nerve innervates the ACL?

36. Does the ACL go posterior to anterior or anterior to posterior?

37. In which of the following situations should a knee x-ray be done?

38. Which of the following are treatments for osteochondritis dessicans?

39. Total knee replacements are always an option for degenerative knee diseases. True or false?

40. The blood supply of the meniscus is only on the inner margin of the meniscus.True or false?

41. Which meniscus is more rounded or looks like a closed C, and is more mobile?

42. Which ligaments connect the medial meniscus to the depp portion of the MCL?

43. What ligament is responsible for: expansion of semimembranous tendon resists hyperextension

44. Which ligament stabilizes the lateral meniscus to the PCL?

45. What is the ligament of Wriseberg's function?

43. What ligament is responsible for:

expansion of semimembranous tendon resists hyperextension