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Terms in this set (38)
the knee is the largest joint in the body and relies on many strucures to allow it to function propery, what is the role of a ligament
attach bone to bone
how many major ligaments stablize the knee
the meniscus is made up of what tissue
what is the role of the meiscus?
all of the above; lubricate, stablize, mobile, weight distrubution
which side of the meniscus is more mobile
true or false/ the medial meniscus is shaped like a "c" and the lateral meniscus is shaped like an 0"
the mechanism of injury for a meniscal injury is which of the follow?
compression and rotation
a patient that present to the physician with a meniscal tear will be administrered a series of tests to determine the presence and potential extent of the injury. which of the following answers are correct about tests a patient will enocuter to deternmine a meniscal tear?
MRI. McCurrray test, X-ray
what is the gold standard surgical option for treatment o meniscal tear?
the anterior and posterior horns of the meniscus area ttached to which structure?
which of the following meniscal signs and symptoms does the pateint complain of post injury
all of the above; locking joint, pain, joint line tenderness, swelling
how might a large menisical flop tear be surgically treated?
which meniscal zone is most likely to result in a successful repair/
what would a surgeon use in an inside-out repair
use of meniscal fixation devices such as smith and nephew fastfix360 is an example of what techique
the majority of ACL injuries are usually the result of which of the following
the ACL has two bundles, antero-medial and postero-lateral. which of the following is true?
AM stablizes rotation and PL prevents subluxation
the tibial insertion of the ACL is
directly medial to the anterior horn of the lateral meniscus
choose the best answer regarding the anterior cruicate ligament orientation
inserts on the anterior tibia and orginiates on the lateral condyle
the primary function of the ______ bundle of the ACL is to prevent forward translation of the tibia and the primary function of the _______ bundle of the ACL is to prevent excessive internal rotation
a chronic ACL-deficient knee may demonstrate which of the following complications?
all of the above; instability, chondral damage, irreparable meniscal damage
which diagnostic test is most senstive in evaluating on ACL injury
the gold standard repair for ACL tears is still considered to be
BTB autograft and interference screws
roof impingement in acl reconstruction is caused by which of the following
anterior fibial tunnel placement
aperture fixation is accomplished by graft fixation
using an interference screw
before inserting the tibial screw in ACL reconstruction, the knee is cycled to accomplish two thing, which are
remove creep in the knee, check for impingments
list the possible acl graft harvest choices for allograft and autograft
ALLO:patellar GTB, achilles tendon, semi-tendonilis/gracilis, quad, ant tibia, post tibia
AUTO: patellar-btb, semi-tendonilis/graclis, quad
a growing concern in ACL repair surgery is the use of allograft tissues. these tissues are very useful; however they can present which of the following concerns?
the transtibial approach to drilling ACL tunnles puts the femoral tunnel at _____ o clock which is deemed to be incorrect tunnel placemnet as it is too _______
allograft tissue has benefits and controveris. which of the following is a benefit of using an allograft tissue in an ACL procedure
donor sit morbidity
which of the following tendons are not considered for harvest of an autograft in ACL surgery
which population gender has highest rate of acl injuries
female because wider hips and narrow notch
t/f: majority of ACL graft failure is due to the graft pulling past the tibial screw
suspensory fixation of the ACL has been shown to lead to
windshield wiper effect
the dividing wall of the AM and PL bundles of the ACL is called the
when harvesting the hamstring tendons for an autograft ACL, which two tendons do we strip out
semitendinosous and graclilis
where is the accessory portal used for fluid outflow located
what is the key selling feature of the sheath/screw device show below for graft fixation in the tibial tunnel
the screw expands the sheath in the center of the tunnel allowing 360 degress of tissue to bone contact
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