Viva Voce Stations on Knee Injuries
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Questions and Answers

What is primarily affected by chondromalacia patellae?

  • Bone tissue of the distal femur
  • Articular cartilage on the underside of the patella (correct)
  • Ligaments around the patellofemoral joint
  • Synovial fluid in the knee joint

Which muscle imbalance is particularly relevant in the development of chondromalacia patellae?

  • Overactive quadriceps muscles
  • Excessively tight calf muscles
  • Non-functioning vastus medialis (correct)
  • Weakened hamstring muscles

Which of the following factors does NOT predispose a person to chondromalacia patellae?

  • History of knee injuries
  • Rapid bone growth in young adults
  • Being male (correct)
  • High impact activities on the knees

What is a common treatment method for chondromalacia patellae?

<p>Ibuprofen or naproxen for pain relief (D)</p> Signup and view all the answers

Which mechanism contributes to the breakdown of the articular cartilage in chondromalacia patellae?

<p>Thighbone rubbing against the cartilage (A)</p> Signup and view all the answers

What role does the vastus medialis play in the knee joint?

<p>It stabilizes the knee (C)</p> Signup and view all the answers

What is the primary objective of using ice in the treatment of chondromalacia patellae?

<p>To reduce swelling (A)</p> Signup and view all the answers

Which treatment option is aimed at reducing pressure on the patella?

<p>Realignment surgery (C)</p> Signup and view all the answers

Flashcards

What is Chondromalacia Patellae?

A condition affecting the cartilage on the underside of the kneecap (patella), which allows smooth joint movement. It causes stiffness and pain during movement.

What is articular cartilage?

The smooth, protective layer covering the ends of bones in joints, enabling frictionless movement.

What is the patellofemoral joint?

The joint formed between the kneecap (patella) and the lower part of the thigh bone (femur).

What happens to the cartilage in Chondromalacia Patellae?

The process of cartilage breakdown and softening, leading to pain and stiffness in the knee joint.

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What is the Vastus Medialis muscle?

A muscle in the thigh that helps stabilize the knee by pulling the kneecap upwards and inwards.

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How do muscle imbalances contribute to Chondromalacia Patellae?

Muscle imbalances around the knee, particularly weakness of the Vastus Medialis, can cause the kneecap to misalign and rub against the thigh bone. This increases friction and leads to cartilage damage.

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What are some predisposing factors for Chondromalacia Patellae?

Factors that increase the risk of developing Chondromalacia Patellae.

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How is Chondromalacia Patellae treated?

Treatment aims to decrease pain and inflammation by limiting activity, using medications, applying ice, and supporting the knee with braces. Physical therapy helps strengthen muscles, while realignment surgery can reduce pressure on the kneecap.

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Study Notes

Viva Voce Stations

  • Viva voce examination has 4 stations.
  • Students are randomly assigned to stations.
  • Possible 8 injuries are assessed across the stations.
  • Two stations focus on acute injuries.
  • Two stations focus on chronic injuries.

Viva - Conditions

  • Knee Injuries: Anterior Cruciate Ligament injury, Elbow joint dislocation, Hamstring strain, Ankle sprain, Patella tendonitis.
  • Other Conditions: Osgood-Schlatters syndrome, Plantar Fasciitis, Chondromalacia patellae.

Chondromalacia Patellae - Anatomy

  • Affects articular cartilage on the underside of the patella.
  • This cartilage covers the bone.
  • Cartilage deteriorates when the patella rubs against the thighbone.

Chondromalacia Patellae - Mechanisms

  • Cartilage breakdown and softening occurs on the underside of the patella.
  • Smooth bone movement is limited due to the rubbing of the thighbone against the articular cartilage.
  • A non-functioning vastus medialis muscle can pull the knee up and outwards, causing friction and cartilage irritation.
  • Muscle imbalances around the knee worsen cartilage irritation.

Chondromalacia Patellae - Predisposing Factors

  • Rapid bone growth in young adults, up to young adulthood.
  • Females are more susceptible.
  • High-impact activities and stress on the knees.
  • Previous knee injuries.
  • Muscle imbalances, particularly in the vastus medialis muscle, which plays a role in stabilizing the patella.

Chondromalacia Patellae - Rehabilitation/Treatment

  • Rest is crucial to avoid further injury.
  • Anti-inflammatory medications like ibuprofen or naproxen can help with pain management.
  • Applying ice can reduce swelling.
  • A knee brace can provide stability.
  • Physical therapy and muscle strengthening exercises are beneficial.
  • Surgery may be necessary to correct the problem in severe cases.

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Description

This quiz covers the viva voce examination focusing on various knee injuries and conditions. It includes the assessment of both acute and chronic injuries across four stations, including specifics like Chondromalacia Patellae. Test your knowledge on anatomy, mechanisms, and injury management related to different knee conditions.

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