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Common Injuries - can be managed “conservatively” or...

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Common Injuries Anterior Cruciate Ligament Damage Usually cause by a short sharp change in direction or landing on a fixed foot and ankle. Tested using the Drawer test where the patient is supine with the hips flexed at 45 degrees and the knee flexed at 90 degrees. The clinician then pulls the tibia forward, if the tibia moves anteriorly then it can be said that the integrity of the ACL has been damaged. A similar method called the Lachman test has the patient’s knee flexed at 30 degrees and the clinicians thumb on the tibial tuberosity. Similarly if anterior translocation is witnessed the integrity of the ACL has been compromised. ACL damage can be managed “conservatively” if it has merely been strained or subluxed or be repaired surgically using an ACL graft. Posterior Cruciate Ligament Damage Similar to the ACL both the Drawer test and Lachman test are used. Posterior translocation indicates the integrity of the PCL has been compromised. Like the ACL it
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Unformatted text preview: can be managed “conservatively” or repaired surgically. Patella Tendon Damage Damage to the Patellar tendon prevents the knee flexing and extending which inhibits walking, running or small movements. It can be mechanically sewn back together or repaired using a patellar tendon graft. Patella dislocation is more common in women than men and will usually dislocate laterally due to the pull of the quadriceps. Articular Cartilage Damage • Common in orthopaedic practice especially “jump and twist = netball o Trauma, osteochondritis, chondromalacia • Cause pain and disability • May progress to early osteoarthritis Baker’s Popliteal Cyst A synovial membrane hernia in the popliteal fossa. Shows up in an MRI scan. Tibial Plateau Fracture Fractures of the Tibia can result in damage to the Deep Peroneal Nerve which innervates the muscles of the anterior compartment of the leg. If innervation is damaged then foot drop will result....
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Common Injuries - can be managed “conservatively” or...

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