LE Random from book

Question 1

If there is pain in the anterior/ medial side of the thigh during a hip test, what does that indicate? pain in the buttock?

Answer 1

• hip intra-articular pain including labral tears and anterior impingement
• posterior labral tears and lumbar spine problems

Question 2

What is clicking common in? (hip)

Answer 2

labral tears

Question 3

Diagnostic clues in hip pain: dull, deep, aching

Answer 3

arthritis, paget disease

Question 4

Diagnostic clues in hip pain: sharp, intense, sudden, associated with WB

Answer 4

Fx

Question 5

Diagnostic clues in hip pain:tingling that radiates

Answer 5

radiculopathy, spinal stenosis, meralgia paresthetica

Question 6

Diagnostic clues in hip pain: increased pain when sitting, legs not crossed
condition more common in sitting job; may be pain on resisted knee flexion or SLR

Answer 6

ischiogluteal bursitis

Question 7

Diagnostic clues in hip pain: pain after standing, walking

Answer 7

hip arthrosis

Question 8

Diagnostic clues in hip pain: pain on attempted weight bearing

Answer 8

Occult fracture, severe arthrosis

Question 9

Diagnostic clues in hip pain: unremitting, long duration

Answer 9

paget disease, carcinoma, occasionally severe arthrosis

Question 10

Condition secondary to either intra-articular (subluxation, loose bodies, labral tears, displaced fractures, capsular instability), internal (iliopsoas snapping, iliofemoral lig snapping, hamstring syndrome, iliopsoas burasal/caspular thickening) or external (thickening of posterior border of the IT band, anterior glut max, trochanteric bursitis)

Answer 10

Snapping hip syndrome

Question 11

Movements feel weak or abnormal; sciatic nerve is compressed, hip abduction and lateral rotation are week

Answer 11

piriformis syndrome

- m. is tender and compressing sciatic n

Question 12

What is associated with femoroacetabular impingement?

Answer 12

femoral head (Legg-Calve Perthes Disease, Slipped capital femoral epiphysis) or acetabular dysplasia

Question 13

Where does the patella contact the femur in the different ROM?

Answer 13

1. inferior patella at 20 flexion
2. progresses superior at 90 flexion
3. medial lateral contact at 135

Question 14

What does squinting patella indicate?

Answer 14

femoral anteversion

Question 15

What does grasshopper eye patella indicate?

Answer 15

retroverted hip or weakness in the VMO

Question 16

What is Hebling’s sign?

Answer 16

medial bowing of Achille’s associated with calcanea valgus (pronated foot)

Question 17

How do you grade an ankle sprain?

Answer 17

1 = ATF tenderness; ligament stretched
2 = ATF and CF tenderness; partial tear
3 = ATF, CF, and PTF tenderness; complete tear

Question 18

What symptoms would be seen with a grade 1 sprain?

Answer 18

• slight and local edema/ecchymosis
• full or partial WB
• no instability

Question 19

What symptoms would be seen with a grade 2 sprain?

Answer 19

• moderate and local edema/ecchymosis
• difficult WB without crutches
• no or slight instability

Question 20

What symptoms would be seen with a grade 3 sprain?

Answer 20

• significant and diffuse edema/ecchymosis
• impossible WB without significant pain
• definite instability