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LE Orthopedic DOs Fill In The Blanks

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When you are all done, you should look back over all your answers and review the ones in red. These ones in red are the ones which you needed help on.
Question: Impaired blood supply to femoral head with Answer: AVN of
Question: Sx of hip Answer: groin or thigh pain, TTP at hip joint, decr ROM in FLEX, IR,
Question: Rx contraindicated in Answer:
Question: MRI with bony crescent sign –collaps of subchondral bone at fem neck/head Answer: Legg Calve Perthe’s
Question: of LCP diseaseAnswer: average age 6yr, males 4x more than
Question: Sx of LCP Answer: psoatic limp (ER, FLEX, ADD), gradual onset of aching pain at hip/thigh/knee, ABD & EXT ROM
Question: Most hip DO in adolescentsAnswer: Slipped capital femoral
Question: of slipped capital femoral epiphysisAnswer: 11yr , 13yr boys. Males 2x greater incidence
Question: Sx of Slipped capital epiphysisAnswer: AROM decr ABD/FLEX/IR, knee/thigh/hip pain, Trendelenburg gait (chronic)
Question: Excessive anteversion or torsion leads to Answer: squinting & in-toeing
Question: of femoral neck with shaft of femur <120dAnswer: Coxa
Question: Angle of femoral neck with shaft of >135dAnswer: Coxa
Question: Coxa Vara results fromAnswer: defect in ossification of head of
Question: Coxa Vara and may result from necrosis of femoral head 2/2 Answer: septic
Question: Inflammation of deep bursaAnswer: bursitis
Question: MOI of bursitisAnswer: direct blow, irritation by ITB, gait
Question: Trochanteric bursitis common in pt Answer:
Question: ITB Friction byAnswer: Tight ITB, abnormal
Question: ITB friction leads Answer: bursitis
Question: MOI of Piriformis Answer: piriformis is ER and can be with excess PRON of foot with resulting femoral IR. Active with motion of SIJ
Question: Sx of Piriformis Answer: decr IR, TTP, pain referred to thigh, weak ER, + Piriformis test, uneven sacral base
Question: ACL laxity results Answer: instability
Question: PCL laxity in Answer: instability
Question: ACL & MCL results in Answer: anteromedial instability
Question: ACL & LCL results in Answer: anterolateral instability
Question: PCL & MCL results in Answer: posteromedial rotary
Question: PCL & LCL results in Answer: posterolateral rotary
Question: Unhappy consists of injury toAnswer: MCL, ACL, meniscus
Question: MOI of triadAnswer: Valgum, flexion, and ER forces to knee on planted
Question: MOI of injuryAnswer: TibFem , compression and rotation forces
Question: Sx of meniscal Answer: lateral or medial joint pain, effusion, popping, giving way, decreased flexibility of knee, locking
Question: Camel back Answer: two bumps over anterior knee due to alta
Question: Patella baja inAnswer: restricted knee EXT, cartilage wear with DJD
Question: Lateral patellar often 2/2Answer: increased Q
Question: Dx test for patellar positionsAnswer: XR with ‘sunrise’
Question: Pes anserine bursitis often caused Answer: oversue or
Question: Traction apophysitis of tibial tubercle at patellar tendon Answer: -Schlatter’s /jumper’s knee
Question: Dx test for OSD Answer: XR with of the epiphyseal line
Question: Normal tibiofemoral shaft angle Answer: 6d of
Question: Genu Answer: excess medial torsion “bowlegs”
Question: Genu results in Answer: excessive medial patellar positioning and pigeon
Question: Genu Answer: excessive lateral torsion, knock knees
Question: Genu results inAnswer: lateral patellar tracking
Question: Femoral condyle fx occurAnswer: on condyle
Question: Tibial plateau Fx Answer: valgum and with knee flexed
Question: Tibial plateau Fx often occurs Answer: MCL
Question: plate Fx MOIAnswer: WB torsional
Question: Epiphyseal Fx occur inAnswer: adolescents an ACL injury woud occur in an adult
Question: LE compartmental pressure resulting in a local ischemic conditionAnswer: compartment syndrome
Question: MOI of Answer: trauma, fracture, overuse, muscle hypertrophy
Question: Sx of Answer: exercise induced and described as deep
Question: Acute Answer: emergency that requires immediate surgical intervention with fasciotomy.
Question: Anterior tibial Answer: shin , musculotendinous overuse
Question: 3 common of shin splintsAnswer: abn , poor conditioning, improper training
Question: Muscles involved in tibial periostitisAnswer: anterior , extensor hallucis longus
Question: Overuse of the posterior tibialis or medial soleus with periosteal inflammation at muscular attachmentsAnswer: Medial tibial syndrome
Question: Pain with of distal posteromedial tibial borderAnswer: medial tibial stress
Question: LE Stress fractures most commonly Answer: tibia
Question: MOI of ankle sprainAnswer: plantar flexed and inverted roll of
Question: Grade 1 ankle Answer: no loss of function, minimal tearing of
Question: Grade 2 sprainAnswer: some loss of , partial disruption of ATFL and CFL
Question: Grade 3 sprainAnswer: complete loss of function, complete tearing of ATFL and CFL, tear of PTFL
Question: Trimalleolar Answer: medial & lateral malleoli & tubercle of distal tibia
Question: Entrapment of posterior tibial nerve or one of its branches within the tunnelAnswer: Tarsal syndrome
Question: MOI of Tarsal syndromeAnswer: pronation, overuse with tendonitis of long flexor & posterior tibialis, that compromises space
Question: Sx of Tunnel syndromeAnswer: pain, numb, at medial ankle to plantar aspect
Question: Tendonopathy in ballet dancersAnswer: Flexor tendonopathy
Question: Pes deformityAnswer: incr longitudinal arch, of anterior arch, met heads lower than hindfoot, plantar flexion, splaying of forefoot, claw toes
Question: Pes etiologiesAnswer: genetics, DO’s with muscle imbalances, soft tissue contractures
Question: Pes deformityAnswer: reduced longitudinal arch
Question: of Pes PlanusAnswer: genetic, weakness, lig laxity, paralysis, pronation, trauma, disease such as RA
Question: Gait of Pes PlanusAnswer: decreased ability of foot to provide rigid for push off in gait
Question: equinovarusAnswer: clubfoot due to intrauterine
Question: equinovarusAnswer: clubfoot due to abnormal devel of head/neck of 2/2 heredity or NM disorder
Question: Postural deformity seenAnswer: plantar flexed, , inverted
Question: Talipes deformity seenAnswer: PF of talocrural, INV of subtalar & talocalcaneal & talonavicular & calcaneocuboid, SUP in
Question: flexed footAnswer: equinus
Question: etiologyAnswer: congentical, neuro disorders like CP, calf , trauma, inflamm Dz
Question: in Equinus Answer: Subtalar or midtarsal
Question: Medial deviation of head of 1st met, phalanx moves laterallyAnswer: Valgus
Question: Etiology of valgusAnswer: pronation, lig laxity, , weak muscles, tight footwear
Question: Mechanical Metatarsalgia byAnswer: tight trceps surae or Achilles, of transverse arch, short first ray, forefoot pronation
Question: Pain in 1st & 2nd met Answer:
Question: Rigid Metatarsus Answer: medial subluxation of tarsometatarsal joints. Hind foot slightly valgus with navicular lateral to head of
Question: Metatarsus AdductusAnswer: of all 5 metatarsals at the tarsometatarsal joints
Question: of Metatarsus AdductusAnswer: congenital, muscle , NMD (polio)
Question: muscular atrophy that affects motor & sensory nervesAnswer: Charcot-Marie-Tooth
Question: of plantar FasciitisAnswer: , 1st MTP limited ROM, tight calves, rigid cavus foot.
Question: PT Tx for FasciitisAnswer: modalities, for calves, night splints, invertor strengthening
Question: Rigid of calcaneus when subtalar neutralAnswer: Varus
Question: Rearfoot etiologyAnswer: tibial alignment, shortened rearfoot soft tissues, malunion o calcaneus
Question: of calcaneus when subtalar neutralAnswer: Rearfoot
Question: Valgus etiologyAnswer: genu , tibial valgus
Question: Inversion of forefoot at neutralAnswer: varus
Question: varus etiologyAnswer: congenital
Question: Eversion of forefoot at neutralAnswer:
 
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