BPK 241 Study Guide - Final Guide: Proprioception, Valgus Stress Test, Etiology
Document Summary
Bpk 241 unhappy triad - textbook reading questions. Injury to collateral ligament/anterior cruciate ligament/meniscus tear: what is the unhappy triad, describe the hx/ssx/tx of a medial collateral ligament sprain. Must be grade 3 complete tear. Loose motion b/c effusion & hamstring guarding. Valgus stress test reveals some joint opening in full extension & significant opening at 30 degree. Immediate / severe pain followed by dull ache flexion. Conservative (non operative) recommended to isolate gr 3 sprains. Limited immobilization & hinged rehab brace 30-90 degree motion. Increase motion to 90 degree for another 2-3 weeks: describe the hx/ssx/tx of an anterior cruciate ligament sprain. Most commonly athlete coming down from jump combined \ wb/axial & valgus forces. In contact athlete usually changing directions foot planted, knee abducted. Opponent forces knee valgus & internally rotates. Strong quad activation during eccentric contraction is a major factor. Surgery based age/stress on knee/instability present. = joint reconstruction with transplantation of external structure.