Exam 1 - Packets Flashcards

1
Q

Tibiofemoral Joint is what kind of joint

A

Modified hinge joint

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2
Q

Resting position of tibiofemoral

A

25 degrees of flexion

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3
Q

Closed pack position of tibiofemoral

A

full extension, ER of tibia

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4
Q

Capsular pattern of tibiofemoral join

A

flexion, extension

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5
Q

Patellofemoral joint is what kind of joint

A

modified plane

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6
Q

What facet is first affected during patellofemoral syndrome

A

Odd

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7
Q

When does odd facet come into contact with femoral condyles

A

135 degrees of flexion

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8
Q

Load on knee during walking

A

.3x bw

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9
Q

Load on knee during climbing stairs

A

2.5x bw

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10
Q

Load on knee during descending stairs

A

3.5x bw

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11
Q

Load on knee during squatting

A

7x bw

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12
Q

What kind of joint is the superior talofibular joint

A

plane synovial joint

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13
Q

Terrible triad

A

MCL, medial meniscus, and ACL (injured in valgus force)

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14
Q

What is injured during hyperextension of knee

A

ACL

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15
Q

What is injured during knee flexion with posterior translation

A

PCL

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16
Q

What is injured from varus force to kne

A

LCL, posterolateral capsule, PCL

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17
Q

Osgood Schlatter disease

A

Injury to tibial tubercle apophysis

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18
Q

Injury to knee occurring after acceleration and twisting

A

Medial meniscus

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19
Q

Injury to knee that can occur after deceleration

A

Cruciates

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20
Q

Injury to knee after constant speed with cutting

A

ACL

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21
Q

Pathology when knees touch and ankles do not

A

Genu valgum

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22
Q

Pathology when 2 or more fingers fit between knees with ankles together

A

Genu varum

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23
Q

Medial tibial torsion is associated with

A

Genu varum

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24
Q

Lateral tibial torsion is associated with

A

Genu valgum

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25
Q

Angle where you need most knee extensor muscle force

A

60 degrees flexion

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26
Q

Angle where you need most knee flexor muscle force

A

45-10 degrees flexion

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27
Q

Degree of knee flexion required for:
Activities
Sitting in a chair
Going up steps

A

117, 90, 80

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28
Q

Primary rotary stabilizers of the knee

A

Cruciates

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29
Q

Resting position of hip joint

A

30 degrees flexion and abduction, lateral rotation

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30
Q

Closed pack position of hip joint

A

extension, medial rotation, and abduction

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31
Q

Capsular pattern of hip joint

A

Flexion, abduction, medial rotation

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32
Q

Forces acting at hip in standing

A

.3x BW

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33
Q

Forces acting at hip one leg stand

A

2.4 to 2.6 x BW

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34
Q

Forces acting at hip walking

A

1.3 to 5.8 x BW

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35
Q

Forces acting at hip on stairs

A

3x BW

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36
Q

Forces acting on hip running

A

4.5+ x BW

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37
Q

Limb position in posterior hip dislocation

A

Shortened, adducted, and medially rotated

Greater trochanter is prominent

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38
Q

Limb position in anterior hip dislocation

A

Limb is abducted and laterally rotated.

May appear cyanotic or swollen

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39
Q

Limb position in intertrochanteric fracture

A

Limb is shortened and laterally rotated

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40
Q

Internal snapping in hip

A

Iliopsoas or iliofemoral ligament slipping over lesser trochanter
Noted at 45 degrees flexion and felt anteriorly with hip moving from flexion to extension

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41
Q

External snapping in hip

A

IT band/gluteus maximum tendon riding over greater tuberosity of the femur

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42
Q

Intra-articular snapping of hip

A

due to labral tears or loose bodies

Sharp pain in groing/anterior thigh area

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43
Q

Sports hernia

A

Deficient inginual canal posterior wall, nerve entrapment, or adductor tendonopathies

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44
Q

Lateral hip pain

A

trochanteric buritis or tear of gluteus medius

May also stimulate L4 nerve root pain so assessment of back should be considered

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45
Q

Squinting patellae

A

Patella face in, toe in posture, likely excessive pronation, possible IR of femur on tibia

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46
Q

Grasshopper or Frog eye patellae

A

patella face out, toe out posture, supinated, possible ER of femur/tibia

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47
Q

Signs of cam/pincer impingement

A

Sharp anterior groin pain with full flexion, adduction, and medial rotation

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48
Q

Clinical prediction rules of OA

A
  1. Limited active hip flexion with lateral hip pain
  2. Active hip extension causes pain
  3. Limited passive medial rotation (25 or less)
  4. Squatting limited and painful
  5. Scour test with adduction causes lateral hip or groin pain
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49
Q

Harris Hip scale

A

Used for rating hips pre and post sx

Emphasizes pain and function

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50
Q

HOOS scale

A

assessing patients with OA undergoing conservative treatment or total hip replacement

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51
Q

HOS scale

A

assessing younger patient less than 50 undergoing hip arthroscopy

52
Q

IPQ scale

A

Groin disability

53
Q

LEFS scale

A

LE function that is used for a variety of LE problems

54
Q

Anklyosis

A

Stiffness of a joint due to abnormal adhesions and rigidity of bones of the joint, which may be the result of injury or disease

55
Q

Sacral counternutation

A

Posterior rotation of sacrum on ileum (extension of sacrum)

56
Q

Sacral nutation

A

anterior rotation of sacrum on ileum (flexion)

57
Q

Deep muscles that support SI

A

transverse abdominus
Mutifidus
Pelvic floor muscles

58
Q

Deep longitudinal system muscles that support SI

A

Erector spinae and hamstring muscles

59
Q

Superficial posterior oblique system that supports SI

A

latissimus dorsi and gluteus maximus

60
Q

Anterior oblique system that supports SI

A

internal and external obliques and contralateral adductors

61
Q

Lateral system that supports SI

A

Gluteus medius and minimus and contralateral adductors

62
Q

What degree does sacrum counter nutate

A

60 degrees forward bending

63
Q

Cluster for SIJ

A

Distraction
Thigh thrust
Test compression
Sacral thrust

64
Q

How much body weight does the facet joints receive?

A

15%

65
Q

How much body weight does the discs and vertebrae receive

A

85%

66
Q

Spondylosis

A

degenerative (OA of spine)

67
Q

Spondylolysis

A

defect of pars interacticularis

68
Q

Spondylolisthesis

A

Separation or fx (step off displacement)

69
Q

Close packed position of lumbar spine

A

Extension

70
Q

Schmor’s Nodes

A

herniation of nucleus pulposus (NP) through the cartilaginous and bony end plate into the body of the adjacent vertebra

71
Q

Protrusion of disc

A

bulge in disc

72
Q

Prolapsed disc

A

nucleus leaking but contained by outer ring

73
Q

Extrusion of disc

A

Nucelus leaks out; AF ruptured and NP leasks into epidural space

74
Q

Sequestration

A

Disc fragment floats off

75
Q

Anterolateral leg pain from what disc

A

L4

76
Q

Posterior foot pain from what disc

A

L5

77
Q

Angulation

A

Hypomobility at or below the level, hypermobility above the level

78
Q

If side bending toward painful side increase signs and symptoms should consider

A

Intraarticular lesion

Disc protrusion lateral to nerve root

79
Q

If side bending away from painful side increase signs and symptoms should consider

A

Articular or muscular lesion, or disc protrusion medial to nerve root

80
Q

What is the goal of side glides

A

To centralize pain and decrease peripheralization

81
Q

Lumbosacral tunnel syndrome

A

Compresses L5 nerve root under iliolumbar ligament in iliolumbar canal. Usually due to trauma, osteophytes, or tumor
Signs and symptoms are sensory and pain

82
Q

Major functions of ankle

A

Propulsion - acts like a flexible lever

Support - act like rigid structure holding up body

83
Q

Position where most ankle sprains occur

A

PF, inv, and adduction

84
Q

Ligaments injured in ankle sprain

A

anterior talofibular
anterolateral capsule
Distal tibiofibular ligaments

85
Q

Index plus type of forefoot

A

1st metatarsal is longer than rest

86
Q

Index plus minus of forefoot

A

1st metatarsal is equal to 2nd

87
Q

Index minus forefoot

A

2nd metatarsal is longer than rest

88
Q

Bones of medial longitudinal arch

A

Calcaneal tuberosity, talus, navicular, cuneiforms, and 1st, 2nd, and 3rd metatarsals

89
Q

Muscular support of medial longitudinal arch

A

TA, TP, FDL, FDB, FHL, AH

90
Q

Bones of lateral longitudinal arch

A

Calacaneus, cuboid, 4th and 5th metatarsals

91
Q

Muscular support of lateral longitudinal arch

A

TP, TA, PL

92
Q

Keen sign

A

Abnormal width of one ankle compared to the other

93
Q

Bunionette

A

Bunion of 5th toe

94
Q

Claw toes

A

Hyperextension of MCP, flexion PIP and DIP

95
Q

Crossover toe

A

Medial deviation of toe due to weak LCL and insufficient plantar plate

96
Q

Curly toe

A

Flexion of PIP and DIP with MTP in neutral

97
Q

Equinis Deformity

A

Limited dorsiflexion at talocrural usually contracture of PF muscles `

98
Q

Exostosis

A

Bone spur

99
Q

Forefoot valgus

A

Eversion of forefoot

100
Q

Forefoot varus

A

Inversion of forefoot

101
Q

Hallux valgus

A

Medial deviation of 1st metatarsal bone with lateral deviation of head

102
Q

Hammer toe

A

Extension contracture of MTP, flexion contracture at PIP and DIP

103
Q

Hindfoot valgus

A

Eversion of calcaneus and excessive pronation and limited supination

104
Q

Hindfoot Varus

A

Inversion of calcaneus and limited pronation

105
Q

Mallet Toe

A

Flexion deformity of DIP

106
Q

Morton’s Foot

A

2nd toe longer than first increasing stress on 2nd toe

107
Q

Morton’s metatarsalgia

A

Interdigital neuroma from digital nerve injury between 3rd and 4th toe

108
Q

Pes cavus

A

Hollow, rigid foot

109
Q

Pes planus

A

Flat, mobile foot

110
Q

Rocker bottom foot

A

Forefoot DF on hindfoot, results in broken midfoot

111
Q

Splay foot

A

Broadening of forefoot due to weakness of intrinsics and intermetatarsal ligament

112
Q

Turf toe

A

Hyperextension injury with compressive loading to MTP joint of hallux

113
Q

Normal supination degrees of foot

A

45-60

114
Q

Normal pronation degrees of foot

A

15-30

115
Q

Movements involved in pronation

A

Evert, abduct, dorsiflex

116
Q

Movements involved in supination

A

Invert, adduct, PF

117
Q

Nerve root for trendelenburg sign

A

S1

118
Q

Nerve root for heel walk

A

L4-L5

119
Q

Nerve root for toe walk

A

L5-S1

120
Q

Nerve root for Squat/Step Up

A

L3-L4

121
Q

Nerve root for resisted hip flexion

A

L2

122
Q

Nerve root for knee extension

A

L3

123
Q

Nerve root for DF

A

L4

124
Q

Nerve root for knee flexion

A

S2

125
Q

Nerve root for eversion

A

S1

126
Q

Nerve root for EHL

A

L5