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Knee Injuries Part 1

Knee Injuries Part 1. Taelar Shelton, MS, ATC, AT/L. Contusion. MOI: direct blow S&S: Discoloration, severe pain, loss of movement/function, inflammation Can be a bone contusion or a muscle contusion RICE Depending on severity, referral?. Bursitis. What is a bursa?

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Knee Injuries Part 1

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  1. Knee Injuries Part 1 Taelar Shelton, MS, ATC, AT/L

  2. Contusion • MOI: direct blow • S&S: Discoloration, severe pain, loss of movement/function, inflammation • Can be a bone contusion or a muscle contusion • RICE • Depending on severity, referral?

  3. Bursitis • What is a bursa? • Inflammation of the bursa in the knee • Acute vs Chronic • Baker’s cyst • S&S: Inflamed, pain • Treatment: Rest, ice, aspiration or injections

  4. Medial Collateral Ligament injuries • 3 degrees • MOI: Valgus stress, direct blow to lateral side, twist • S&S: Pain, laxity • Tests: positive valgus stress test • Treatment: RICE, immobilize

  5. Lateral knee injuries • LCL and lateral joint capsule sprain • MOI: Varus stress, twist, direct blow to medial side • S&S: Pain, swelling, loss of function • Rx: RICE, immobilize

  6. ACL Injuries • MOI: Hyperextension, plant and twist • Grades 1-3 • S&S: swelling, pain, loss of function, shifting, discoloration • Tests: Lachman’s and anterior drawer • Treatment: RICE, immobilize, referral for MRI • May require surgery

  7. MRI

  8. PCL • MOI: Dashboard injury, falling on flexed knee • S&S: pop in the back of the knee, pain in the posterior aspect of the knee, shifting, swelling • Tests: posterior drawer, sag sign • Treatment: RICE, immobilize, referral

  9. Meniscal Lesions • MOI: cutting and squatting • Medial meniscus is more common • S&S: Pain, loss of function, unable to fully flex or extend, pop, “giving out”, pain with squatting • Treatment: surgery or rehab

  10. Plica • MOI: synovial cavity didn’t get fully absorbed after birth • Usually on the medial side • Can become irritated and thicken • Can have surgery to remove the plica

  11. Fat pad injury • MOI: fat pad becomes wedged between tibia and patella • Usually from a direct blow or chronic knee injury

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