4.3 of 58 Ratings
Technique guides are not considered high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC.
A 67-year-old man feels a pop and has an immediate onset of pain and swelling after awkwardly stepping off of a curb. Preoperative Xrays are shown in figure A. He undergoes the surgery depicted in Figure B. What would be the most likely finding pre-operatively?
Insall-Salvati ratio of 1
Insall-Salvati ratio of 0.7
Insall-Salvati ratio of 1.3
MRI showing complete quadriceps tendon rupture
Maintained ability to perform a straight leg raise
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A 35-year-old male slips on a patch of ice and falls on a hyperflexed knee. He reports hearing a "pop" during the fall and was unable to bear weight on the knee immediately after the injury. He has a large knee effusion on examination. A radiograph is shown in Figure A. He undergoes operative repair of the injury with standard technique. Which of the active range of motion exercises is MOST appropriate in the immediate postoperative period?
Seated leg press
A 24-year-old basketball player feels a painful "pop" in his knee when landing from a rebound. He develops immediate swelling, pain, and inability to extend his knee. A lateral radiograph is shown in Figure A. Proper management should include which of the following
Physical therapy for range of motion followed by surgical reconstruction with patellar tendon autograft
Hinged knee brace locked at 30-degrees of flexion for 6 weeks followed by physical therapy for range of motion
Medializing tibial tubercle osteotomy with lateral retinacular release
Primary surgical repair
Arthroscopy for debridement versus repair
A 40-year-old recreational basketball player injured his knee while jumping for a rebound. He felt a pop and developed immediate swelling. His radiographs are shown in Figures A and B. What is the recommended management?
Obtain an MRI
Ice, rest, and observation
Physical therapy to regain motion
Knee arthroscopy and repair
Open surgical repair
Which of the following rehabilitation exercises provides for restoration of range of motion while limiting stress on the repair of a ruptured patellar tendon?
Active open chain flexion, active closed chain extension
Passive flexion, active closed chain extension
Active closed chain flexion, active open chain extension
Active flexion, passive extension
Passive flexion, active open chain extension