4.) Lower Extremity Conditions Flashcards

(52 cards)

1
Q

Hip posterior glide increases

A

flexion/IR

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2
Q

Hip anterior glide increases

A

extension/ER

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3
Q

Open pack position of the hip

A

flexion 30, abduction 30, slight ER

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4
Q

Ely’s test

A

hip flexion contracture
-rectus femoris

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5
Q

Ober’s test

A

IT band tightness

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6
Q

Thomas Test

A

hip flexor tightness

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7
Q

Faber Test (Patrick Test)

A

ililiopsoas, SI, or hip joint abnormality

*Differentiates btw gip and back

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8
Q

Hip Scour Test

A

FAI, implicates hip pathology

(Quadrant Test)

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9
Q

Craig’s Test

A

femoral anteversion

angle is greater than 8-15 degrees

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10
Q

Retroversion

A

toe out

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11
Q

Barlow’s Test

A

Detects developmental dysplasia of the hip

hips begins reduced, examiner dislocates/relocates the hip

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12
Q

Ortolani’s Sign

A

detects congenital dislocation of the hip

-positive is clunk as the hip relocates onto the acetabulum

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13
Q

Slipped capital femoral epiphysis

A

SCFE “skippy PB” teenagers

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14
Q

SCFE is the most common

A

disorder of the hip in adolescents

boys 14
girls 12

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15
Q

SCFE can result in

A

avascular necrosis of femoral head

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16
Q

What is SCFE

A

groin/medial thigh pain, dull, aching decreased ROM (esp. IR)

-dx with radiographs

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17
Q

Legg-Calve-Perthes disease

A

avascular necrosis of the of the femoral head

  • 2 to 10 years
  • out toing
  • limping child problemm
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18
Q

What is the goal of legg-calve-perthes disease?

A

maintain femur in acetabulum, WBAT, “containment” protocol keeps head in the acetabulum

-achieved with abduction and IR

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19
Q

Hip pointer

A

trauma to iliac crest (ASIS)

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20
Q

Myositis ossificans

A

Ossification of contusion

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21
Q

Illiopsoas bursitis

A

pain/snapping in medial groin, thigh

22
Q

Arthritis

A

progressive pain, stiffness, scour test

23
Q

FAI

A

anterior groin pain with FADIR test

24
Q

Knee anterior glide improves

25
Knee posterior glide improves f
flexion
26
Knee resting position
25 degrees of flexion
27
How much knee flexion is needed with swing phase
70 degrees
28
What happens in ambulation with insufficient knee flexion
vaulting or circumduction
29
What is the function of the popliteus
internal rotation and flexion provides varus resistance limits ER of the knee
30
OKC of the knee
internal rotation of tibia
31
CKC of the knee
external rotation of the femur
32
Where is the base of the patella
base is the top apex is the bottom
33
Lachman Test
ACL injury
34
Anterior Drawer Test
ACL
35
Poster Drawer Test
PCL
36
Posterior Sag Test
PCL
37
Slocum's Test
anterior rotary instabilty (ACL) excessive tibial movement
38
Pivot shift test
anterolateral rotary instability, rupture of the ACL
39
Valgus stress test
medial instability MCL primarily
40
Varus stress test
lateral instability LCL primarily
41
McMurray test
meniscal test
42
Ottawa knee xray after trauma
- 4 steps - inability to flex knee to 90 degrees - tenderness over head of fibula - isolated patellar tenderness - age > 55 years
43
Pittsburg knee xray
4 steps < 12 years or >50 years
44
Talocrural posterior glide increases
dorsiflexion
45
Talocrural anterior glide increase
plantarflexion
46
What is the most common type of clubfoot
talipes equinovarus
47
What is the position of the foot when its a clubfoot
PF, supination, adduction, inversion, cavus, varus
48
What is the most common foot deviation in children
metatarsus adductus - foot is adducted and supinated
49
Subtalar joint medial and lateral glide
LIME lateral - inversion Medial - eversion
50
Ankle anterior drawer
ATFL
51
What is the most common lateral ankle sprain
ATFL
52
Test for high ankle sprain or tibiofibular
kleiger DF compression maneuver squeeze test