Patellofemoral Pain Difficult injury to deal with because the
MOI may be hard to isolate MOI: prolonged knee flexion, stairs,
squats, running S/S: pain in the front of the knee or behind the
kneecap, knee giving way, crepitus, mild swelling
Slide 4
Patellofemoral Pain Treatment: correct biomechanics that is
causing misalignment, strengthen quads, patella tape, orthotics,
braces
Patella Dislocation MOI: knee bent and forced inward S/S:
obvious deformity, pain, immediate swelling Treatment: reduce,
immobilize, check ligaments, RICE Rehab: strengthening, ROM
Slide 7
Osgood-Schlatter Involves tibial tubercle epiphysis Males
12-16, Females 10- 14 MOI: traction of quads S/S: pain, swelling,
weakness in quads, lump, pain with palpation
Slide 8
Osgood-Schlatter Treatment: control pain, swelling, and
flexibility Wear protective pad or knee sleeve Ice after all
activity Take NSAIDs Stretch hamstrings
Slide 9
IT Band Syndrome Iliotibial Band: thick fibrous tissue on
lateral side of thigh ITB Syndrome is irritation of the ITB when it
crosses muscles and bone at lateral epicondyle
Slide 10
IT Band Syndrome Caused by increased mileage, foot and knee
misalignment, leg length discrepancies Treatment: RICE, stretch,
correct biomechanical problems
Slide 11
MCL MOI: blow to outside of knee resulting in valgus force S/S:
pain on medial joint line or at attachments of MCL, decreased ROM,
swelling Treatment: RICE, crutches Rehab: ROM, strengthening
Slide 12
ACL Females who participate in basketball and soccer are four
to six times more likely to tear ACL than males who play the same
sport 70% of ACL injuries in females are noncontact Influencing
factors Biomechanical: quadriceps, landing Hormones Environmental:
playing surface, shoe type Anatomic: femoral notch, Q-angle
Slide 13
ACL MOI: noncontact or contact, rapid change of direction No
degreeseither torn or not S/S: pop, swelling, loose knee, pain
Special Test: Anterior Drawer, Lachmans, should be performed before
guarding sets in Diagnosed with MRI Treatment: RICE, crutches, knee
immobilizer, surgery
Slide 14
Slide 15
PCL Most common MOI is car accident-knee hitting the dashboard
Use sag test to diagnosis Usually non-surgical Rehab to restore
strength and ROM
Slide 16
Meniscus Medial meniscus is attached more securely on the back
and medial side of the knee. It does not more around easily which
is why its torn more often MOI: sudden knee twisting S/S: clicking,
pain with flexion As one ages, meniscus lose rubbery consistency
and tear more easily
Slide 17
Special Tests Apprehension: Patella dislocation Valgus Stress
Test: MCL Varus Stress Test: LCL Lachmens and Anterior Drawer: ACL
Posterior Drawer: PCL McMurrays: Meniscus
Slide 18
Rehab ROM: heel prop, heel slides Strengthening: Straight leg
raises, total knee extensions, step ups Balance: on foam pad,
rebounder Functional: speed ladder, carioca, cutting
