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Knee Review 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. What are most MCL injuries caused by? Blow to the lateral side of the knee (Valgus Force) What position is the knee in for most PCL injuries. 90 degrees knee flexion/foot in plantar flexion List the 2 tests that check the meniscus. McMurrays, Compression/Distraction What is the name of the test that checks the PCL? Posterior Sag List the activities in Phase I of rehab. Isometrics, Wall Slides, Sitting Squats, Massage, Ice, TENS What position is the knee in when performing the Anterior Drawer test? 45 Degrees knee flexion, athlete lying supine What ligament is tested during the Valgus test? During the Varus test? MCL/LCL What is the ligament that is LEAST likely to be injured? LCL Which ligament is the most important stabilizer in the knee? PCL List the muscles of the quadriceps muscle group. List the muscles of the hamstring muscle group. Q: Vastus Lateralis, Vastus Medialis, Vastus Intermedius, Rectus Femoris H: Biceps Femoris, Semitendinosus, Semimembranosus What are the signs and symptoms of a 1st degree MCL sprain? Joint is stable in Valgus stress test, Little or no joint swelling, Joint stiffness & point tenderness below medial joint line, Full active & passive ROM True or False: An ACL tear is difficult to diagnose. True What is the mechanism of injury of a LCL tear? Blow to the medial side of the knee (Varus Force) What is the first priority in rehab? Decrease pain & swelling, Regain ROM Why is it necessary for an injured athlete to continue conditioning? So that they are in shape when they return to competition Is a TENS unit used during phase 1 of rehab? Yes List the 2 test that check for IT Band tightness. Ober’s & Nobles List the bones and ligaments in the knee joint. Bones: Tibia, Femur, Fibula, Patella Ligaments: ACL, MCL, LCL, PCL List 5 characteristics of an ACL sprain. Athlete feels/hears a pop, Athlete will complain knee feels like it’s coming apart, Rapid swelling, Pos. Anterior Drawer & Lachmans, Difficult to diagnos b/c swelling masks full extent of injury 20. List the 3 phases of rehab, the goals for each, and the activities involved in each. See your rehab notes! 21. Name 3 bone landmarks for a knee evaluation. Can be any: Tibia Tuberosity, Patella, Med/Lat Femoral Condyles, Fibular Head 22. Name the stress tests for the knee and what they test for. See your eval notes!! (ex: Valgus & Varus: You must name ALL) 23. List 4 other structures found in the knee besides ligaments, bones, and muscles. Patellar Tendon, Bursa Sacs, Med/Lat Meniscus, IT Band 24. What are the anterior structures you palpate in the knee? Patella, Quad Muscles, Tibial Tuberosity, Patellar Tendon, Joint Line 25. What is the job of the menisci? Act as Shock Absorber 26. Which meniscus is “C” shaped? Which is “O” shaped? C: Medial, O: Lateral *Be able to label knee diagram!!