Proximal LE

Question 1

Osteoarthritis

Answer 1

30 million adults have OA (CDC 2019)
destruction of articular cartilage and underlying bone surfaces of synovial joints
Symptoms: joint pain, stiffness, swelling, fatigue

Question 2

OA risk factors

Answer 2

joint injury, overuse
advanced age
female gender
obesity
genetic markers
race
(CDC 2019)

Question 3

OA impacts

Answer 3

physical performance: gross and fine motor performance
limits: social participation, GAAD and depressive disorders
Societal impacts: loss of employment, absenteeism work, hospitalizations

Question 4

OT intervention OA

Answer 4

manage symptoms
reduce further degradation of cartilage, articular surfaces
maximize occupational performance and participation
(AOTA 2012)

Question 5

Pelvis

Answer 5

os coxa (2) plural os coxae
sacrum
coccyx

Question 6

Answer 6

PSIS (posterior superior iliac spine)

PIIS (posterior inferior iliac spine)

greater sciatic notch

Iliac crest

ASIS (anterior superior iliac spine)

AIIS (anterior inferior iliac spine)

Iliac fossa

arcuate line

auricular surface

Question 7

Answer 7

lunate surface

acetabular labrum

acetabular notch

transverse acetabular ligament

Question 8

Answer 8

Ischial body

ischial spine

lesser sciatic nothc

ischial tuberosity

ischial ramus

Question 9

Answer 9

Superior ramus of pubis

body of the pubis

pubic tubercle

inferior ramus of pubis

articular surface at pubic symphysis

Question 10

Answer 10

1. head of femur
2. neck of femur
3. greater trochanter
4. lesser trochanter
5. intertrochanteric crest
6. gluteal tuberosity
7. linea aspera

8-9. medial and lateral epicondyles

10-11. medial and lateral condyles

12. intercondylar fossa

Question 11

Joints associated with femur

Answer 11

pelvifemoral joint

tibiofemoral joiont

patellofemoral joint

Question 12

Answer 12

1. tibial plateau

2-3. medial and lateral condyles

4. intercondylar eminence
5. tibial tuberosity

Question 13

Answer 13

1. base
2. apex
3. medial articular facet
4. lateral articular facet

Question 14

Answer 14

Gluteal muscle, superficial

prox: ilium, sacrum, coccyx
distal: IT tract & gluteal tuberosity

Pelvifemoral EXT/ER

Innervation: L5-S2

Question 15

Answer 15

Gluteal muscle, superficial

prox: ilium
distal: greater trochanter
pelvifemoral: EXT/IR

Innervation: L5-S1

Question 16

Answer 16

Gluteal muscle: superficial

Prox: arcuate line of ilium

Dis: greater trochanter

Pelvifemoral: ABD/IR

innervation: L5-S1

Question 17

Answer 17

superficial gluteal muscle

prox: ASIS & iliac crest
distal: IT tract, lateral epicondyle tibia
pelvifemoral: ABD/IR
innervation: L5-S1

Question 18

Answer 18

Deep gluteal muscle

proximal: sacrum
distal: greater trochanter
pelvifemoral: ER

innervation (L5-S2)

Question 19

Answer 19

deep gluteal muscle

prox: ischial spine
distal: greater trochanter

pelvifemoral ER

(L5-S2)

Question 20

Answer 20

Deep gluteal muscle

prox: obturator membrane

Distal: greater trochanter

pelvifemoral: ER

(L5-S2)

Question 21

Answer 21

Deep gluteal muscle

prox:ischial tuberoity

Distal: greater trochanter

pelvifemoral: ER

(L4-S1)

Question 22

Answer 22

Deep gluteal muscle

prox:ischial tuberoity

Distal: intertrochanteric crest

pelvifemoral: ER

(L4-S1)

Question 23

Answer 23

posterior thigh

prox:ischial tuberosity

Distal: medial condyle tibia

pelvifemoral: EXT

Tibiofemoral: FLX / IR

(L5-S2)

Question 24

Answer 24

posterior thigh

prox:ischial tuberosity

Distal: medial proximal tibia

pelvifemoral: EXT

Tibiofemoral: FLX / IR

(L5-S2)

Question 25

Answer 25

Long head: posterior thigh prox:ischial tuberosity Distal: head of fibula Tibiofemoral: FLX/ ER (sciatic n., L5-S2)

Question 26

Answer 26

short head: posterior thigh prox: linea aspera Distal: head of fibula Tibiofemoral: FLX/ ER (sciatic n., L5-S2)

Question 27

Answer 27

Anterior thigh prox: ASIS Distal: medial, proximal tibia Pelvifemoral: FLX/ ABD/ ER tibiofemoral: FLX (femoral n., L2-S3)

Question 28

Answer 28

Anterior thigh prox: AIIS Distal: Patella, Tibial tuberosity Pelvifemoral: FLX tibiofemoral: EXT (femoral n., L2-:L4)

Question 29

Answer 29

Anterior thigh prox: greater trochanter, linea aspera, gluteal tuberosity Distal: Patella, Tibial tuberosity tibiofemoral: EXT (femoral n., L2-L4)

Question 30

Answer 30

Anterior thigh prox: anterior femur Distal: Patella, Tibial tuberosity tibiofemoral: EXT (femoral n., L2-L4)

Question 31

Answer 31

Anterior thigh prox: linea aspera Distal: Patella, Tibial tuberosity tibiofemoral: EXT (femoral n., L2-L4)

Question 32

Answer 32

Medial high prox: superior pubic ramus Distal: pectineal line of femur pelvifemoral: FLX/ ADD (femoral n., L2-L3)

Question 33

Answer 33

Medial high prox: body of pubis Distal: linea aspera pelvifemoral: ADD (obturator n., L2-L3)

Question 34

Answer 34

Medial high prox: body of pubis, inferior pubic ramus Distal: linea aspera pelvifemoral: ADD (obturator n., L2-L4)

Question 35

Answer 35

Medial high prox: body of pubis, ischial tuberosity Distal: linea aspera pelvifemoral: ADD (obturator n., [L2-L4] sciatic n. [L4])

Question 36

Answer 36

Medial high prox: inferior pubic ramus, body of pubis Distal: medial proximal tibia pelvifemoral: ADD tibiofemoral: FLX/ IR (obturator n., [L3-L4])