Orthopedic Knee Assessment
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Questions and Answers

What injury mechanism is commonly associated with ACL rupture?

  • Landing on a leg and quickly pivoting (correct)
  • Posterior drawer test
  • Hyperflexion of the knee joint
  • Valgus stress test

    • Where does the anterior cruciate ligament (ACL) originate from?

  • Deep within the notch of the distal femur (correct)
  • Posterior region of the intercondylar area
  • Intercondylar area of the tibia
  • Lateral edge of the medial femoral condyle

    • What is the primary purpose of the posterior cruciate ligament (PCL)?

  • To insert in the anterior region of the intercondylar area of the tibia
  • To prevent valgus twisting injury
  • To stabilize the knee joint by preventing posterior tibial subluxation (correct)
  • To stabilize the knee joint by preventing anterior tibial subluxation

    • Which test is used to assess the lateral collateral ligament?

    <p>Valgus stress test</p> Signup and view all the answers

    What is the purpose of McMurray’s test?

    <p>To assess menisci injury</p> Signup and view all the answers

    Which test is used to assess ACL laxity or rupture?

    <p>Lateral and medial ligament tests</p> Signup and view all the answers

    What is the main focus of Mr. Georgios Arealis' specialization?

    <p>Shoulder and Upper Limb</p> Signup and view all the answers

    What is the position of the patient for the Apprehension test?

    <p>Sitting position</p> Signup and view all the answers

    How is the patient positioned for McMurray's test?

    <p>Supine with the involved knee extended</p> Signup and view all the answers

    In the examination process, what is the first step after washing hands and introducing oneself to the patient?

    <p>General inspection, including walking aids around bedside</p> Signup and view all the answers

    What is the angle of knee flexion for the Apprehension test?

    <p>30 degrees</p> Signup and view all the answers

    What does significant anterior movement of the tibia on the femur suggest?

    <p>ACL laxity or rupture</p> Signup and view all the answers

    What is a potential risk factor for osteoarthritis mentioned in the text?

    <p>High BMI</p> Signup and view all the answers

    In the Active Straight Leg Raise Test, what position should the patient be in?

    <p>Supine position</p> Signup and view all the answers

    What is the purpose of Clarke's Sign / Patellar Grind Test?

    <p>To assess ACL laxity</p> Signup and view all the answers

    What does 'heamarthrosis' refer to in the context of the examination findings?

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

    What should the patient try to do during the Active Straight Leg Raise Test?

    <p>Raise both legs above 20cm without bending the knee</p> Signup and view all the answers

    How is the tibia positioned during the Lateral and medial ligament tests?

    <p>Externally rotated</p> Signup and view all the answers

    Which university is Mr. Georgios Arealis affiliated with as a visiting professor?

    <p>Canterbury Christchurch University</p> Signup and view all the answers

    What is a common pathological condition mentioned in the text related to ACL injuries?

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

    What is the purpose of the posterior sag sign in assessing knee injuries?

    <p>To assess the integrity of the posterior cruciate ligament</p> Signup and view all the answers

    In the anterior drawer test, how should the examiner position the patient?

    <p>Supine with the knee flexed to 90º</p> Signup and view all the answers

    What does significant movement during the anterior drawer test suggest?

    <p>Posterior cruciate ligament (PCL) laxity or rupture</p> Signup and view all the answers

    What does the posterior drawer test primarily assess?

    <p>Posterior cruciate ligament (PCL) laxity or rupture</p> Signup and view all the answers

    When is Lachman’s test considered an alternative assessment for ACL injury?

    <p>In OSCE scenarios</p> Signup and view all the answers

    What is the most likely cause of a positive patellar tap test?

    <p>Large quantities of knee effusion</p> Signup and view all the answers

    Which condition is associated with the loss of quadriceps bulk after ACL surgery?

    <p>Baker's cyst</p> Signup and view all the answers

    What technique is used to assess for smaller quantities of knee effusion?

    <p>Sweep test</p> Signup and view all the answers

    What is the characteristic feature of a positive sweep test for knee effusion?

    <p>Small wave or bulge on the medial aspect of the knee</p> Signup and view all the answers

    Which factor can contribute to hypermobility in the context of ACL injuries?

    <p>Congenital valgus knee</p> Signup and view all the answers

    What is the significance of feeling a gap during palpation of the knee?

    <p>Indicates patellar instability</p> Signup and view all the answers

    What is the most likely cause of pain at the tibial tuberosity during knee palpation?

    <p>Osgood Schlatter disease</p> Signup and view all the answers

    What does the presence of a swelling in the popliteal fossa during palpation indicate?

    <p>Popliteal aneurysm</p> Signup and view all the answers

    What might be indicated by pain at the joint line during knee palpation?

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

    What is the potential cause of developing tension in the muscles of the leg during patella mobilization?

    <p>Patella instability</p> Signup and view all the answers

    What does a palpable swelling above or below the joint line indicate during knee palpation?

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

    What are the potential causes of a pulsatile mass in the popliteal fossa?

    <p>Popliteal aneurysm</p> Signup and view all the answers

    What might be indicated by pain at the tibial tuberosity during knee palpation?

    <p>Osgood Schlatter disease</p> Signup and view all the answers

    What is a potential cause of pain at the tibial tuberosity during knee palpation?

    <p>Osgood Schlatter disease</p> Signup and view all the answers

    What is typically indicated by developing tension in the muscles of the leg as you begin to mobilise the patella?

    <p>Patella instability</p> Signup and view all the answers

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