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OMM Lecture > Lower Extremity II > Flashcards

Lower Extremity II Flashcards

1
Q

Sartorius OI

A

. O: ASIS
. I: Pes anserine
. Causes med. knee pain

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2
Q

Iliotibial band OI

A

O: Glu max and TFL
I: gerdy’s tubercle
. Causes lateral knee pain

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3
Q

PRICE acronym

A 
. P: pad, protect 
. R: rest 
. I: ice 
. C: compression 
. E: elevation
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4
Q

Common thigh pain conditions

A 
. Contusion
. Trochanteric bursitis
. ITB tendonitis 
. Quad
. Hamstring 
. Sciatica 
. Hip DJD 
. Femoral stress fracture 
. Snapping hip
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5
Q

Common knee pain conditions

A 
. ACL/PCL tears
. Meniscus tear 
. Collateral ligament sprain 
. Arthritis 
. Patellofemoral pain syndrome 
. Bursitis 
. Patellar subluxation 
. Baker’s cyst
. Septic joint
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6
Q

Common leg pain conditions

A 
. Trauma 
. Infection
. DVT
. DM complications 
. Compartment syndrome 
. Achilles tendinitis and rupture 
. Medial tibial stress syndrome 
. Post. Tibial tendinitis 
. Referred pain
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7
Q

Vastus medialis obliquus

A

. Atrophies in knee conditions
. Internal derangement of knee -> fluid buildup -> VMO atrophy
. Strengthening this involved in knee rehab

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8
Q

Strengthening what muscles can help with patellofemoral pain syndrome

A

. Hip abductors/external rotators

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9
Q

Myofascial release for knee

A

. Excessive tension in myofascia around knee and w/in popliteal fossa can interfere w/ venous and lymphatic return from distal lower extremity
. Contraction can produce/prolong swelling in the knee and interfere w/ healing process
. MFR brings nutrients and oxygen into area and removes metabolic byproducts from area for healing to occur properly

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10
Q

Common fibular n.

A

. Lies directly post. To fibular head
. Fracture of fibula, tight cast or somatic dysfunction may disturb n.
. Symptoms: numbness, tightness and cramping of leg, ankle pain, foot drop

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11
Q

Proximal fibular head dysfunction

A

. Can produce unusual strain at knee if dysfunction affects normal gliding motion
. Prox. Fibula affects distal fibula
. Can cause lat. knee pain
. Ant. Or post. Fibular head somatic dysfunctions

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12
Q

Posterior fibular head dysfunctions

A

. Prox. Head resists ant. Spring
. Distal fibular may be ant. And resist post. Springing
. Talus internally rotated causing foot to invert and plantarflex

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13
Q

Anterior fibular head somatic dysfunctions

A

. Prox. Head resists post. Spring
. Distal fibular may be post. And resist ant. Springing
. Talus externally rotated causing foot to evert and dorsiflex

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14
Q

DVT signs and symptoms

A

. Leg pain, tenderness, ankle edema, calf swelling, dilated vv., Homan’s sign
. Order venous duplex scan

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15
Q

Homan’s sign

A

. Sharp pain in calf on dorsi flexion of foot

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16
Q

Achilles tendonitis

A

. Inflammation of Achilles’ tendon
. Tight gastrocsoleus complex
. Overuse injury
. Risk of partial/complete tearing of Achilles
. Treatment: heel lift, rest, NSAIDS, address entire kinematic chain

17
Q

Medial tibial stress syndrome

A

. Shin splints
. Too much too fast training
. Pain in medial leg
. Aching/stabbing pain during and after exercise
. Tender to palpation over med. ridge of tibia
. 10-15% all running injuries
. Can be anterolateral and posteromedial (more common)
. Repetitive loading leads to traction periostitis of tibia
. Stress rxn more likely than stress fracture
. Assoc. w/ high or low arches, tight gastrocs

18
Q

Posterior tibialis tendonitis

A

. Common cause of medial leg, ankle, and foot pain

. Loss of ankle stability and support for arch of foot

19
Q

Posterior tibial tendon

A

. Key tendon of leg
. Attaches calf muscles to navicular
. Supports arch and foot when walking

20
Q

Too many toes sign

A

. Weak or ruptured tibialis post. Muscle or tendon
. Lat. rotated tibia, exerted ankle, abducted forefoot
. Everted ankle:too many toes visible from behind when compared to the other side
. May lead to bony subluxation (talus or navicular)

21
Q

Tennis leg

A

. Tear or rupture of plantaris m. Or med. head of gastrocnemius m. (Usually eccentric load)
. Symptoms: sudden onset of pain in back of knee or calf muscle, dec. ankle mobility, bruising and swelling post. Leg
. Rule out deep vein thrombosus

22
Q

Thigh ligaments

A

. Iliofemoral ligament

. Ischiofemoral ligament

23
Q

Quad muscles

A

. Rectus femoris
. Vastus medialis
. Vastus intermedius
. Vastus lateralis

24
Q

Hamstring muscles

A

. Semimembranosus
. Semitendinosus
. Biceps femoris

25
Q

Quad OIN

A

O: ant. Aspect of innominate, ant. Aspect femur
I: tibial tuberosity via patellar tendon
N: femoral n. (L2-4)

26
Q

Middle genicular a.

A

. Branch of popliteal a.

. Penetrates fibrous capsule of knee and supplies cruciate ligament, synovial capsule, and margins of menisci

OMM Lecture (16 decks)

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