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final Flashcards

1
Q

Of the three joints around the knee which one is not part of the knee

A

proximal tibiofibular joint

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2
Q

which collateral ligament of the knee does not attach to the tibia

A

lateral collateral ligament

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3
Q

what is the strongest ligament of the knee

A

posterior cruciate ligament

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4
Q

which meniscus is more susceptible to tearing

A

medial meniscus

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5
Q

what position is the knee in during the loose packed position

A

25 degrees of flexion

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6
Q

When figuring out a patients Q angle, what three landmarks are used

A

ASIS, patella and tibial tubercle

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7
Q

What muscle is responsible for unlocking the knee in the screw home mechanism

A

Popliteus

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8
Q

A patient presenting with osteoarthritis of the knee will point to which side of the knee

A

medial side

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9
Q

if a patient has a history of previous macro trauma to the knee, how many more times as likely are they to develop osteoarthritis

A

4xs

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10
Q

What type of adjustment or manipulation will benefit a patient with osteoarthritis

A

long axis traction

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11
Q

What is the most common athletes complaint involving the knee

A

Patellofemoral pain syndrome

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12
Q

What age range would more likely present with PFPS

A

15-25 yo

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13
Q

what gender does PFPS affect more often

A

Females

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14
Q

What muscle would you focus on strengthening for PFPS

A

Vastus Medialis

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15
Q

What other areas of the spine and pelvis would you assess

A

Pelvis, SI joints, lumbar and extremities

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16
Q

Following years of running, what is most likely Dx for knee pain

A

Chondromalacia patella

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17
Q

What would be a likely DDx for Chondromalacia Patella

A

Patellofemoral Pain Syndrome

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18
Q

When viewing radiographic findings, what view would be the best way to view

A

Lateral view

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19
Q

What percentage of athletes will experience chondromalciaa patella

A

30%

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20
Q

Can a person have chondromalacia patella and be completely asymptomatic

A

yes

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21
Q

On the femoral head there is a small depression in the hyaline cartilage known as the fovea capitis. What inserts on here?

A

Ligamentum teres

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22
Q

When examining the trabecular patterns on the femur, what are the lines running more inferior to superior.

A

Compression (vertical) Trabecular System

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23
Q

The iliofemoral ligament sometimes goes by what name

A

Y ligament of Bigelow

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24
Q

Which ligament plays a significant role in resisting valgus stress

A

medial collateral ligament

25
Q

What is the strongest ligament of the knee

A

PCL

26
Q

When adjusting the hip with long axis traction, it should be in

A

Open pack (30 of flexion, 30 abduction, 5* external rotation)

27
Q

what is a good management option for stage 2 patellar tendinopathy

A

stretching, ice, possible activity modification- stage 2 is pain during and after activity but can perform at normal levels doesn’t require surgical intervention

28
Q

your patient works on the third floor in a building with no elevator. he complains of tearing or velcro ripping sound coming from underneath his patella

A

patellar tendinopathy

29
Q

A softening of the patella’s articular cartilage is known as

A

chondromalacia patellae (runners knee)

30
Q

what may contribute to the development of patellofemoral pain syndrome

A

increased Q angle, hyperpronation, muscular imbalances

31
Q

During examination, you apply a valgus force to the knee and the patient reports pain along the medial joint line. What structure is most likely injured?

A

medial collateral ligament

32
Q

where will you find point tenderness on a patient with meniscus tear

A

joint line

33
Q

Which of the following may be contraindication for long axis distraction at the hip, using a bimanual grip above the malleoli

A

Knee injury- use bimanual grip above femoral condyles so your not adjusting through the knee

34
Q

what is the most common cause of hip pain in adults

A

Osteoarthritis, degenerative joint Disease

35
Q

Which of the following structures resists posterior displacement of the tibia relative to femur

A

PCL

36
Q

The ACL is responsible for preventing excessive

A

anterior movement of the tibia

37
Q

what bone is not part of the knee joint, Tibia, fibula, femur

A

fibula

38
Q

Your patient is a chef. She presents with pain along the medial joint line of her left knee after slipping on a greasy floor. She says her body twisted to the right while her leg felt like it twisted to the left. what condition do you most likely suspect

A

Medial meniscus tear

39
Q

What is an appropriate treatment for mild to moderate hip osteoarthritis

A

Manual therapy and manipulation

weight reduction

therapeutic exercise

NSAIDs

corticosteroid injections

Surgery: Arthroplasty

40
Q

A common condition of athletes participating in running, kicking, and jumping is

A

iliotibial band syndrome

41
Q

individuals with macrotrauma such as ACL sprain, are ____ times more likely to develop knee osteoarthritis

A

4x

42
Q

The most common location of osteoarthritis of the knee is the

A

medial cartilaginous side of the knee wears down first

43
Q

types of meniscal tears

A

vertical longitudinal

bucket handle

oblique

Flap

radial/transverse

Parrot beak

Horizontal

Degenerativ

44
Q

Meralgia Paresthetica is located along the lateral portion of the thigh, due to entrapment of what nerve

A

lateral femoral cutaneous nerve

45
Q

Two primary functions of the knee menisci are:

A

increase surface area thereby distributing weight over a larger area

Shock absorber

46
Q

Stance phase of gait would be a ____ kinetic chain activity while swing phase of gait would be a ____ kinetic chain activity

A

closed, open

47
Q

which of the following structures can contribute to snapping hip syndrome?

A

Psoas tendon, IT band and rectus femoris tendon

48
Q

when figuring a patients Q angle which landmarks are used?

A

a line drawn from ASIS to central patella and a second line drawn from central patella to tibial tubercle

49
Q

The joint capsule of the hip is reinforced and supported by 3 major extracapsular ligaments including

A

ischiofemoral, iliofemoral and pubofemoral

50
Q

true/false - Femoroacetabular Impingement is more common in males males

A

false can occur in males or females

51
Q

An increased angle of inclination at the hip will cause a _____ deformity at the knee

A

Valgus (knock Knees)

52
Q

The medial menisci is shaped like a what

A

C shape

53
Q

The lateral menisci is shaped like a what

A

O shape

54
Q

your patient is a runner with pain at the inferior pole of the patella after running. Their knee pain began gradually after significantly increasing the frequency and duration of the training runs on cement roads. what condition do you most likely suspect

A

patellar tendinopathy

55
Q

Which region of the meniscus is the most likely to heal after injury?

A

Red Zone

56
Q

A 22 year old male soccer player presents to your office with hip pain. When you ask the patient to point to where he feels it, he has his hand in a C shape on the laterak hip, between the iliac crest and greater trochanter and describes it as a deep pain. What is your top choice for differential diagnosis?

A

Femoralacetabular impingement (FAI)

57
Q

Which of the following is a good choice in treatment for a grade 3 collateral ligament injury?

A

Refer for orthopedic surgical consult

58
Q

A pincer mechanism is most likely to cause femoroacetabular impingement syndrome in which demographic

A

females 30s-40s

59
Q

which of the following muscles does not attach to the pes anserine?

A

Muscles that DO attach are gracilis, sartorius, and semitendinosis

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