Download 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