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Clinical Case studies: Integumentary & Skeletal System #1 Garrett Kule is a 17-y

ID: 3520495 • Letter: C

Question

Clinical Case studies: Integumentary & Skeletal System #1 Garrett Kule is a 17-year-old running back for his high school running back. During a game, Garrett was given a handoff and heads toward a hole in the middle of the offensive line. A defensive player runs through the hole. Garrett attempts to avoid the defender juking to the left, but when planting his right foot on the ground, his knee twists and folds medially. Garrett's falls to the ground immediately and when he tries to stand back up he experiences pain in his right knee and is unstable. Upon the examination of his knee the athletic trainers preform multiple special tests: Anterior Drawer test for ACL tears(+); Posterior Drawer test for PCL tears (-1: Valgus Stress test for MCL tear(+ Varus Stress test for LCL tear (- McMurray's test for cartilage tears, medial (+), lateral) Based on the results from the special tests, what structures (full name) are damaged in Garrett's knee. 1. 2. What type of tissue is each of these structures? 3. What is the common mechanism injury of these structures? 4. Should Garrett be sent for either an X-ray or an MRI for verification? Why? There is a low likelihood of the injury healing on its own. What technique is used to return the knee to normal function? 5.

Explanation / Answer

Answer 1. Basing upon the tests that are positive, he has the following:

Answer 2. The tissues affected are:

Answer 3. Injury in these structures are caused due to the rotation, hyperextension or deceleration suddenly. Due to the sudden change in action while running also causes distruction to these structures.

Answer 4. Garreet should be sent for Magnetic Resonance Imaging or MRI. MRI can exactly estimate the extent of ACL injury along with signs of damage to other tissues of the knee. So that proper treatment can be provided to him as soon as possible.

Answer 5. Arthroscopic surgery is the best treatment for such injuries. In this, minimum invasion is done, small tools and an endoscope is inserted to repair the damaged ligaments. It is. Very common procedure adopted by the orthopaedic surgeons for repairing knee joint problems.

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