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OMM Final > Lower Extremity > Flashcards

Lower Extremity Flashcards

(40 cards)

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1
Q

lateral trochanter counterstrain

  • tenderpoint location
  • tx position
A
  • along IT band: 12 cm inferior to greater trochanter
  • position
    • prone
    • hip ABduction + slight flexion (leg off table)
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2
Q

posterior lateral trochanter counterstrain

  • tenderpoint location
  • tx position
A
  • posterior aspect of greater trochanter
  • pt is
    • prone
    • hip extension (dr knee props leg up)
    • hip ABduction + MARKED ER
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3
Q

medial meniscus

  • tenderpoint location
  • tx position
A
  • on antero-medial joint line 5 cm posterior to patellar midline
  • position
    • knee flexion (pt seated) with
      • tibial ADduction
      • ankle dorsiflexion / eversion
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4
Q

lateral meniscus

  • tenderpoint location
  • tx position
A
  • on anteromedial joint line 5 cm posterior to patellar midline
  • position
    • knee flexion (pt seated) with
      • tibial adduction
      • ankle plantarflexion & inversion
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5
Q

medial hamstring

  • tenderpoint location
  • tx position
A
  • two locations
    • on muscle belly, halfway down femur shaft
    • on muscle tendon, near distal attachment
  • position
    • knee flexion + IR
    • slight tibial adduction
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6
Q

lateral hamstring

  • tenderpoint location
  • tx position
A
  • two locations
    • on muscle belly, halfway down femur shaft
    • on muscle tendon, near distal attachment
  • position
    • knee flexion + ER
    • slight tibial adbudction
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7
Q

medial calcaneous

  • tenderpoint location
  • tx position
A
  • on calcaneus, 2-3 cm posteroinferior to medial malleolus
  • position
    • subtalus - inversion
    • forefoot - pronation/inversion

“wring out of the foot”

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8
Q

navicular

  • tenderpoint location
  • tx position
A
  • plantar surface of navicular bone
  • position
    • plantarflexion
    • subtalar joint - inversion
    • forefoot - supination
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9
Q

gastrocnemius

  • tenderpoint location
  • tx position
A
  • locations
    • proximal gastroc - within two bellies, just below popliteal region
    • distal gastroc - achilles tendon
    • soleus
  • position
    • pt prone
      • knee flexion
      • marked plantarflexion
      • translate calcaneus proximally → towards knee
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10
Q

flexion calcaneous

  • tenderpoint location
  • tx position
A
  • plantar surface of calcaneus
  • position
    • prone
      • marked plantar flexion
      • translate calcaneus distally → towards forefoot
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11
Q

medial ankle tenderpoint

  • tenderpoint location
  • tx position
A

= tibialis anterior

  • on calcaneus, 2cm inferior to medial malleolus
  • position:
    • subtalar inversion
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12
Q

lateral ankle tenderpoint

  • tenderpoint location
  • tx position
A
  • two locations
    • proximal - inferior to fibular head
    • distal - 2 cm anteroinferior to lateral malleolus
  • position
    • subtalar eversion + slight plantarflexion
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13
Q

how is counterstrain tx for the medial meniscus & medial hamstring tenderpoints similar?

A

both involve

  • knee flexion + IR
  • tibial adduction

medial meniscus: adds ankle plantarflexion + inversion

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14
Q

how is counterstrain tx for the lateral meniscus & lateral hamstring tenderpoints similar?

A

both involve:

  • knee flexion + ER
  • tibial abduction

meniscus adds: ankle dorxiflexion + eversion

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15
Q

tibiofemoral joint motion:

how does the tibial head (plateau) move during

  • tibiofemoral flexion?
  • tibiofemoral extension?
A
  • flexion - anteriorly
  • extension - posteriorly
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16
Q

tibiofemoral joint motion:

how does the tibial head (plateau) move during

  • tibiofemoral adduction?
  • tibiofemoral abduction?
A
  • adduction - laterally
  • abduction - medially
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17
Q

tibiofemoral joint motion:

how does the tibial head (plateau) move during

  • tibiofemoral ER?
  • tibiofemoral IR?
Study These Flashcards
A
  • ER - anteromedial glide
  • IR - posterolateral glide
18
Q

direct tx of abducted tibia?

Study These Flashcards
A

tibial abduction associated with medial glide of tibial plateau. so, pt contacts medial side of tibial plateu & pushes it laterally, IR tibia in the process

19
Q

direct tx of adducted tibial?

Study These Flashcards
A

tibial abduction associated with lateral glide of tibial plateau. so, pt contacts lateral side of tibial plateau & pushes it medially, ER tibia in the process

20
Q

direct tx of adducted vs abducted tibia?

21
Q

direct tx of flexed tibia?

Study These Flashcards
A

flexed tibia = anterior tibial plateau. move tibial plateau moved → posteriorly

22
Q

direct tx of extended tibia?

Study These Flashcards
A

extended tibial = posterior tibial plateau. move tibial plateau → anteriorly

23
Q

direct tx of flexed vs extended tibia?

24
Q

direct tx of externally rotated tibia?

Study These Flashcards
A

tibial ER = anteromedial tibial plateau.

  • move tibial into IR with one hand (cranial), +
  • move tibial plateu posterolaterally with the other hand (caudad)
25
direct tx of internally rotated media?
tibial IR = posterolateral tibial plateau. * move **tibial into ER** with one hand (cranial), + * move **tibial plateu anteromedially** with the other hand (caudad)
26
direct tx of externally rotated vs internally rotated tibia?
27
indirect tx of externally rotated tibia?
tibial ER = anteromedial tibial plateau * move **tibial into ER** with one hand (cranial), + * move **tibial plateu anteromedially** with the other hand (caudad)
28
indirect tx of internally rotated tibia?
tibial IR = posterolateral tibial plateau. * move **tibial into IR** with one hand (cranial), + * move **tibial plateau posterolaterally** with the other hand (caudad)
29
tibiofibular motion what is the position of the _ankle_ when * fibular head is posterior? * fibular head is anterior?
* when the fibular head is posterior, the distal fibula is anterior, resulting: * **ankle plantarflexion** (inversion) * when the fibular head is anterior, the distal fibula is posterior, resulting in: * **ankle dorsiflexion** (eversion)
30
tibiofibular motion what is the position of the _tibia_ when * fibular head is posterior? * fibular head is anterior?
posterior - tibia is **internally rotated** (b/c ankle inversion?) anterior - tibial is **externally rotated** (b/c of ankle eversion?)
31
tibiofibular motion what is the position of the _foot_ when * fibular head is posterior? * fibular head is anterior?
* posterior - **supinated foot** (supination = foot inversion) * anterior - **pronated foot** (pronation = foot eversion)
32
direct tx of _fibular head posterior_?
posterior fibular head = anterior distal fibula, thus: * plantarflexed / inverted ankle * IR tibia * supinated foot
33
direct tx of _fibular head anterior?_
anterior fibular head = posterior distal fibula. thus * dorsiflexed / everted ankle * ER tibia * pronated foot
34
what lines form the Q-angle? motion at what joint affects the Q-angle? & how so?
* Q angle formed by: * line from patellar center to tibial tubercle * line from patellar center to ASIS * Q angle changes based on **tibiofemoral (i.e. knee)** joint * tibial abduction / medial glide - increases Q-angle * tibial adduction / lateral glide - decreases Q-angle
35
how to assess the stability of the lateral and medial collateral ligaments?
**with the valgus and varus tests. pt is** * seated or supine * knees flexed at 20-30 degrees
36
**applying varus force** * positions the knee how? * affects the Q-angle how? * assesses / stresses what ligament?
laterally directed force * knee (tibiofemoral joint): * **a**_d_**ducts tibia** * **laterally glides tibial plateau** * decreases Q-angle * stresses lateral collateral ligament
37
**applying valgus force** * positions the knee how? * affects the Q-angle how? * assesses / stresses what ligament?
* knee (tibiofemoral joint) * abducts tibia * medially glides tibiofemoral joint * increases Q-angle * assesses / stresses the medial collateral ligament
38
how to assess the stability of the anterior and posterior cruciate ligaments?
with the anterior and posterior drawer test. pt is * pt is supine with * hips flex at 45 * knees flex to 90 * **can sit on pts foot to stabilized**
39
the anterior cruciate ligament test * assesses the knee how? * stresses what ligament?
* tibiofemoral joint (knee): asses position of * tibial plateau - would have anterior glide * tibia - would be flexed * active test: by isometric knee extension * stresses the anterior cruciate ligament
40
the posterior cruciate ligament test * assesses the knee how? * stresses what ligament?
* tibiofemoral joint (knee): assesses position of * tibial plateau - would have posterior glide * tibial - would be extension * active test: by isometric knee flexion * stresses the posterior cruciate ligament

OMM Final (1 decks)

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