Lower Extremity Conditions Week 7

Question 1

What is the fancy name for jumpers knee?

Answer 1

popliteus tendinitis or patellar tendonitis

Question 2

Inflamed tendinopathy of either the popliteus tendon or the patellar tendon

Answer 2

popliteus tendinitis/ patellar tendonitis/ jumpers knee

Question 3

What causes popliteus tendinitis/ patellar tendonitis/ jumpers knee?

Answer 3

-varus type force injury
-tensile forces that are too much weight, too frequent, or too sudden
-often an eccentric pull injury (happens when the person lands from a jump)

Question 4

What are the symptoms of popliteus tendinitis/ patellar tendonitis/ jumpers knee?

Answer 4

-knee pain
-difficulty moving
-sqeaking knee or swelling

Question 5

What is the other name for osgood-schlatter disease?

Answer 5

sinding larson johannsen disease

Question 6

apophysitis of the tibial tubercle (growth plate with a muscle attachment)

Answer 6

osgood-schlatter disease/ sinding larson johannsen disease

Question 7

What causes osgood-schlatter disease/ sinding larson johannsen disease?

Answer 7

-repeated traction stress
-increased tension due to exercise or the femur growing faster than quads

Question 8

Who is primarily affected by osteochondritis dissecans?

Answer 8

children and adolescents but can affect anyone

Question 9

A joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. This bone and cartilage can then break loose and cause pain, possibly hindering joint motion (joint mice)

Answer 9

osteochondritis dissecans

Question 10

What may cause osteochondritis dissecans?

Answer 10

repetitive physical trauma including gymnastics, throwing, running, and jumping

Question 11

What are the symptoms for osteochondritis dissecans?

Answer 11

-knee pain
-swelling
-weakness
-inability to fully extend knee (locking due to joint mice)

Question 12

Calf strain is also known as?

Answer 12

tennis leg

Question 13

Severe muscle strain resulting in sudden pain in the back of the upper calf followed by an inability to walk on the toes. Common in middle aged athletes playing tennis

Answer 13

calf strain/ tennis leg

Question 14

What causes calf strain/ tennis leg?

Answer 14

tearing of the musculotendinous junction of the medial head of the gastrocnemius when the knee is suddenly extended while the foot is dorsiflexed

Question 15

What are the symptoms for calf strain/ tennis leg?

Answer 15

pain is described as being shot ot hit in the back of knee, localized swelling and bruising

Question 16

A blood clot that develops in a deep vein, usually the calf but may be in other parts of the body like the thigh, pelvis, arm, etc

Answer 16

deep vein thrombosis (DVT)

Question 17

What are the causes of DVT?

Answer 17

-trauma
-prolonged sitting
-anything that would cause diminished blood flow

Question 18

What are the symptoms of DVT?

Answer 18

-swelling, pain, redness, feels warm to the touch
-skin may be blue or white in color

Question 19

What is the fancy term for shin splints?

Answer 19

tibial stress syndrome

Question 20

Micro-tears in bone and muscle tissue resulting in inflammation of the muscles, tendons, bone tissue, and periosteum around the tibia

Answer 20

shin splints/ tibial stress syndrome

Question 21

What is the main muscle involved in anterior lateral shin splints/tibial stress syndrome?

Answer 21

anterior tibialis

Question 22

What is the main muscle involved in posterior medial shin splints/tibial stress syndrome?

Answer 22

posterior tibialis

Question 23

What causes shin splints/tibial stress syndrome?

Answer 23

-overloading the muscle tendons via high and/or repetitive impact activities such as walking, running, dancing, etc on hard surfaces or when shoes have bad shock absorption

Question 24

symptomatic nocturnal myoclonus is typically associated with?

Answer 24

restless leg syndrome

Question 25

Neurological disorder characterized by throbbing, pulling, creeping, crawling in the legs with string urges to move them. Brought on when trying to rest. Moving legs brings temporary relief

Answer 25

restless leg syndrome

Question 26

What are the causes of restless leg syndrome?

Answer 26

-vitamin and mineral def like iron -caffeine -pregnancy -alcohol -genetics

Question 27

What are the other names for complex regional pain syndrome?

Answer 27

-reflex sympathetic dystrophy -sudek's atrophy -causalgia

Question 28

Nervous system malfunctions causing hyperactivity of the sympathetic NS, giving you the symptoms of pain, increased warmth, and excessive sweating for no apparent reason

Answer 28

complex regional pain syndrome

Question 29

What are the risk factors for too little or too much estrogen?

Answer 29

too much estrogen= DVTs too little= stress fractures

Question 30

What is the most common site for stress fx in men?

Answer 30

tibia or fibula

Question 31

What is the most common site for stress fx in women?

Answer 31

foot or ankle

Question 32

Shin splints are due to being weak how?

Answer 32

eccentrically weak

Question 33

What is the tx for shin splints?

Answer 33

change shoes!

Question 34

Vascular and neurogenic claudication can be distinguished with walking and posture. How?

Answer 34

vascular- body is running out of gas, so you need to sit and wait it out neurogenic- spinal stenosis

Question 35

What is the tx for vascular claudication?

Answer 35

walk 3 mi everyday without pain, build your way up to this

Question 36

What is the best biomechanics for running?

Answer 36

run on toes

Question 37

medial gastrocnemius tear=

Answer 37

tennis leg

Question 38

varicose veins can lead to?

Answer 38

DVT

Question 39

What position is the foot in when the calf is strained?

Answer 39

dorsiflexed with knee extended

Question 40

What is acute compartment syndrome?

Answer 40

not relieved by rest, can cut off blood vessels and nerves

Question 41

What is chronic compartment syndrome?

Answer 41

relieved by rest, cramping is brought on with activity