WEEK 11 Plasma and Hip

Question 1

What is the norm range of platelets?

Answer 1

150k-400k/uL

Question 2

Platelets have many secretory granules (50-80 per cell) involved in regulated secretion that help with what process?

Answer 2

Aggregation

Question 3

What do platelets release along with adhesion molecules to mediate a variety of cellular interactions?

Answer 3

Platelet growth factors

Question 4

What is PRP used for today?

Answer 4

• Orthopedic procedures
• Cardiac surgery
• Sports injuries
• Plastic surgery
• Gynecology
• Urology
• Medical aesthetics

Question 5

What condition has the strongest clinical evidence between PRP and rehab?

Answer 5

Knee OA

Question 6

Which greater troch bursa lies above and slightly anterior to the proximal and superior part of greater troch?

Answer 6

Glute min

Question 7

Which greater troch bursa lies beneath glute med muscle, posterior and superior to proximal greater troch?

Answer 7

Subglute med

Question 8

Which greater troch bursa is lateral to greater troch, lying between glute med and converging fibers of glute max and TFL?

Answer 8

Subglute max

Question 9

What are the two most common age groups for trochanteric pain?

Answer 9

• Middle-aged women (4th decade)
• Elderly (6th decade)

Question 10

Which tendon is more commonly found to be a pathologic structure in greater troch pain?

Answer 10

Glute med

Question 11

If greater troch pain syndrome is due to trauma, how does it occur?

Answer 11

• Hyperadduction of hip
• Direct blow/fall on lateral hip

Question 12

Greater troch pain is at posterior lateral hip and buttock and can extend down which part of the thigh?

Answer 12

Lateral

Question 13

What level nerve roots can refer pain to greater troch region and part of thigh?

Answer 13

L2-L4 (L5 more posterior but still can refer to lateral thigh)

Question 14

Which two hip movements aggravate greater troch pain?

Answer 14

• ER
• Abd

Question 15

What two positions should a patient lay in to ease greater troch pain?

Answer 15

• Supine
• Contra side lying with pillow between knees

Question 16

What early intervention is used to improve ITB mobility without placing a lot of stress over greater troch?

Answer 16

STM

Question 17

True or False: Concentric glute exercises help tendon healing and strengthening as well as contribute to dynamic pelvic stability.

Answer 17

F (eccentric)

Question 18

Which hamstring muscle is the most commonly strained muscle?

Answer 18

Biceps femoris

Question 19

True or False: Strains most commonly occur at hamstring muscle belly.

Answer 19

F (musculotendinous junction especially proximal to ischial tub)

Question 20

Hamstrings are commonly injured with noncontact activities that are eccentric or concentric?

Answer 20

Eccentric

Question 21

What position of hip and knee eases hamstring pain along with posterior pelvic tilt and lumbar spine flexion?

Answer 21

• Neutral hip
• Flexed knee

Question 22

Highly active individuals in which age group have a higher prevalence of labral tears?

Answer 22

20-40

Question 23

What is the most common type of labral tear that has disruption of the free margin of labrum?

Answer 23

Radial flap

Question 24

Which type of labral tear is fraying of the free margin and is associated with degenerative joint disease?

Answer 24

Radial fibrillation

Question 25

Which type of labral tear is a detached labrum similar to Bankart of shoulder?

Answer 25

Abnormally mobile

Question 26

Which type of labral tear is least common and is a tear in longitudinal direction in peripheral aspect of labrum?

Answer 26

Longitudinal peripheral

Question 27

Labral tears are most common in an anterior or posterior and which location of the inner aspect of labrum?

Answer 27

Anterior for both

Question 28

Which contributing factor to labral tears involves decreased joint clearance between femur and acetabulum?

Answer 28

FAI (femoroacetabular impingement)

Question 29

A tear in labrum decreases the ability to stabilize the joint which puts greater force on which ligament?

Answer 29

Iliofemoral

Question 30

Which contributing factor to labral tears involves a shallow acetabular socket?

Answer 30

Dysplasia

Question 31

Labral tears commonly refer pain to which region?

Answer 31

Anterior groin region

Question 32

Myofascial pain occurs from local trauma that causes what formation followed by adhesion formation?

Answer 32

Hematoma

Question 33

primary piriformis syndrome

Answer 33

all pathology intrinsinc to the piriformis muscle secondary to an inciting event such as trauma is included

Question 34

What muscle groups are weak with piriformis syndrome?

Answer 34

- Glutes - Core stabilizers

Question 35

Increased lumbar what contributes to piriformis?

Answer 35

Lordosis

Question 36

What is the term for when piriformis syndrome has radicular-type symptoms into lower extremity posterior thigh and calf following sciatic nerve pattern?

Answer 36

Wallet sign

Question 37

Which stretch position of piriformis is the most easing?

Answer 37

Supine with lower extremity external rotation