LE - knee (meniscus/cartilage)

Meniscus =

C-shaped cartilage in knee

Which of the following is not a function of the menisci?

Shock absorption / resist distractive forces

25% of all knee injuries involve

meniscus

Common type of meniscal injuries arises tom

twisting/rotational Injury

Meniscus injury is non-contact injury that often results from

cutting or landing

Which sports are high-risk for meniscal injury?

Soccer and wrestling

Which structure is typically injured along with half of meniscal injuries?

ACL rupture

Degenerative Tears may be

asymptomatic

Which meniscus is more commonly injured?

MED > LAT

MED meniscus tears are more common than LAT meniscus tears due to

its reduced mobility

Which population(s) are more likely to have knee pathologies due to inc.loading of the knee joint?

Obesity / kneeling occupations

Meniscal tears can be catagorized by

zone, pattern, location

Patients with meniscus tears typically report all of the following except

Felt a popping sensation at time of Injury

Key examination for meniscal tears includes a cluster of positive findings. Which of the following is not a part of that cluster?

P! w/ ACTIVE end range FLX/EXT

Since meniscus tears occur in combo w/ lig. rupture, the clinician should

perform lig. stress test w/ acute meniscal lesions

Which of the following is not a special tests for meniscal tears?

Tibiofibular joint tenderness

Which of the following is not a differential diagnosis with meniscal injuries?

Compartment syndrome

Conservative Treatment should be

first-line approach for all pts w/ meniscal tears

Early Rehabilitation typically should focus on all of the following

improving core strength

Neuromuscular Electrical Stimulation can help improves

quadriceps function post-injury.

Assistive Device is typically used if pt with meniscal tear

cannot ambulate w/o pain

What should be avoided in early rehab for meniscal tears?

iso HS resistive exercises

How long should Isolated hamstring resistive exercises be avoided for post op meniscal tears?

for the first 4-6 wks

Rehab of meniscal tears should include progressive stretching of

hip, core, and PF

Once gait is P! and deviation free: aerobic exercise can be

progressed to an elliptical device

Which of the statements is not true about rehab of meniscal repairs?

Immediate return to sports

Partial Meniscectomy is surgical procedure to remove damaged meniscus with an attempt of

preserving as much meniscus as possible

What should follow a Partial Meniscectomy?

rehab with conservative intervention

Partial meniscectomy will require more substantial efforts to

reduce knee effusion

Which knee ROM should be prioritized for a partial meniscectomy?

knee EXT

1st week of a partial meniscetomy, pts should have

90 FLX

1st month of a partial meniscetomy, pts should have

full FLX

Which strength deficit is profound for post op partial meniscectomy?

quad strength

Rehab of quad strength following a partial meniscectomy likely requires

assistive device (2 wks) / E stim

Decreases in ____ and ___ is common after partial meniscectomy.

PF; hip strength

Which of the following open kinetic chain exercises should continue to be avoided for 4-6 weeks after partial meniscectomy?

hamstring strengthening

Ambulating w/o deviation following partial meniscectomy is typically

1-2 wks

Return to sport following partial meniscectomy is typically

5-7 wks

___ tends to heal faster than _____.

MED tears; LAT tears

Meniscal repairs were devleoped to

preserve meniscal function & reduce OA

Failure rate for meniscal repairs is

high

Which of the following is NOT a true statement about rehab for meniscal repairs?

Isolated hanstring strengthening not preformed until 4-6 wks post-op

How long does it take for a pt to RTS following a meniscal repair?

4.5 - 10 m after surgery

Pts can be expected to return to prior level of function following a mensical repair in

3-6 wks

Articular Cartilage injuries aka

chondral lesions

Articular Cartilage injuries results either from

acute of repetitive trauma

Articular Cartilage injuries usually occur in combo w/

meniscus or ACL

Patients with Articular Cartilage injuries typically report all of the following except:

constant knee P!

Conservative interventions for Articular Cartilage injuries are similar to _______ but are ________.

meniscus; more drawn out

How long does it take for a patient with an Articular Cartilage injury to be WB?

6-8 wks

What are the surgical interventions of for Articular Cartilage injuries?

Oseochondral autograph transplant (OAT)

Matrix induced autologous chondrocyte implantation (MACI)