Knee Injuries Part 1
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Transcript 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?
Inflammation of the
bursa in the knee
Acute vs Chronic
Baker’s cyst
S&S: Inflamed, pain
Treatment: Rest, ice,
aspiration or injections
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
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
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
MRI
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
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
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
Fat pad injury
MOI: fat pad becomes
wedged between tibia
and patella
Usually from a direct
blow or chronic knee
injury