Acute Knee Ligament Injuries
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Questions and Answers

Which ligament tear is most likely to occur with a valgus force applied to the knee?

  • LCL tear
  • PCL tear
  • MCL tear (correct)
  • ACL tear
  • Which ligament tear is most likely to occur with a valgus force and rotation applied to the knee?

  • LCL tear
  • ACL tear
  • MCL tear
  • PCL tear (correct)
  • Which ligament tear is most likely to occur with a valgus force, rotation, and weight bearing applied to the knee?

  • MCL tear
  • ACL tear
  • Medial meniscus tear (correct)
  • PCL tear
  • Which ligament tear is most likely to occur with a varus force applied to the knee?

    <p>LCL tear</p> Signup and view all the answers

    Which ligament tear is most likely to occur with a varus force and rotation applied to the knee?

    <p>MCL tear</p> Signup and view all the answers

    Which ligament tear is most likely to occur with a dashboard injury?

    <p>PCL tear</p> Signup and view all the answers

    Which ligament tear is most likely to occur with a posterior sag in the anteroposterior stability test?

    <p>PCL tear</p> Signup and view all the answers

    Which ligament tear is most likely to be diagnosed using the anterior drawer test?

    <p>ACL tear</p> Signup and view all the answers

    Which ligament tear is most likely to be diagnosed using the Lachman test?

    <p>ACL tear</p> Signup and view all the answers

    What is the most common presentation of an ACL tear?

    <p>Immediate painful doughy swelling</p> Signup and view all the answers

    Which test is used to assess for anteroposterior glide in the knee?

    <p>Anterior drawer test</p> Signup and view all the answers

    What does a posterior sag sign indicate?

    <p>PCL injury</p> Signup and view all the answers

    Which imaging technique is used to differentiate partial from complete tear?

    <p>MRI</p> Signup and view all the answers

    What is the initial treatment for a partial tear?

    <p>Functional brace or crepe bandage with early exercise</p> Signup and view all the answers

    What is the initial treatment for a complete MCL or LCL tear?

    <p>Casting for 6 weeks</p> Signup and view all the answers

    What is the initial treatment for a complete ACL or PCL tear?

    <p>Casting for 6 weeks</p> Signup and view all the answers

    What is the initial treatment for a combined collateral ligament tear and ACL or PCL tear?

    <p>Casting for 6 weeks</p> Signup and view all the answers

    When should avulsion injuries be surgically treated?

    <p>Immediately</p> Signup and view all the answers

    What is the purpose of an arthroscopy in the management of ACL tear?

    <p>To determine the need for ligament reconstruction</p> Signup and view all the answers

    At what position should the hip and knee be during the posterior sag sign test?

    <p>Hip at 45 degrees, knee at 90 degrees</p> Signup and view all the answers

    Study Notes

    Ligament Tears and Forces

    • A valgus force applied to the knee is most likely to cause a medial collateral ligament (MCL) tear.
    • A valgus force with rotation applied to the knee is most likely to cause an ACL (anterior cruciate ligament) tear.
    • A valgus force, rotation, and weight bearing applied to the knee is most likely to cause an ACL and MCL tear.
    • A varus force applied to the knee is most likely to cause a lateral collateral ligament (LCL) tear.
    • A varus force with rotation applied to the knee is most likely to cause an LCL and posterior cruciate ligament (PCL) tear.

    Diagnostic Tests and Imaging

    • The anterior drawer test is used to diagnose ACL tears.
    • The Lachman test is used to diagnose ACL tears.
    • The posterior sag sign indicates a posterior cruciate ligament (PCL) tear.
    • The Lachman test is used to assess for anteroposterior glide in the knee.
    • MRI is used to differentiate partial from complete tears.

    Treatment and Management

    • The initial treatment for a partial tear is conservative management.
    • The initial treatment for a complete MCL or LCL tear is surgical reconstruction.
    • The initial treatment for a complete ACL or PCL tear is surgical reconstruction.
    • The initial treatment for a combined collateral ligament tear and ACL or PCL tear is surgical reconstruction.
    • Avulsion injuries should be surgically treated if they are displaced or involve a large fragment of bone.
    • Arthroscopy is used to assess the extent of an ACL tear and perform surgical reconstruction.

    Examination Techniques

    • The posterior sag sign test is performed with the hip and knee in 90 degrees of flexion.

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    Description

    Test your knowledge on acute knee ligament injuries and their mechanisms of injury with this quiz. Learn about the various ligaments involved and how they contribute to knee stability. Perfect for athletes, healthcare professionals, and anyone interested in understanding common knee injuries.

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