KNEE Flashcards

1
Q

At end range flexion do you get IR or ER of tibia

A

IR

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2
Q

What is the screw home mechanism

A

near end of extension the lateral compartment of the knee closepacks first (smaller and shorter AP diameter) while medial compartment continues to glide anteriorly creating conjuct tibial ER with full extension

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3
Q

Which compartment of the knee come to its end range first

A

lateral

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4
Q

Which compartment of the knee much be mobilized at end range for flexion and extension

A

medial

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5
Q

What positions do you do distraction of the tib on the femur

A
resting position (30 flexion) 
or 90 degree flexion
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6
Q

what are you looking for with distraction and compression

A

pain reproduction or relief

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7
Q

What is the dermatome (schlerotome) for the hip joint

A

L3

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8
Q

Where is the hip likely to refer to (most likely to least)

A
  • Buttock
  • Thigh
  • Groin
  • Distal to knee
  • Foot
  • Knee
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9
Q

Hip Resting position

A

30 flex, 30 abduction, sight ER

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10
Q

Hip Closed packed postion

A

Extension, abduction, IR

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11
Q

Hip Capsular patten

A

Flex, abd, IR (order is variable but these are the most common)

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12
Q

loss of hip IR would make you curious of what

A

OA

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13
Q

The hip acetabulum faces…

A

Down, laterally, and anteriorly

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14
Q

The femoral head faces…

A

up, medially, and slightly anteriorly

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15
Q

What is the glide for flexion and extension of the hip

A

no glide just pure spin

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16
Q

what is the result of a tight posterior capsule of the hip

A

pushes femoral head forward. loss of flexion

17
Q

what should be you treatment technique for a loss of extension

A

most likely soft tissue

Myofascial restriction from the muscles at the front of the hip

18
Q

Sign of the buttock - Signs:

A
  • Limited and painful SLR (no improvement with knee bent)
  • No change in hip flexion ROM with knee flexed
  • Empty end feel
  • Red, hot, swollen
19
Q

Sign of the buttock -Causes:

A
  • Rheumatic bursitis
  • Osteomyelitis
  • Neoplasm
  • Fractured sacrum
  • Ischiorectal abscess
  • Septic arthritis
  • Septic bursitis
20
Q

When would you use physiological rotation in rest position

A

Treating hip with acute pain

21
Q

Posterior glide to treat ____

A

IR restriction

22
Q

With a posterior glide which direction do you push in

A

postero-lateral

23
Q

Anterior glide to treat ___ restriction

A

ER

24
Q

With an anterior glide which direction do you push in? where do you landmark to push

A

antero-medially

in between the GT and isch tube

25
Q

On which types of patients are FADDIR and FABER appropriate

A

Non-irritable, stiff hip and when pain seems to be articular but has not been reproduced with straight planar movement testing or glides as above

26
Q

What are you looking for in FADDIR and FABER

A

pain
range
smoothness of trajectory