Fully correct |
2 |
10.0 |
2.0 |
2,2,2,2 |
What strategies should be used to counteract kinesophobia? |
To counteract kinesophobia (fear of movement) in patients recovering from knee injuries, a multidisciplinary approach involving physical therapy, psychological support, and patient education is essential. Gradual exposure to activity, progressive strengthening, and proprioceptive training can help improve confidence and reduce fear. Cognitive–behavioural strategies, such as setting achievable goals, relaxation techniques, and addressing catastrophic thinking, can be employed to address the psychological aspects of kinesophobia. Patient education on injury mechanisms, the recovery process, and realistic expectations can also facilitate a more confident return to activities. |
Majority correct |
11 |
55.0 |
1.75 |
2,2,2,1 |
What movement patterns and what muscle groups should be trained to avoid anterior cruciate ligament injury and/or anterior cruciate ligament graft rupture? |
To prevent ACL injury or graft rupture, training should focus on neuromuscular control, muscle strengthening, and proprioceptive exercises targeting the quadriceps, hamstrings, hip abductors, and gluteal muscles. Emphasis should be placed on functional movements, such as landing and cutting mechanics, to encourage proper knee alignment, joint stability, and load distribution Additionally, plyometric exercises and balance training can help improve dynamic joint stability and reduce injury risk. |
Correct/partial |
5 |
25.0 |
1.5 |
2,2,1,1 |
When should osteotomy be performed in the setting of revision anterior cruciate ligament reconstruction? |
Osteotomy should be considered in the setting of revision ACL reconstruction when there is significant malalignment, such as varus or valgus deformity, contributing to increased stress on the reconstructed ligament and predisposing the graft to failure. Additionally, osteotomy may be indicated to address bone deficiencies or tunnel malposition from previous surgery. The goal of the osteotomy is to restore normal joint biomechanics, optimize graft function, and improve the likelihood of a successful revision outcome. |
Correct/diverging |
1 |
5.0 |
1.5 |
2,2,2,0 |
What are the indications for anterior cruciate ligament repair and when should it be performed and for which patient category? |
Indications for ACL repair, as opposed to reconstruction, include proximal ACL avulsion injuries with preserved ligament integrity and good tissue quality, occurring within a short time frame from injury (typically within 2–3 weeks). ACL repair may be suitable for skeletally immature patients, as it preserves the native ligament and avoids potential growth disturbances. However, this procedure is less commonly performed due to the higher risk of failure compared to ACL reconstruction, and its indications are limited to specific patient and injury characteristics. |
Partially correct/diverging |
1 |
5.0 |
1.0 |
1,1,1,1 |
What is the most ideal timing for anterior cruciate ligament reconstruction in the setting of concomitant meniscus bucket handle tear and locked knee? |
In the setting of an ACL injury with a concomitant bucket handle meniscus tear and locked knee, early surgical intervention is recommended, typically within 2–4 weeks post-injury. Prompt surgery allows for reduction and repair of the displaced meniscus, preserving meniscal tissue, restoring knee function, and preventing further joint damage. Prior to surgery, it is crucial to reduce inflammation and achieve near-normal knee range of motion through appropriate conservative management. |