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| Closed chain isometric exercises are done to facilitate? |
CO CONTRACTION OF THE QUADRICEPS AND HAMSTRINGS |
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MichaelMorano Thu, 14 Oct 2010 01:07:08 GMT |
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| The VMO primarily effects what? |
PATELLAR ALIGNMENT |
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MichaelMorano Thu, 14 Oct 2010 00:35:23 GMT |
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| When and how long does the moderate protection phase last in a meniscal repair? |
4-6 WEEKS TO ABOUT 12 WEEKS POST OP |
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MichaelMorano Thu, 14 Oct 2010 00:35:23 GMT |
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| Open chain training exercise precautions of ACL reconstruction? |
-DURING PRE TO STRENGTHEN HIP MUSCULATURE, INITIALLY PLACE THE RESISTANCE ABOVE THE KNEE UNTIL KNEE CONTROL IS ESTABLISHED
-AVOID RESISTED, OPEN CHAIN KNEE EXTENSION BETWEEN 45 AND 15 DEGREES
-AVOID APPLYING RESISTANCE TO THE DISTAL TIBIA DURING QUADRICEPS STRENGTHENING |
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MichaelMorano Wed, 13 Oct 2010 20:44:59 GMT |
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| What are the closed chain training exercise precautions for ACL reconstruction? |
-WHEN SQUATTING IN AN UPRIGHT POSITION BE SURE THT THE KNEES DO NOT MOVE ANTERIOR TO THE TOES AS THE HIPS DESCEND BECAUSE THIS INCREASES SHEAR FORCES ON THE TIBIA AND COULD POTENTIALLY PLACE EXCESS STRESS ON THE AUTOGRAFT
-AVOID CLOSED CHAIN STRENGTHENING OF THE QUADRICEPS BETWEEN 60 AND 90 DEGREES OF KNEE FLEXION |
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MichaelMorano Wed, 13 Oct 2010 20:44:59 GMT |
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| Resistance training-exercise precautions after acl reconstruction? |
-PROGRESS EXERCISES MORE GRADUALLY FOR RECONSTRUCTION WITH HAMSTRING TENDON GRAFT THAN BONE PATELLAR TENDON BONE GRAFT
-PROGRESS KNEE FLEXOR STRENGTHENING EXERCISES CAUTIOUSLY IF A HAMSTRING TENDON GRAFT WAS HARVESTED AND KNEE EXTENSOR STRENGTHENING IF A PATELLAR TENDON GRAFT WAS HARVESTED. |
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MichaelMorano Wed, 13 Oct 2010 20:44:59 GMT |
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| An increased valgus at the knee might indicate what weak muscle group? |
WEAK HIP ABDUCTORS |
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MichaelMorano Wed, 13 Oct 2010 19:53:47 GMT |
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| Why do we want to laterally rotate the femur during SLR's? |
BECAUSE MANY FIBERS OF THE VMO ORIGINATE ON THE ADDUCTOR TENDONS AND MEDIAL INTRAMUSCULAR SEPTUM. |
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MichaelMorano Wed, 13 Oct 2010 19:53:47 GMT |
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| Greatest patellar stress is at ______ and compression loads at _____, so pain may be provoked in these ranges whe nmaximum torque from the resistance force is applied in these ranges? |
60 DEGREES
75 DEGREES |
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MichaelMorano Wed, 13 Oct 2010 19:53:47 GMT |
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| There is little or no contact of the patella with the trochlear groove from ______ to ______ of _______. |
0-15 DEGREES OF FLEXION |
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MichaelMorano Wed, 13 Oct 2010 19:53:47 GMT |
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| Results from prolonged kneeling or recurrent minor trauma to the anterior knee? |
PREPATELLA BURSITIS |
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MichaelMorano Wed, 13 Oct 2010 19:37:41 GMT |
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| Prepatellar bursitis is AKA? |
HOUSEMAIDS KNEE |
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MichaelMorano Wed, 13 Oct 2010 19:37:41 GMT |
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| Describes a condition related to irritation of remnants of embryological synovla tissue around teh patella? |
PLICA SYNDROME |
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MichaelMorano Wed, 13 Oct 2010 19:37:41 GMT |
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| What activities are highly recommended after a TKA? |
-STATIONARY CYCLING
-SWIMMING, WATER AEROBICS
-WALKING
-GOLF
-BALLROOM OR SQUARE DANCING
-TABLE TENNIS |
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MichaelMorano Wed, 13 Oct 2010 19:37:41 GMT |
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| What are the goals of intervention in the mod protection phase of a TKA? |
-INCREASE STRENGTH AND MUSCULAR ENDURANCE OF KNEE AND HIP
-CONTINUE TO INCREASE KNEE ROM
-IMPROVE STANDING BALANCE |
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MichaelMorano Wed, 13 Oct 2010 18:53:19 GMT |
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| When does the moderate protection phase begin/end? |
BEGINS AT 4 WEEKS
ENDS AT 8-12 WEEKS |
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MichaelMorano Wed, 13 Oct 2010 18:53:19 GMT |
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| Why should you avoid placing a pillow under the knee while lying supine after a TKA? |
TO AVOID A KNEE FLEIXON CONTRACTURE |
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MichaelMorano Wed, 13 Oct 2010 18:53:19 GMT |
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| What is the risk of a TKR? |
-WOUND HEALING PROBLEMS
-DEEP VEIN THROMBOSIS |
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MichaelMorano Wed, 13 Oct 2010 18:53:19 GMT |
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| Significant congruency of compotion of motion? |
FULLY CONSTRAINED |
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MichaelMorano Wed, 13 Oct 2010 18:38:30 GMT |
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| Provides some degree of stability with little compromise of mobility; most common design used for TKA? |
SEMICONSTRAINED |
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MichaelMorano Wed, 13 Oct 2010 18:38:30 GMT |
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| No adherent stability in the implant design; used primarily with unicompartmental arthroplasty? |
UNCONSTRAINED |
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MichaelMorano Wed, 13 Oct 2010 18:38:30 GMT |
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| What degree is a normal Q angle? |
10-15 DEGREES |
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MichaelMorano Wed, 13 Oct 2010 17:51:34 GMT |
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| What kind of bone is the patella? |
SESMOID |
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MichaelMorano Wed, 13 Oct 2010 17:51:34 GMT |
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True/False
The medial condyle is longer than the lateral condyle |
TRUE |
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MichaelMorano Wed, 13 Oct 2010 17:51:34 GMT |
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| What kind of joint is the knee? |
MODIFIED HINGE JOINT |
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MichaelMorano Wed, 13 Oct 2010 17:51:34 GMT |
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| What muscle SPECIFICALLY is the primary focus of quadriceps strengthening? |
VASTUS MEDIALIS OBLIQUES (VMO) |
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MichaelMorano Tue, 12 Oct 2010 23:49:01 GMT |
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| What muscle group would you want to strengthen in order to help resolve patellofemoral pain? |
QUADRICEPS |
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MichaelMorano Tue, 12 Oct 2010 23:49:01 GMT |
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| Tightness of what muscle can lead to patellofemoral compression? |
TIGHTNESS OF THE HAMSTRINGS |
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MichaelMorano Tue, 12 Oct 2010 23:49:01 GMT |
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| A patella posture that is more inferior than normal is referred to as? |
PATELLA BAJA |
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MichaelMorano Tue, 12 Oct 2010 22:40:21 GMT |
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| A patella posture that is more superior than normal is referred to as? |
PATELLA ALTA |
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MichaelMorano Tue, 12 Oct 2010 22:40:21 GMT |
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| What is typically the underlying cause of anterior knee pain? |
MECHANICAL DEVIATION OF PATELLAR TRACKING DURING KNEE FLEXION AND EXTENSION |
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MichaelMorano Tue, 12 Oct 2010 22:40:21 GMT |
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| When can patients begin CKC exercises after a meniscal repair? |
8 WEEKS |
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MichaelMorano Tue, 12 Oct 2010 22:40:21 GMT |
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| What can you expect with a positive McMurray's test? |
PAIN AND AN AUDIBLE OR PALPABLE SNAP OR POP |
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MichaelMorano Tue, 12 Oct 2010 22:29:46 GMT |
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| How do you test for a lateral meniscus tear when performing McMurray's test? |
APPLY A VARUS FORCE WITH INTERNAL TIBIAL ROTATION |
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MichaelMorano Tue, 12 Oct 2010 22:29:46 GMT |
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| McMurray test? |
A TEST USED TO REPRODUCE THE SYMPTOMS OF A TORN MENISCUS |
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MichaelMorano Tue, 12 Oct 2010 22:29:46 GMT |
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| Apley's compression/distraction test? |
USED TO DIAGNOSE A MENISCAL/LIGAMENTOUS INJURY |
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MichaelMorano Tue, 12 Oct 2010 22:29:46 GMT |
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| Noncontact WB injuries of the menisci usually involve? |
COMBINED FORCES OF KNEE FLEXION, ROTATION, COMPRESSION, AND SHEAR |
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MichaelMorano Tue, 12 Oct 2010 22:23:21 GMT |
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| What are the five main types of meniscal tears? |
-HORIZONTAL TEARS
-LONGITUDINAL TEARS
-DEGENERATIVE TEARS
-FLAP TEARS
-RADIAL TEARS |
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MichaelMorano Tue, 12 Oct 2010 22:23:21 GMT |
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| The medial and lateral menisci serve as? |
"EXTENSIONS OF THE TIBIA"
PROVIDE FOR RECEPTION OF THE FEMORAL CONDYLES ONTO THE SURFACE OF THE TIBIA |
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MichaelMorano Tue, 12 Oct 2010 22:23:21 GMT |
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| Functions of the meniscus? |
-STABILITY
-SHOCK ABSORPTION
-LOAD TRANSMISSION
-NUTRITION
-LUBRICATION
-CONTROL OF MOTION |
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MichaelMorano Tue, 12 Oct 2010 22:23:21 GMT |
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| Bracing for knee support generally is organized into three distinct categories known as? |
-PROPHYLACTIC
-REHABILITATIVE
-FUNCTIONAL |
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MichaelMorano Tue, 12 Oct 2010 22:16:28 GMT |
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| What is the most common ligament injury seen in the knee? |
MCL SPAINS |
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MichaelMorano Tue, 12 Oct 2010 22:16:28 GMT |
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| Generally, full knee flexion can be achieved how long after PCL surgery? |
2 MONTHS POST OP |
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MichaelMorano Tue, 12 Oct 2010 22:16:28 GMT |
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| What are common graft choices for reconstructing the PCL? |
-MEDIAL GASTROCNEMIUS TENDON
-CENTRAL ONE-THIRD BONE-PATELLAR TENDON-BONE AUTOGRAFTS
-ACHILLES TENDON ALLOGRAFTS |
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MichaelMorano Tue, 12 Oct 2010 22:16:28 GMT |
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| What muscle group needs to be strengthened after a PCL injury? |
QUADRICEPS |
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MichaelMorano Tue, 12 Oct 2010 21:22:08 GMT |
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True/False
Isolated PCL injuries occur less often than isolated ACL injuries? |
TRUE |
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MichaelMorano Tue, 12 Oct 2010 21:22:08 GMT |
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True/False
After an ACL tear, conservative nonoperative Tx progresses at a faster pace. |
TRUE |
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MichaelMorano Tue, 12 Oct 2010 21:22:08 GMT |
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| Generally, isokinetic examinations are reserved for what phase of recovery? |
MODERATE AND MINIMUM PROTECTION PHASES |
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MichaelMorano Tue, 12 Oct 2010 21:22:08 GMT |
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| How should the tibia be positioned during a standing wall squat? |
COMPLETELY VERTICLE TO PREVENT ANY ANTERIOR TRANSLATION OF THE TIBIA WHICH WILL STRESS THE NEW GRAFT |
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MichaelMorano Tue, 12 Oct 2010 21:11:56 GMT |
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| CKC exercises and progressive proprioceptive tasks are designed to stimulate the? |
AFFERENT NEURAL INPUT SYSTEM |
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MichaelMorano Tue, 12 Oct 2010 21:11:56 GMT |
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| After an ACL reconstruction, when is immobilization usually discontinued? |
5TH OR 6TH WEEK POST OP |
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MichaelMorano Tue, 12 Oct 2010 21:11:56 GMT |
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| After post op ACL reconstruction, when is a good time in the healing process to start propioceptive activities? |
IN THE MODERATE PROTECTION PHASE |
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MichaelMorano Tue, 12 Oct 2010 21:11:56 GMT |
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| What muscle group would you want to focus on after an ACL reconstruction? |
STRENGTHENING THE HAMSTRINGS AND HAVE CONTROL OF THE QUADRICEPS |
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MichaelMorano Tue, 12 Oct 2010 21:01:25 GMT |
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True/False
Passive terminal knee extension is allowed after an ACL autograft reconstruction. |
TRUE |
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MichaelMorano Tue, 12 Oct 2010 21:01:25 GMT |
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True/False
Active open chain terminal knee extension is allowed after an ACL reconstruction. |
FALSE
NOT ALLOWED BECAUSE THIS WILL CAUSE AN ANTERIOR TRANSLATION OF THE TIBIA WHICH WILL FURTHER STRESS THE NEW GRAFT.
PASSIVE TERMINAL KNEE EXTENSION HOWEVER, IS ALLOWED |
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MichaelMorano Tue, 12 Oct 2010 21:01:25 GMT |
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| Strengthening exercises after an ACL reconstruction? |
ISOMETRICS OF THE HAMSTRINGS AND QUADS |
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MichaelMorano Tue, 12 Oct 2010 21:01:25 GMT |
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| Why is there less swelling in an MCL sprain (extra articular) over an ACL/PCL sprain (intracapsular)? |
BECAUSE THE BLEEDING FROM THE INJURED TISSUES CAN EVACUATE THE AREA AND THE FLUID IS NOT RESTRAINED WITHIN THE JOINT CAPSULE |
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MichaelMorano Tue, 12 Oct 2010 18:47:42 GMT |
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| Removal of synovial fluid will often indicate what? |
A CHRONIC MENISCUS LESION OR SYNOVITIS |
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MichaelMorano Tue, 12 Oct 2010 18:47:42 GMT |
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| A hemarthrosis will often require? |
ARHTROCENTESIS (ASPIRATION OF FLUID WITHIN A JOINT) |
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MichaelMorano Tue, 12 Oct 2010 18:02:39 GMT |
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| Hemarthrosis? |
BLOOD WITHIN A JOINT |
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MichaelMorano Tue, 12 Oct 2010 18:02:39 GMT |
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| How does an ACL sprain typically occur? |
NONCONTACT, DECELERATION, CKC MOI. |
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MichaelMorano Tue, 12 Oct 2010 18:02:39 GMT |
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| What is a major risk of an allograft? |
DISEASE TRANSMISSION |
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MichaelMorano Tue, 12 Oct 2010 18:02:39 GMT |
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| This procedure refers to using biologic tissue taken from another human body? |
ALLOGRAFT |
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MichaelMorano Tue, 12 Oct 2010 17:50:40 GMT |
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| This procedure uses tissues from the body of the patient? |
AUTOGRAFT |
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MichaelMorano Tue, 12 Oct 2010 17:50:40 GMT |
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| What motions must be avoided after an ACL autograft? |
-ANTERIOR TRANSLATION OF THE TIBIA
-ROTATORY FORCES |
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MichaelMorano Tue, 12 Oct 2010 17:50:40 GMT |
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| How long does the minimum protection phase last for after an autograft? |
13 WEEKS POST OP TO RETURN TO ACTIVITY |
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MichaelMorano Tue, 12 Oct 2010 17:50:40 GMT |
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| How long does the moderate-protection phase last for after an autograft? |
7-12 WEEKS POST OP |
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MichaelMorano Tue, 12 Oct 2010 17:46:06 GMT |
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| How long does the maximum-protection phase last after an autograft? |
APPROX 6 WEEKS POST OP |
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MichaelMorano Tue, 12 Oct 2010 17:46:06 GMT |
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| How long will a graft be most fragile after surgery? |
2 MONTHS |
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MichaelMorano Tue, 12 Oct 2010 17:46:06 GMT |
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| Once a graft is harvested and surgically routed within the knee, it begins a gradual process of __________ ____________ over the first _____ to _____ weeks? |
-AVASCULAR NECROSIS
-6-8 WEEKS |
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MichaelMorano Tue, 12 Oct 2010 17:46:06 GMT |
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| Chronic overuse injuries/anterior posterior knee pain? |
-PF PROBLEMS
-PLICA SYNDROME
-OSGOOD SCHLATTERS
-PATELLAR TENDONITIS
-BAKERS CYST |
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MichaelMorano Tue, 12 Oct 2010 05:13:42 GMT |
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| Two types of patellar Fx's? |
-STELLATE
-OSTEOCHONDRAL |
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MichaelMorano Tue, 12 Oct 2010 05:11:04 GMT |
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| Two types of tibial FX's? |
-AVULSION OF THE LAT TIBIAL CONDYLE
-AVULSION OF THE INTERCONDYLAR EMINENCE |
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MichaelMorano Tue, 12 Oct 2010 05:11:04 GMT |
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| Diagnosis of DJD? |
-PAIN WITH WB
-SWELLING
-PAIN WITH FULL FLEXION
-LIMITED ROM |
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MichaelMorano Tue, 12 Oct 2010 05:11:04 GMT |
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| Etiology of DJD? |
-GENETIC COMPONENT
-PREVIOUS MENSCIAL PATHOLOGY
-GENU VARUM/VALGUM |
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MichaelMorano Tue, 12 Oct 2010 05:11:04 GMT |
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| Diagnosis of LCL injuries? |
-VARUS STRESS TEST IN EXTENSION
-PALPATION FLEX KNEE TO 90 DEGREES AND ER OF HIP |
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MichaelMorano Tue, 12 Oct 2010 05:07:40 GMT |
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| Etiology of LCL injuries? |
-HYPEREXTENSION/VARUS FORCE
-SEVERE INJURIES INCLUDE DAMAGE TO PCL |
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MichaelMorano Tue, 12 Oct 2010 05:07:40 GMT |
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| Function of the LCL? |
-PREVENT EXCESSIVE VARUS FORCE AT THE KNEE
-SECONDARY ANTERIOR AND POSTERIOR DRAWER
-PREVENTS ER |
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MichaelMorano Tue, 12 Oct 2010 05:07:40 GMT |
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| Etiology of MCL injuries? |
-VALGUS AND ER FORCE
-ACL AND MENISCUS CAN ALSO BE INJURED |
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MichaelMorano Tue, 12 Oct 2010 05:07:40 GMT |
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| Function of the MCL? |
-ABDUCTION AND ER OF TIBIA
-SECONDARY ANTERIOR DISPLACEMENT
-FIBERS SLACKEN IN FLEXION |
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MichaelMorano Tue, 12 Oct 2010 05:02:13 GMT |
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| Diagnosis of PCL injuries? |
-POSTERIOR DRAW
-POSTERIOR SAG
-REVERSE PIVOT SHIFT
-POSTEROLATERAL DRAWER TEST |
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MichaelMorano Tue, 12 Oct 2010 05:02:13 GMT |
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| Etiology of PCL injuries? |
-HYPERFLEXION
-DASHBOARD INJURIES |
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MichaelMorano Tue, 12 Oct 2010 05:02:13 GMT |
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| Function of the PCL? |
-PREVENT EXCESSIVE POSTERIOR TRANSLATION OF THE TIBIA ON A FIXED FEMUR
-ER OF THE TIBIA FLEXED TO 90 DEGREES |
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MichaelMorano Tue, 12 Oct 2010 05:02:13 GMT |
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True/False
ACL injuries are usually associated with meniscal lesions but isolated tears are possible. |
TRUE |
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MichaelMorano Tue, 12 Oct 2010 04:40:02 GMT |
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| What are the predisposing factors of ACL injuries? |
-NARROW INTERCONDYLAR NOTCH
-TIBIAL ROTATION
-HYPERMOBILITY
-ALIGNMENT OF THE FOOT AND WIDTH OF THE PELVIS IN FEMALES |
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MichaelMorano Tue, 12 Oct 2010 04:40:02 GMT |
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| What is the etiology of ACL injuries? |
-DECELERATION AND PIVOTING
-SEVERE ROTARY INJURIES
-HYPEREXTENSION |
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MichaelMorano Tue, 12 Oct 2010 04:40:02 GMT |
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| Function of the ACL? |
-PREVENT EXCESSIVE ANTERIOR TRANSLATION OF THE TIBIA
-IR OF TIBIA WITH KNEE FLEXED TO 90 DEGREES |
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MichaelMorano Tue, 12 Oct 2010 04:40:02 GMT |
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| Types of meniscal tears? |
-LONGITUDINAL
-VERTICAL LONGITUDINAL |
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MichaelMorano Mon, 11 Oct 2010 23:19:42 GMT |
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True/False
Medial mensicus tears are commonly seen in stable knees. |
TRUE |
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MichaelMorano Mon, 11 Oct 2010 23:19:42 GMT |
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| Why are medial mensicus tears more common than lateral tears? |
BECAUSE THE MEDIAL MENISCUS IS ANCHORED MORE SECURELY TO THE MEDIAL TIBIAL PLATEAU |
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MichaelMorano Mon, 11 Oct 2010 23:07:48 GMT |
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True/False
Lateral meniscus tears are more common than medial meniscus tears? |
FALSE
MEDIAL TEARS ARE MORE COMMON |
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MichaelMorano Mon, 11 Oct 2010 23:07:48 GMT |
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| MOI of mensical injuries? |
-MICRO TRAUMA
-DEGENERATIVE TEARS
(DUE TO DIMINISHED BLOOD FLOW
VARUS/VALGUS FORCES) |
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MichaelMorano Mon, 11 Oct 2010 23:07:48 GMT |
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| Function of the meniscus? |
-IMPROVE THE CONGRUENCY BETWEEN THE TIBIA AND FEMUR
-DECREASE LOAD FORCES ON ARTICULAR CARTILAGE |
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MichaelMorano Mon, 11 Oct 2010 23:07:48 GMT |
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