This episode provides a detailed step-by-step guide to performing a knee examination. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"excerpt":{"rendered":"
This episode provides a detailed step-by-step guide to performing a knee examination. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-758","post","type-post","status-publish","format-standard","hentry","category-ceip","entry"],"youtubeVideo":"435759462\/300b35a6c1","question1":"What does Lachmanns Test examine?","answers1":"Anterior cruciate ligament | Posterior cruciate ligament| Medial collateral ligament | Fat pad impingement","correctAnswer1":"0","correctAnswerText1":"The Lachmanns Test is performed with the leg slightly flexed and externally rotated. It tests the integrity of the ACL.","question2":"Classically, what type of deformity do you get with osteoarthritis of the knee?","answers2":"Varus | Valgus","correctAnswer2":"0","correctAnswerText2":"Classically it is the medial compartment that gets worn first. This results in a varus deformity of the knee, also known as \u2018bow legged\u2019. This is because the mechanical access of the knee loads the medial compartment normally. It is still possible to get lateral wear with osteoarthritis that results in a valgus deformity, but this is less common.","question3":"Where do patients with patella femoral joint arthritis classically get pain?","answers3":"Lateral | Posterior | Anterior | Medial","correctAnswerText3":"Normally it is around the front of the knee, but it can be referred to other parts of the knee.","correctAnswer3":"2","question4":"What action specifically aggravates patella femoral joint arthritis the most?","answers4":"Twisting| Walking up stairs | Walking down stairs| Varus force","correctAnswer4":"2","correctAnswerText4":"Walking up and down stairs is when the joint is loaded most. Patients will complain that walking down stairs is worse than walking up.","question5":"What is the main symptom of an insufficient ACL?","answers5":"Anterior knee pain | Instability | Dull pain over medial and lateral| Inability to do a deep squat","correctAnswer5":"1","correctAnswerText5":"Patients with a tear will complain of instability of their knee if their muscles are not strong enough to compensate for a torn ACL. ACL repair with a graft will not help symptoms of pain, only instability.","question6":"What will be the clinical findings for patient who has had Osgood schlatter disease?","answers6":"Supra patella tenderness | Prominent tibial tuberosity | Sharp medial knee pain with a click","correctAnswer6":"1","correctAnswerText6":"A prominent tibial tuberosity. Whilst a child is growing, excessive exercise can cause stress on the growth plate causing it to get irritated and grow more then usual. Once they have reached skeletal maturity and the growth plate fuses, their symptoms should stop but they can potentially develop patella tendon tendinopathy later in life.","question7":"The patella tendon is a ligament.","answers7":"True | False","correctAnswer7":"1","correctAnswerText7":"Technically this is a tendon as it is muscle to bone. The patella bone is a seasmoid bone that is enveloped in the tendon arising from the quadriceps muscle going to the tibia.","question8":"What is a bucket handle tear of the meniscus?","answers8":"A free floating meniscus| Complete detachment an entire side of a meniscus | A large tear of a meniscus still attached at either end | A small meniscal tear","correctAnswer8":"2","correctAnswerText8":"This is where there is a large tear in the meniscus but the part that has torn is still attached at either side, thus it resembles the shape of a bucket handle. This can then flip over causing locking of the knee.","question9":"Which is a symptom of true locking of the knee?","answers9":"Difficulty in extending their knee, but will go slowly | Inability to extend their knee but able to flex from that position | Painless clicking of their knee | Inability to flex their knee but able to extended from that position","correctAnswer9":"1","correctAnswerText9":"True locking refers to when a patient\u2019s knee won\u2019t fully extend, but they can flex the knee from this position. Classically they move their knee in a certain way and the knee suddenly releases and moves fully. If this is a common occurrence they will have a \u2018trick\u2019 for unlocking it. Many patients refer to their knee \u2018locking\u2019, when in fact the medical term is pseudo-locking. This is when they can fully extend their knee but experience \u2018stiffness\u2019. Careful questioning in the history is necessary.","question10":"An extension lag means that you can passively fully extend that joint but the patient is unable to do it actively.","answers10":"True | False","correctAnswer10":"0","correctAnswerText10":"An extension block means that the joint cannot fully extend with both passive and active extension. Whereas an extension lag means the patient can not fully extend their joint actively. However, passively the joint can be fully extended indicating there is problem with soft tissues, i.e. the muscles\/tendons.","question11":"","answers11":"","correctAnswer11":"","correctAnswerText11":"","question12":"","answers12":"","correctAnswer12":"","correctAnswerText12":"","question13":"","answers13":"","correctAnswer13":"","correctAnswerText13":"","question14":"","answers14":"","correctAnswer14":"","correctAnswerText14":"","question15":"","answers15":"","correctAnswer15":"","correctAnswerText15":"","icon":"legs","parentId":"","recapId":"","_links":{"self":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/758"}],"collection":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=758"}],"version-history":[{"count":2,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/758\/revisions"}],"predecessor-version":[{"id":760,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/758\/revisions\/760"}],"wp:attachment":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=758"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=758"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=758"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}