Exam (elaborations)
SCS Knee ACL (1)
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Exam of 5 pages for the course OCCTH 502 at OCCTH 502 (SCS Knee ACL (1))
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SCS Knee ACLIndications for surgical reconstruction of an injured ACL include all of the following except:
Associated meniscus tear
Repeated episodes of giving way
Isolated mid-substance ACL tear
High risk lifestyle - ANS-Isolated mid-substance ACL tear
A skier reports experiencing a knee injury when the downhill ski "caught an edge" and forced
the foot to externally rotate and move away from the skier's body while the knee was relatively
extended. It is one day following the injury and the knee presents with a grade II effusion, loss of
both flexion and extension range of motion, and pain is reported during single limb support in
gait.Which special test mimics the mechanism of injury and is more likely to produce a positive
result?
McMurray's Test
Thessaly Test
Anterior drawer test
Slocum's Test - ANS-Slocum's Test
A skier reports experiencing a knee injury when the downhill ski "caught an edge" and forced
the foot to externally rotate and move away from the skier's body while the knee was relatively
extended. It is one day following the injury and the knee presents with a grade II effusion, loss of
both flexion and extension range of motion, and pain is reported during single limb support in
gait.The structure most likely injured is the ____________.
Lateral meniscus
PCL
Medial meniscus
ACL - ANS-ACL
A skier reports experiencing a knee injury when the downhill ski "caught an edge" and forced
the foot to externally rotate and move away from the skier's body while the knee was relatively
extended. It is one day following the injury and the knee presents with a grade II effusion, loss of
both flexion and extension range of motion, and pain is reported during single limb support in
gait.The portion of the anterior cruciate ligament most often injured when the knee is in
extension is the _________.
Anterior bundle
Distal insertion
Posterior bundle
, Proximal insertion - ANS-Posterior Bundle
The anteriormedial bundle is engaged with knee flexion. Posterior lateral is implicated with
extension.
A skier reports experiencing a knee injury when the downhill ski "caught an edge" and forced
the foot to externally rotate and move away from the skier's body while the knee was relatively
extended. It is one day following the injury and the knee presents with a grade II effusion, loss of
both flexion and extension range of motion, and pain is reported during single limb support in
gait.The special test most likely to detect an injury of the anterior bundle of the anterior cruciate
ligament for this individual is the ______________.
Pivot-shift test
Anterior drawer test
Slocum's Test
Lachman's test - ANS-Anterior drawer test
Not Lachmans, This test is performed in approximately 30 degrees of knee flexion, where both
the anteriomedial and posteriolateral bundles are equally stressed.
This phase of cartilage healing lasts 4-6 weeks and focuses on decreasing swelling, gradually
restoring PROM and weight bearing, and enhancing volitional control of the quads.
Remodeling phase
Proliferation phase
Maturation phase
Transitional phase - ANS-Proliferation phase
Correct: According to Reinold et al. (2006)Links to an external site., this is indeed termed the
proliferation phase. Well done.
The primary component of articular cartilage is:
Type V collagen
Type I collagen
Type II collagen
Type III collagen - ANS-Type II collagen
Correct: See Lewis et al. (2006)Links to an external site. for a good review on the basic science
of articular cartilage.
You are seeing a patient who is 5 weeks s/p ACL reconstruction with a bone-patellar
tendon-bone autograft. Which of the following interventions is inappropriate?
Squats between 0 and 15 degrees
Open chain knee extensions between 60 and 30 degrees
Squats between 30 and 45 degrees
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