OCS - Knee 3

Order of Examination of Articular Cartilage and other knee problems:

5 Steps:

medical screening, classifying condition, deterimining irritatbility, determining best outcome measure, and determining post surgical interventions

Order of Examination of Articular Cartilage and other knee problems:

Step 1: Medical Screening

Ottawa knee rules and psychosocial factors (depressive symptoms, locus of control, decreased motivation)

Order of Examination of Articular Cartilage and other knee problems:

Step 3: irrittability

Assessed using pain-related measures and patient reported disability and activity avoidance

Repeatative extension movements and is common in sports like gymnastics. Can present secondary to knee OA, obesity, diabetes, post-op trauma from equipment.

Pain located in front of knee behind the patellar tendon and provoked with knee extenion or deep palpation.

Fat Pad Irritation

Common in runners after increase in training load or hills.

Pain in lateral aspect of knee and TTP of lateral epicondyle.

IT Band Friction Syndrome

Variety of hx including repetative sport activities and is common in OA individuals. Pain at Pes Anserine

Pes Anserine Bursitis

Swelling and tenderness above the kneecap.

Suprapatellar Bursitis

Swelling and tenderness on top of patella. Repetative kneeling or blow to the kneecap

Prepatellar Bursitis

Swelling and tenderness at the distal attachment of patellar tendon. Associated with kneeling and leaning on your heels

Infrapatellar bursitis

If you see pain and swelling in the knee in a 13 y/o boy what are you thinking?

Osgood Schallaters instead of infrapatellar bursitis

Traction Ophysitis of growth plate tissue at tibial tubercle. only occurs during growth years

repativie jumping and squatting. females 8-13, males 10-15.

Osgood Schlatter Disease

Traction aphosyitis at the patellar growth plate. pain at inferior pole of patellar. only will happen with open, active growth plates.

Sinding-Larsen-Johansson Syndrome

What are some common factors with OSG and SLJ?

warm-up phenomonon and common in kids in sport specialization. be cautious on loading the extensor mechinsm. focus on load managment.

Hx of Patellar Subluxation, common in ages 10-17.

Lateral Patellar Instability

Special test for Patellar instability

Patellar Apprehension Test