The_Knee - TheKnee ShariBartz PED217 1 Ligaments (ACL (PCL...

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05/29/11 PED 217 1 The Knee Shari Bartz
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05/29/11 PED 217 2 Anatomy Ligaments Anterior Cruciate Ligament (ACL) Posterior Cruciate Ligament (PCL) Medial Collateral Ligament (MCL) Lateral Collateral Ligament (LCL) Tendons/Muscles Patellar Tendon Hamstrings/Quadriceps Gastroc  Adductors/Abductors Cartilage – Cushions bone Articular Meniscus
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Assessment History Observation Alignment Palpation Only MCL and LCL basically ROM Flexion/Extension Strength  Special Test 05/29/11 PED 217 3
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05/29/11 PED 217 4 Ligament Sprains –MCL/LCL MCL/LCL – of the collateral ligaments, the MCL is injured most  often Grade I Mech:   direct blow or twist/ with a varus (inside force, think  pig running through legs) or valgus ([ L]ateral) stress Injury will occur on the opposite ligment that is being hit S&S: Little or no swelling Point tender Full ROM and strength (with pain) (-) varus/valgus stress, (-) opening Tx: Usually able to walk Short period of rest Strengthening exercises
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05/29/11 PED 217 5 MCL/LCL cont… Grade II Mech:  same as GI S&S: (+) varus/valgus at 30 deg with and endpoint(can be soft )  (TEST JUST LIGAMENT)
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