injuries of knee ligamentouscartilagebone. arthroscopy diagnostic and therapeutic tool

Injuries of KneeInjuries of KneeLigamentousLigamentous

CartilageCartilage

BoneBone

ArthroscopyArthroscopy

Diagnostic and Therapeutic toolDiagnostic and Therapeutic tool

ArthrocentesisArthrocentesis

Drainage and irrigation of knee using Drainage and irrigation of knee using arthroscopearthroscope..

PUS OR BLOODPUS OR BLOOD

Evaluation of Patient with Knee Evaluation of Patient with Knee InjuryInjury

HISTORYHISTORY::

Mechanics of injury. DetailsMechanics of injury. Details..

Subsquent symptomsSubsquent symptoms::

Pain. Swelling (Immediate or Delayed)Pain. Swelling (Immediate or Delayed)

Clicking, Giving way/instabilityClicking, Giving way/instability..

Stairs, Kneeling for prayerStairs, Kneeling for prayer..

Meniscal InjuriesMeniscal Injuries

Meniscal tearsMeniscal tears

Physical signsPhysical signs

EffusionEffusion : :

Look:- Obliteration of para patella Look:- Obliteration of para patella fossaefossae..

Stroke test/ Cross fluctuation/Patella Stroke test/ Cross fluctuation/Patella taptap..

Feel: Tenderness . McMurray’s test. Feel: Tenderness . McMurray’s test. Ligamentous stabilityLigamentous stability..

Move: ROMMove: ROM

InvestigationsInvestigations

XrayXray

MRIMRI

ArthroscopyArthroscopy

Arthroscopy of KneeArthroscopy of Knee

Anterior Cruciate Ligament injuryAnterior Cruciate Ligament injury

ACL Repair TechniqueACL Repair Technique

Ligament Injuries of KneeLigament Injuries of Knee

Cruciate LigamentsCruciate Ligaments

Collateral LigamentsCollateral Ligaments

Principles of TreatmentPrinciples of Treatment

Partial tears: Sometimes amenable to Partial tears: Sometimes amenable to conservative treatment: Braces and conservative treatment: Braces and PhysiotherapyPhysiotherapy..

Complete Tears : Surgical repair and Complete Tears : Surgical repair and PhysiotherapyPhysiotherapy..

Ligaments of AnkleLigaments of Ankle

Deltoid Ligament : Medial SideDeltoid Ligament : Medial Side

Lateral Ligament of AnkleLateral Ligament of Ankle