Pelvis and Lower Extremities

Question 1

AP view of the Pelvis of the male patient best performed how?

Answer 1

Recumbent with 15-degree of femoral internal rotation

Question 2

AP view of the Pelvis of the female patient best performed how?

Answer 2

Recumbent with 15-degree of femoral internal rotation

Question 3

What are the ABCS of Pelvic exam

Answer 3

A- alignment of femurs
B- Bone density
C- Cartilage
S - soft tissue

Question 4

This line must be continuous along the diaphysis of the femur and ramus of the pubis

Answer 4

Shenton’s line

Question 5

Line that runs along the superior boarded of the femoral neck

Answer 5

Klein’s line

Question 6

View done with 15 degrees of internal femoral rotation to check for femoral neck fracture

Answer 6

AP spot hip view

Question 7

Triangle of weakness of the neck of the femur

Answer 7

Wards triangle

Question 8

This view is used evaluation for femoral neck fracture and in a pediatric hip

Answer 8

AP frog leg Hip

Question 9

Produced by summation of acetabular roof bone

Answer 9

Teardrop sign

Question 10

Sunrise view of the patella is done with the knee at what angle

Answer 10

40 degree

Question 11

Lateral ankle view must include what structure?

Answer 11

base of the fifth MT bone

Question 12

What indicates an ankle joint effusion?

Answer 12

Obscuration or blurring of the pre-Achilles fat pad

Question 13

DP and medial oblique foot views must include what structures?

Answer 13

All visible toes and heel

Question 14

Lateral foot view must include what?

Answer 14

all toes and the calcaneus

Question 15

Used to evaluate pes planus or cavus

Answer 15

Lateral foot view

Question 16

Boehle’s angle should be fall between what degrees

Answer 16

28-40 degree

Question 17

What fractured structure decreases boehler’s angle

Answer 17

Decrease

Question 18

distal part is positioned towards

(medial) mid-line

Answer 18

Varus

Question 19

distal part positioned away (lateral)

from mid-line

Answer 19

Valgus

Question 20

distal part is turned posteriorly

Answer 20

Recurvatum

Question 21

If the tear drop sign application is >2-mm on one side, this indicates what condition?

Answer 21

Waldenstrome sign-indicating hip

effusion

Question 22

Angle formed by a line drawn from the center of the femoral head to the outer edge of the acetabular and a line through the center of the femoral head

Answer 22

Center edge angle

Question 23

A shallow center edge angle indicates what?

Answer 23

Acetabular deficiency, dysplasia or undercoverage

Question 24

Increased angle of center edge angle indicates what?

Answer 24

Pincer type or over coverage of the acetabulum

Question 25

What causes increased acetabular angle??

Answer 25

congenital hip dysplasia

Question 26

What causes decreased acetabular angle?

Answer 26

Down Syndrome

Question 27

hip dysplasia is also known as what?

Answer 27

Dislocation of the hip

Question 28

What are the lines used to evaluate congenital hip dysplasia

Answer 28

Perkin's line Hilgenreiner's line Shenton's line

Question 29

What does the barlow's test indicate

Answer 29

dislocatable hip in infant

Question 30

What does Ortolani's test indicate?

Answer 30

Reducable hip in infant

Question 31

Skinner line checks for what

Answer 31

Femoral neck fracture | Coxa-Vara (decreased femoral angle)

Question 32

What is the range for normal femoral angle

Answer 32

120-130 degrees

Question 33

What causes pseudo-widening of pubic symphysis?

Answer 33

Bone erosion

Question 34

Patella alta indicates what?

Answer 34

Patellar tendon tear

Question 35

Patella baja indicate what?

Answer 35

Quadriceps muscle tear

Question 36

`Presacral space should be what in adults

Answer 36

7-20mm

Question 37

Presacral space should be what in children?

Answer 37

3-5mm

Question 38

What might increase the presacral space?

Answer 38

Soft tissue mass

Question 39

T/F Sacrofuberous ligament can not calcify?

Answer 39

False

Question 40

The accessory sacroiliac joint is identified between the ____ and _____ at the level of the S2 foramen

Answer 40

PSIS and the lateral sacral crest

Question 41

Calcification within | numerous pelvic veins

Answer 41

Pelvic phleboliths

Question 42

What does DISH stand for?

Answer 42

diffuse idiopathic skeletal hyperostosis

Question 43

ununited ossicles or secondary ossification centers in the spine

Answer 43

Oppenheimer’s ossicle

Question 44

Claw like protrusion in the pelvic cavity

Answer 44

paraglenoid sulcus

Question 45

Fuzzyness on the ischiopubic ramus

Answer 45

Ischiopubic synchondrosis

Question 46

Un-united part of the | superior-anterior acetabulum

Answer 46

Os acetabule

Question 47

adult Os acetabule indicates what?

Answer 47

femoroacetabular | impingement syndrom

Question 48

Bloch on the femoral head

Answer 48

Synovial herniation pits

Question 49

essentially an overcoverage of the femoral head by the acetabulum, found more in women >40-y.o

Answer 49

Pincer type FAI

Question 50

noted as bony bump | at femoral head-neck junction

Answer 50

CAM-type FAI

Question 51

Refers to certain developmental morphological changes in the hip joint

Answer 51

``` femoroacetabular impingement syndrom (FAI) ```

Question 52

____ may often represent some abnormality due to some arrest and followed resumption in osteoblasts’ activity

Answer 52

Harris lines

Question 53

growth resumption or recovery | lines

Answer 53

Harris growth arrest

Question 54

sesamoid ossicle in the lateral head of the gastrocnemius m

Answer 54

Os fabella

Question 55

Line on the tibia from a pull of the soleus

Answer 55

Tibial Soleal Line

Question 56

Unfused posterior tubercle of the talus

Answer 56

Os Trigonum

Question 57

Accessory ossicle medial to tarsal navicular bone

Answer 57

Os tibiale externum

Question 58

T/F Os tibiale externum | can be symptomatic

Answer 58

True

Question 59

partial or complete fusion | between some tarsal bones

Answer 59

Tarsal Coalition

Question 60

______ coalition (45%) best seen on oblique foot views

Answer 60

Calcaneal-navicular coalition

Question 61

It is a sesamoid bone within the peroneus longus m. tendon

Answer 61

Os peroneum

Question 62

Not to be confused with a patellar fracture and usually happens at the superior lateral aspect of the patella

Answer 62

Multi-partite patella