drk1980
Forum Guru
Topics: 147
Posts: 1,038
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plz correct me...i think its C. A positive apprehension test is seen in this young female with recurrent patellar subluxation causing pain. initial it is non-operative management...more here
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| Cedrick
Esculapio
Topics: 324
Posts: 2,058
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good research drk1980
a.-anterior cruciate ligamnet reconstruction
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| Cedrick
Esculapio
Topics: 324
Posts: 2,058
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good question thanks for posting
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| shumaila
Forum Elite
Topics: 58
Posts: 347
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i think it is b meniscal tear ae usually not evident on x rays
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| Perhaps
Forum Elite
Topics: 61
Posts: 162
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I think B also.
based on the lateral pressure -> apprehensive...
not sure.
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| cbenitesch
Forum Senior
Topics: 10
Posts: 141
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Ok I hate orthopedics but here I go. She is a young woman with this typical pain history. When does the pain get worst? She aknowledge gouing dopwn the steps and she has the Cinema Sign!!!... until there she has a Patellar tendinitis (remember going down the stairs to sit at the cinema=Patelar tendinitis ) and apprehensive test means unstable knee. And a negative x-ray film...what can we say? not patella and either bone! right?... and thatīs all! thatīs why I hate orthopedics!!!... Thereīs sopmething made me think, what about elbow?... tendinOsis goes like that with elbow pain! but she only has hyperextension! maybe Ehler Danlos? hehehe.... Well I keep on Patelar tendinitis.. and if itīs so... conservative treatment is the first chioce so Iīll go for C) .
Please frank100 post the right answer!!!!!!!!
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| cbenitesch
Forum Senior
Topics: 10
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so whatīs the final answer?????
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| cbenitesch
Forum Senior
Topics: 10
Posts: 141
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Frank post the answer! please!
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| study_ing
Forum Fanatic
Topics: 180
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its NBME ..i guess frank wudnt know..
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| GDS2008
Forum Elite
Topics: 9
Posts: 144
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The diagnosis here is patellar subluxation (presents in adolescent females, positive apprehension test on pataller movement laterally):
A, B and E do not fit as they have nothing to do with patella
F: upper tibial osteotomy is not doen for this minor reason
D: sympathetic blockade..................why?? How wud that help
Based on thsi I would go for C: Quadricpes strenghtening exercises. One cardinal rule taught in soprts medicine is that the the stability of knee joint can be increased by making the quadriceps stonger. I guess patellar subluxation makes a knee joint less stable and therefore this seems like the best answer.
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| cbenitesch
Forum Senior
Topics: 10
Posts: 141
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Iīll go for C but I am not sure if its patellar subluxation. I think is tendinitis.
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| GDS2008
Forum Elite
Topics: 9
Posts: 144
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tendinitis for 5 years...?
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