05-31-2007, 02:00 PM
most appropriate step of mangement for these qs
1) 18 yr old girl comes with knee pain for 5 yrs. pain is made worse by prolonged sitting and by going up and down stairs.she has 10 degree hyperextension in both her elbows. she becomes apprehensive when laterally directed pressure is applied to patella. x ray shows no abnormality.
2) 70 yr old male has knee pain for 10 years. he is unable to comfortably walk further than 1 block and has difficulty sleeping because of pain. he has pain on medial and lateral sides of knee. ROM is 15 - 100 and there is bowleg deformity when he stands.
most appropriate step im management is ?
a) ant cruciate ligament reconstruction
b) arthroscopic partial menisectomy
c) quadriceps strengthening exercise
d) sympathetic blockade
e) total knee replacement
f) upper tibial osteotomy
1) 18 yr old girl comes with knee pain for 5 yrs. pain is made worse by prolonged sitting and by going up and down stairs.she has 10 degree hyperextension in both her elbows. she becomes apprehensive when laterally directed pressure is applied to patella. x ray shows no abnormality.
2) 70 yr old male has knee pain for 10 years. he is unable to comfortably walk further than 1 block and has difficulty sleeping because of pain. he has pain on medial and lateral sides of knee. ROM is 15 - 100 and there is bowleg deformity when he stands.
most appropriate step im management is ?
a) ant cruciate ligament reconstruction
b) arthroscopic partial menisectomy
c) quadriceps strengthening exercise
d) sympathetic blockade
e) total knee replacement
f) upper tibial osteotomy