Diagnosis

Question 1

Osgood Schlatters

Answer 1

• Overuse injury (use of the qudriceps mm)
• Open growth plate
• Patella tendon pulls on the tibia tuberosity

Question 2

Pain in the groin with sneezing and coughing

Answer 2

secondary to abdominal musculature attachment to the pubis

Question 3

MEDICAL screening of the lower extremity

Answer 3

1. Fractures
2. Peripheral Arterial Disease
3. Deep Vein Thrombosis
4. Compartment Syndrome

Question 4

Intermittent claudication

Answer 4

a condition in which cramping pain in the leg is induced by exercise, typically caused by obstruction of the arteries.

Question 5

thin female patient with amenorrhea think…

Answer 5

stress fractures

Question 6

Patellofemoral Pain Syndrome:

Answer 6

• Overuse or trauma
• Pain with joint loading
• Pain with knee flexion
• Complaints of popping and clicking
• Positive

Question 7

Knee diagnoses:

Answer 7

1. Fractures: patella, tibial plateau, tibia and fibula
   
   • Avulsion fracture of the Anterior Tibial Spine
2. Osteoarthritis (TKA*)
3. Stiff knee (flexion contracture >10 deg or total arch is <95 deg
   
   • Arthrofibrosis is used when both flexion and extension are limited secondary diffuse scar tissue
4. Osgood Schlatter’s (open growth plates)
5. Meniscal Injuries
6. Discoid lateral meniscus
7. ACL/PCL injuries
8. MCL/LCL injuries
9. Patellofemoral Pain Syndrome
10. ITB Friction Syndrome
11. Bursitis

Question 8

– Age > 55y.o – Type II diabetes – Smoking – Sedentary lifestyle – Intermittent claudication – Unilateral cool extremity – Decreased pulses – Increased capillary refill

Answer 8

Peripheral arterial disease

Question 9

HISTORY:

• 18 year old, female, soccer player
• Insidious onset of groin pain; pain along the inguinal line that limits participation in sports
• she describes the pain as “burning”
• she states that pain increases when coughing or sneezing
• pain began 2 mo ago, has not participated in soccer secondary to increased pain

EXAM FINDINGS:

• Tenderness to palpation over the R inguinal region and pubic symphysis
• Special test: (+) resisted hip adduction, (–) scour

Answer 9

Osteitis pubis

• Repetitive stress or athletic trauma.
• Groin and pubic pain, pain with palpation.
• Pain with coughing/sneezing secondary to the abdominal musculature attachment to the pubic symphysis.

Question 10

Answer 10

Osgood Schlatter’s

• Growth plate
• Repetitive injury
• Constant/overuse pulling of the patella tendon

Question 11

Groin pain without limitations include:

Answer 11

1. Tendinopathies
2. Osteitis pubis
3. Femoroacetabular impingement

Question 12

Hip disorders without limitation can be

Answer 12

1. Buttock pain
2. Groin pain
3. Snapping hip