lecture 17

lecture 17 - 2236 Athletic Injuries Lecture 17 Acute Knee...

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2236 Athletic Injuries Lecture 17 Dave Humphreys BSc (HK), OHS, MSc (PT), Sport Physiotherapy Diploma Partial content contributed Sport Physiotherapy Diploma by Garry Lapenski Fellowship Coordinator Acute Knee Injuries
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Taking’a’History’(Subjec5ve)’ Mechanism’of’Injury’ ____________or_____________’ if’contact,’from’where?’ if’non-contact,’decelera5ng,’ cuDng,’landing?’ Posi5on’of’foot’ planted,’odd’landing,’slipped’ Sounds’(i.e.’ l pop z )’ Able’to’WB,’con5nue’to’play?’ Locking,’giving’way’since?’ Slide’by’M.’Chisholm’
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History’ Nature’of’any’swelling’–’ ______________’ Bleeding’into’the’joint’ Typically’occurs’more’quickly’than’synovial’ eFusion’ No5ceable’swelling’_________hours’post-injury’ Noyes’et’al(1980) in’adults,’72%’were’ACL’tears’ patellar’disloca5on’next’most’common’ #,’meniscal’tears,’capsular’tears’may’be’the’cause’ In’pediatrics,’suspect’patellar’disloca5on Past’history’of’trauma,’surgeries’ Slide’by’M.’Chisholm’
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O[awa’Knee’Rules’ A’knee’radiograph’is’indicated’a^er’trauma’when’at’least’one’ of’the’following’is’present:’ Age’greater’than’55’or’less’than’18’ Tender’over’Fbular’head’ Tender’over’patella’ Inability’to’flex’90’degrees’ (hemarthrosis/#)’ Inability’to’walk’4’steps’ ______’Sensi±vity Be’suspicious’of:’ High-speed’injuries’ Younger’pa±ent’who’may’avulse’a’bony’fragment’ Clinical’suspicion’of’loose’bodies’ (S±ell,’et’al,’1996)’ imageinterpreta±on.co.uk’
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Lateral’ Medial’ SUBLUXED’OR’DISLOCATED’PATELLA
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lecture 17 - 2236 Athletic Injuries Lecture 17 Acute Knee...

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