Clinical Aspects Exam 4 Flashcards

(61 cards)

1
Q

Developmental Dysplasia

A

Ongoing process causing dislocation of hip joint in which head of femur ends superior on external surface of ilium

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2
Q

Developmental Dysplasia more commonly seen in

A

Females

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3
Q

Developmental Dysplasia symptoms

A
Pain
Abnormal gait
Unequal leg length
Femoral anteversion
Contracture 
Osteoarthritis
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4
Q

Traumatic (Acquired) Dislocation

A

May occur during accidents when thigh if flexed, abducted, and medially rotated

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5
Q

___ dislocation of hip more common and may damage ___

A

Posterior

Sciatic

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6
Q

___ dislocation of hip rare and may damage ___

A

Anterior

Obturator Nerve

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7
Q

Prepatellar Bursitis

A

Housemaid’s Knee

Caused by friction between skin and patella

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8
Q

Subcutaneous Infrapatellar Bursitis

A

Clergyman’s knee

Inflammation between skin and tibial tubercle

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9
Q

Suprapatellar Bursitis

A

Inflammation of suprapatellar Bursae caused by abrasions or penetrating wounds

Infection may spread to knee joint

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10
Q

Unhappy Triad

A

Tear of medial collateral ligament, medial meniscus, and anterior cruciate ligament

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11
Q

Anterior Drawer Test

A

Tibia pulled forward under femur = positive = indicates torn ACL

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12
Q

Posterior Drawer Test

A

Tibia pushed backward under femur = positive= torn PCL

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13
Q

Osgood-Schlatter’s Disease

A

Avulsion injury of secondary growth center for tibial tuberosity

Pain in area of tibial tuberosity

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14
Q

Osgood-Schlatter’s Disease is an example of an __

A

Apophyseal Injury

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15
Q

Os Trigonum

A

Lateral tubercle does not unite with body of talus and ossified independently

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16
Q

Stress fractures

A

Fine hairline fractures that occur without evidence of soft tissue injury

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17
Q

Stress fractures commonly occur at

A

Shaft of tibia, navicular, 2nd, 3rd, 4th metatarsals

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18
Q

Stress Fracture types

A
  1. Bone normal; overloaded with sudden increase in activity

2. Bone abnormal; result of osteoporosis, drugs, metabolic disorder

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19
Q

Compartment syndrome

A

Increase of pressure within myofascial compartment

Causes pain and may result in ischemia

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20
Q

Types of compartment syndrome

A

Acute

Chronic

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21
Q

Acute compartment syndrome

A

Due to trauma

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22
Q

Chronic compartment syndrome AKA

A

External compartment syndrome

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23
Q

Chronic compartment syndrome usually occurs in ___ and ___ compartments

A

Anterior and deep posterior leg

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24
Q

Chronic compartment syndrome is ___ related

A

Exercise

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25
Diagnosis of compartment syndrome
Resting pressure > 12 mm/hg 1 min exercise pressure > 20 mm/hg
26
Shin splints aka
Medial tibial stress syndrome
27
Shin splints
Generic term used to describe anterior leg pain not due to compartment syndrome or stress fractures
28
Ski Boot Syndrome
Compression neuropathy of deep fibular nerve
29
Symptoms of ski boot syndrome
Weakened dorsiflexion and extension of toes, as well as sensory loss between 1st and 2nd toes
30
High ankle sprain
Sprain involving inferior tibiofibular joint
31
Calcaneal tendon reflex
Tests segmental innervation S1 and S2 Foot should reflexively fall in plantar flexed position
32
Intermittent Claudication
Occlusive peripheral artery disease characterized by painful leg cramps which develop during walking and disappear with rest
33
Screening for intermittent claudication
Palpate Posterior tibial artery
34
Achilles Tendonitis
Microscopic tears in collagen fibers, just proximal to attachment on calcaneous Flat feet more prone to get due to hypereversion
35
Rupture of Achilles Tendon
Audible snap and feel intense pain Difficult carrying out plantar flexion
36
High heeled shoes
Develop shortening of calf muscles due to origin and insertion continually being brought closer together
37
Pott’s Fracture
Fracture dislocation of ankle, occurs when foot forcibly everted or externally rotated
38
Pott’s fracture may result in
Tear of deltoid ligament Fracture of fibula Fracture of lateral malleolus
39
Plantar Fasciitis
Overuse injury that causes pain on medial aspect of calcaneus and along medial longitudinal arch
40
Symptoms of Plantar Fasciitis
“First step pain” Aponeurosis is stretched and tiny tears develop
41
Plantar Nerve Reflex
Stroking skin of lateral plantar aspect of foot- normal response is flexion of all digits
42
Abnormal plantar nerve reflex
Babinski sign (digits 2-5 will abduct and digit 1 will extend)
43
Segmental innervation tested in plantar nerve reflex
L4 L5 S1 S2
44
Tarsal Tunnel Syndrome
Tibial nerve or medial plantar nerve compressed as they pass deep to flexor retinaculum
45
In tarsal tunnel syndrome, pain is noted along
Medial malleolus and plantar aspect of foot and toes
46
Tarsal tunnel syndrome AKA
Joggers foot
47
Hallux Valgus
Enlargement and deforming of 1st MP joint in which joint deviates laterally
48
Hallux Rigidis
Sesamoid bone displaced by deviation and ends up between heads of 1st and 2nd metatarsals Cannot move first digit away from second
49
Bunion
Inflamed Bursae that occurs from foot rubbing against shoe with additional bone growth occurring due to Hallux Valgus
50
Hammer Toe
Common deformity of 2nd and 3rd toes MP and DIP joint are hyperextended while PIP joint flexed
51
Corns
Thickening of keratin layer of skin
52
Turf toe
Hyperextension injury to plantar capsular ligament of 1st MP joint
53
Club Foot
Structural foot deformity, usually congenital, involving subtalar joint
54
Club foot is more common in
Males
55
In club foot, foot is usually ___ and ___
Plantar flexed and inverted
56
The ___ bone is malformed in club feet, which can cause shortening and contracture of muscles and ligaments
Talus
57
Morton’s Neuroma
Plantar nerves are compressed between heads of metatarsals (MC between 3rd and 4th digits)
58
Pes Rectus
Normal foot with relation to arches Main load on calcaneus
59
Pes Planus Flexible
Congenital condition resulting in flat feet only in weight bearing (due to loose/degenerative ligaments)
60
Pes Planus Rigid
Congenital or acquired flat feet seen in both weight bearing and non-weight bearing stances due to bone deformities
61
Pes cavus
Medial longitudinal arch unusual high resulting in claw foot