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Knee HOPS

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Knee HOPS HISTORY We estimate that the proper diagnosis can be achieved in 80 - 85% of cases from a properly performed history alone. (Univeristy of Minnesota Sports ... – PowerPoint PPT presentation

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Title: Knee HOPS


1
Knee HOPS
2
HISTORY
  • We estimate that the proper diagnosis can be
    achieved in 80 - 85 of cases from a properly
    performed history alone. (Univeristy of Minnesota
    Sports Medicine)
  • How
  • What sport
  • Contact v. non-contact
  • Non-contact think ACL
  • Valgus force think MCL
  • Varus force think LCL
  • Rotational force think meniscus or ACL

3
  • Did it feel like it gave out
  • Did you hear or feel a pop
  • Chronic v. acute onset
  • Functional limitations
  • Locks think meniscus
  • Pain with deep knee bends or stairs think meniscus

4
OBSERVATION
  • It is important to observe the symptomatic knee
    for any deformities, abnormal alignment, surgical
    scars, lacerations, discoloration and swelling.
  • Observe the gait
  • Unable to extend knee fully when walking think
    ACL
  • Knee locked when walking think meniscus

5
  • Swelling
  • Intraarticular swelling inside the joint
    (capsule) will result in the loss of the normal
    contour of the extensor mechanism. May see a
    fluid wave think meniscus, ACL or PCL

6
  • Extraarticular swelling oustide of the joint.
    Localized swelling and a traumatic etiology can
    indicate either a localized hematoma or a
    localized joint injury.
  • Medial aspect of knee think MCL
  • Lateral aspect of knee think LCL
  • Anterior aspect think bursitis, tendonitis
  • Tibial tuberosity think Osgood-Schlatters
  • Posterior aspect think Bakers

7
(No Transcript)
8
PALPATION
  • Bony
  • Head of fibula think LCL
  • Tibial tuberosity think Osgood Schatters
  • Joint line/tibial plateau- think meniscus
  • Patella inferior pole think Lars-Johansen

9
  • Muscular
  • Quadriceps and quadriceps tendon
  • Hamstrings and tendons
  • Origin of gastrocnemius
  • Ligaments
  • MCL on medial side
  • LCL on lateral side
  • Cannot palpate ACL or PCL

10
Special Tests
  • ROM active,passive and resistive knee flexion
    and extension
  • Patellar grind test-- chondromalaysia
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