Knee Rotary Instability: Difference between revisions

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== Definition/Description<br>  ==
== Definition/Description<br>  ==


&nbsp; &nbsp; &nbsp;Excessive external rotation of the tibia relative to the femur resulting in a varus thrust during normal gait. A rotary instability often occurs with concomitant ligamentous injuries making it difficult to detect/diagnose.&nbsp;<ref name="Goo Kim">Goo Kim, J et all. Correlation between the rotational degree of the dial test and arthroscopic and physical findings in posterolateral rotatory instability. Knee Surg Sports Traumatol Arthrosc (2010) 18:123–129</ref>
&nbsp; &nbsp; &nbsp;Excessive external rotation of the tibia relative to the femur resulting in a varus thrust during normal gait. A rotary instability often occurs with concomitant ligamentous injuries making it difficult to detect/diagnose.&nbsp;<ref name="Goo Kim">Goo Kim, J et all. Correlation between the rotational degree of the dial test and arthroscopic and physical findings in posterolateral rotatory instability. Knee Surg Sports Traumatol Arthrosc (2010) 18:123–129</ref>  


== Epidemiology/Etiology  ==
== Epidemiology/Etiology  ==
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Purkey<br>  
Purkey<br>  
<h2> Differential Diagnosis  </h2>
Damage to:
ACL
PCL
MCL
LCL
Avulsion Fracture
Or any combination of the above.


== Differential Diagnosis  ==
== Differential Diagnosis  ==


Damage to:<br>[[Anterior_Cruciate_Ligament_Injury|ACL]]<br>[[Posterior_Cruciate_Ligament_Injury|PCL]]<br>[[Medial_Collateral_Ligament_Injury_of_the_Knee|MCL]]<br>[[Lateral_Collateral_Ligament_Injury_of_the_Knee|LCL]]<br>Posteriolateral Corner<br>Avulsion Fracture  
Damage to:<br>[[Anterior Cruciate Ligament Injury|ACL]]<br>[[Posterior Cruciate Ligament Injury|PCL]]<br>[[Medial Collateral Ligament Injury of the Knee|MCL]]<br>[[Lateral Collateral Ligament Injury of the Knee|LCL]]<br>Posteriolateral Corner<br>Avulsion Fracture  


Or any combination of the above.
Or any combination of the above.  


== Relevant Anatomy  ==
== Relevant Anatomy  ==
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Mary/ Misty<br>  
Mary/ Misty<br>  


<br>


 
Bryan- Imaging and Grading  
Bryan- Imaging and Grading


== Medical Management <br>  ==
== Medical Management <br>  ==
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== Physical Therapy Management <br>  ==
== Physical Therapy Management <br>  ==


Shannon/ Purkey/ Jacobson<br>
Shannon/ Purkey/ Jacobson<br>  


== Key Research  ==
== Key Research  ==

Revision as of 19:38, 12 July 2011

Welcome to Texas State University's Evidence-based Practice project space. This is a wiki created by and for the students in the Doctor of Physical Therapy program at Texas State University - San Marcos. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors

Lead Editors - Mary Harris, Shannon Davis, Misty Hillin, Bryan Purkey, Bryan Jacobson

Search Strategy[edit | edit source]

add text here related to databases searched, keywords, and search timeline


Bryan J

Definition/Description
[edit | edit source]

     Excessive external rotation of the tibia relative to the femur resulting in a varus thrust during normal gait. A rotary instability often occurs with concomitant ligamentous injuries making it difficult to detect/diagnose. [1]

Epidemiology/Etiology[edit | edit source]

Mary

Characteristics/Clinical Presentation[edit | edit source]

Purkey

Differential Diagnosis[edit | edit source]

Damage to:
ACL
PCL
MCL
LCL
Posteriolateral Corner
Avulsion Fracture

Or any combination of the above.

Relevant Anatomy[edit | edit source]

Bryan J

Examination/ Diagnosis[edit | edit source]

Mary/ Misty


Bryan- Imaging and Grading

Medical Management
[edit | edit source]

Shannon

Physical Therapy Management
[edit | edit source]

Shannon/ Purkey/ Jacobson

Key Research[edit | edit source]

add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)

Resources
[edit | edit source]

add appropriate resources here

Clinical Bottom Line[edit | edit source]

Group

Recent Related Research (from Pubmed)[edit | edit source]

Bryan J

see tutorial on Adding PubMed Feed

Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10

References[edit | edit source]

see adding references tutorial.

  1. Goo Kim, J et all. Correlation between the rotational degree of the dial test and arthroscopic and physical findings in posterolateral rotatory instability. Knee Surg Sports Traumatol Arthrosc (2010) 18:123–129