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Technique guide are not considered high yield topics for orthopaedic standardized exams including the ABOS, EBOT and RC.
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
Select Answer to see Preferred Response
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
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 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
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tutorial on performing a heel slide
HPI - Bad landing on right knee
How would you treat this injury? (Patient has a very promising sports career in front of him)
HPI - Unclear history of present illness. Fell down 6 weeks ago, pt presented in the hospital 3 weeks after the injury with severe knee effusion. Had a wash out of the knee with the possible diagnosis of knee septic arthritis. He has been d/c home with oral AB. No other details are known from this admission.
Admitted again in our Hospital with ascites and severe knee effusion. Arthroscopic wash out performed again, due to suspicion of a septic knee. Cultures and fluid analysis were negative for infection.
How would you treat this patient?
HPI - Left patellar tendon tear during pickup basketball 22 years ago. s/p patellar tendon repair right after injury (primary repair). Complains of instability of the anterior knee and difficulty walking (can't run/jog).
What would you do with this patient?