Bones o Femur, Tibia, Patella Ligaments o Anterior Cruciate Ligament (ACL) o Posterior Cruciate...
Transcript of Bones o Femur, Tibia, Patella Ligaments o Anterior Cruciate Ligament (ACL) o Posterior Cruciate...
• Bones o Femur, Tibia, Patella
• Ligamentso Anterior Cruciate Ligament (ACL)o Posterior Cruciate Ligament (PCL)
o Cruciate = Crossing
o Medial Collateral Ligament (MCL)o Lateral Collateral Ligament (LCL)
o Collateral = support / at the side
• Meniscuso Medial and lateral Meniscus
• Valgus forces• Swelling over the medial joint line• Decrease in ROM
• Grade 2 or higher should be placed in a straight leg immobilizer with crutches
• Typically does not require surgery for repair
http://www.sportsmd.com/SportsMD_WatchVideo/vid/313.aspx
http://www.youtube.com/watch?v=wPSXIltT0Bs (MUTE)
http://www.youtube.com/watch?v=j_Mdm4v-ty8&feature=results_video&playnext=1&list=PLDD2266210072D934
• Rare injury• Very awkward mechanism• Varus force
• the angle pointing away from the midline• Force from the medial side of knee
• No surgery
RG IIIhttp://espn.go.com/nfl/story/_/id/8729737/robert-griffin-iii-washington-redskins-does-not-major-knee-injury
http://www.youtube.com/watch?v=ubP-1WaFeEc
• Very rare• May not need to be repaired• Strongest but least important ligament in
the knee• Hyperflexion• Often occurs when falling with a bent
knee• Common in car accidents when the knee
hits the dashboard
• Posterior Drawer Test
• Contact or non-contact• Usually considered a “cutting” injury• “pop” with immediate dysfunction• Usually associated with meniscus injury• 95% of cases require some surgery for
return to sports• 6 to 8 month rehabilitation• Autograft vs. Allograft
http://www.youtube.com/watch?v=QrvHzaDxBug&feature=related
http://www.youtube.com/watch?v=lpIOMuqXWrE&feature=related
• “cartilage”• Shock absorbers• Increase joint congruency• Increase joint stability• Injury Mechanism
o Rotationo Extreme knee flexion
http://www.youtube.com/watch?v=WuVHWZX91KY
• Decrease swelling/ecchymosis/pain• Increase ROM• Increase strength
o Within 85% of the uninvolved leg• Increase weight bearing• Increase function• Return to partial activity• Return to full activity
• ACL o Lachmanso Anterior Drawero Pivot-shift
• MCL o Valgus Stress Test
• LCL o Varus Stress Test
• PCLo Posterior Drawer
• Meniscuso McMurray Testo Bounce Home
• Patellofemoral Tests
Knee Replacement Surgery
Rugby is dangerous to the knees.
Basketball Dislocation.
The U.
Houston’s football team is terrible.