MSK Advanced DD and interventions part 2

A patient presents with pain and catching sensation in the right knee, which started after twisting their knee while playing basketball. On examination, there is tenderness over the joint line, pain with right knee hyperextension and maximal right knee passive flexion. The patient MOST LIKELY has which of the following diagnosis?

A. Osgood-Schlatter disease B. Anterior cruciate ligament tear C. Patellofemoral syndrome D. Meniscal tear

Kn ee Differential Diagnosis – KEY POINTS!

Describe meniscus injury and what increases pain

Kn ee Differential Diagnosis – KEY POINTS!

Patellofemoral pain syndrome ?

Kn ee Differential Diagnosis – KEY POINTS!

Osgood schlotter syndrome?

Kn ee Ligament Differential Diagnosis:

ACL and PCL: what do they restrain/limit the tibia from doing what?

MOI?

Kn ee Ligament Differential Diagnosis:

Symptoms 3 and 3?

Special tests for both?

A soccer player is seen at a physical therapy clinic 3 Post ACL reconstruction: weeks post ACL reconstruction surgery. Which of the following is MOST APPROPRIATE while exercising this patient?

A. Short arc quads between 30° to full extension B. Closed chain strengthening exercises of

quadriceps between 60° to 90° of knee flexion C. Partial lunges with knee translating anterior

to toes D. Partial squats between 0°–45° of flexion

Post ACL reconstruction pxns:

Graft is most vulnerable when?

Knees shouldn’t what during CKC/squats?

Avoid what 2 things in OKC/CKC?

Any ankle weights initially? Distal to what?

A patient presents with numbness, tingling, and burning pain along the medial ankle, radiating into the plantar surface of the foot. The symptoms worsen with prolonged standing and walking. Upon examination, the physical therapist notes tenderness posterior to the medial malleolus and a positive Tinel’s sign. Passive ankle dorsiflexion and eversion aggravate the symptoms. What is the MOST LIKELY diagnosis?

A. Plantar fasciitis B. Achilles tendinitis C. Tarsal tunnel syndrome D. Posterior tibial tendinitis

Ankle Differential Diagnosis:

tarsal tunnel syndrome:

Pain location/symptoms?

Aggravated by what?

Pain w/ what AROM/PROM?

Special test?

Ankle Differential Diagnosis

Medial tibial stress syndrome (posterior shin splints):

Pain location/symptoms?

Aggravated by what?

Pain w/ what AROM/PROM?

Special test?

Ankle Differential Diagnosis

Achilles Tendinitis:

Pain location/symptoms?

Aggravated by what?

Pain w/ what AROM/PROM?

Special test?

Ankle Differential Diagnosis

Plantar fasciitis:

Pain location/symptoms?

Aggravated by what?

Pain w/ what AROM/PROM?

Special test?

A physical therapist is treating a patient who underwent Achilles tendon repair surgery of the right lower extremity after experiencing a fall. The patient is currently at four and half week post-op status. Which of the following is most likely to be CONTRAINDICATED at this stage? A. Full weight-bearing in walking boot B. CAM orthosis that allows free

dorsiflexion

C. CAM orthosis that restricts dorsiflexion D. CAM orthosis that allows free

plantarflexion

Achilles post op:

Phase 1: how many weeks?

AROM of what?

What do you introduce at 2 weeks?

Progress to what and when?

Achilles post op:

Phase 2:

What do you introduce at 6-8 weeks? And for how long?

After 12 weeks, what do you progress to?

Avoid what and for how long?