LE Orthopedic DOs Word Scramble
N C N I O F U T
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Question | Answer |
Grade 1 ankle sprain | no loss of function, minimal tearing of ATFL |
ITB friction leads to | trochanteric bursitis |
Sx of LCP disease | psoatic limp (ER, FLEX, ADD), gradual onset of aching pain at hip/thigh/knee, ABD & EXT ROM loss |
PT Tx for Plantar Fasciitis | modalities, flexibility for calves, night splints, invertor strengthening |
Lateral patellar tracking often 2/2 | increased Q angle |
Coxa Vara usually results from | defect in ossification of head of femur |
Postural equinovarus | clubfoot due to intrauterine malposition |
Medial deviation of head of 1st met, Distal phalanx moves laterally | Hallux Valgus |
Inversion of forefoot at sutalar neutral | Forefoot varus |
Genu varum results in | excessive medial patellar positioning and pigeon toeing |
PCL laxity results in | posterior instability |
Etiology of Metatarsus Adductus | congenital, muscle imbalance, NMD (polio) |
Femoral condyle fx usually occur | on medial condyle |
Genu valgum results in | excessive lateral patellar tracking |
Pain in 1st & 2nd met heads | Metatarsalgia |
Overuse injury of the posterior tibialis or medial soleus with periosteal inflammation at muscular attachments | Medial tibial stress syndrome |
Compensation in Equinus | Subtalar or midtarsal pronation |
Postural equinovarus deformity seen | plantar flexed, adducted, inverted |
Unhappy triad consists of injury to | MCL, ACL, medial meniscus |
MOI of Piriformis syndrome | piriformis is ER and can be overworked with excess PRON of foot with resulting femoral IR. Active with motion of SIJ |
Rx contraindicated in AVN | Corticosteroids |
Tibial plateau Fx MOI | valgum and compression with knee flexed |
Sx of Slipped capital femoral epiphysis | AROM decr ABD/FLEX/IR, vague knee/thigh/hip pain, Trendelenburg gait (chronic) |
Sx of hip AVN | groin or thigh pain, TTP at hip joint, decr ROM in FLEX, IR, ABD |
Onset of slipped capital femoral epiphysis | 11yr girls, 13yr boys. Males 2x greater incidence |
Forefoot varus etiology | congenital |
Eversion of forefoot at subtalar neutral | congenital |
Most common hip DO in adolescents | Slipped capital femoral epiphysis |
Genu valgum | excessive lateral tibial torsion, knock knees |
Etiology of Hallux valgus | pronation, lig laxity, heredity, weak muscles, tight footwear |
Muscles involved in anterior tibial periostitis | anterior tibialis, extensor hallucis longus |
Angle of femoral neck with shaft of femur >135d | Coxa Valga |
Trimalleolar Fx | medial & lateral malleoli & posterior tubercle of distal tibia |
Excessive femoral anteversion or torsion leads to | squinting patellae & in-toeing |
MOI of unhappy triad | Valgum, flexion, and ER forces to knee on planted foot |
Mechanical Metatarsalgia caused by | tight trceps surae or Achilles, collapse of transverse arch, short first ray, forefoot pronation |
Sx of meniscal injury | lateral or medial joint pain, effusion, popping, giving way, decreased flexibility of knee, joint locking |
MOI of ACS | direct trauma, fracture, overuse, muscle hypertrophy |
Anterior tibial periostitis | shin splints, musculotendinous overuse |
Patella baja results in | restricted knee EXT, abnormal cartilage wear with DJD |
Sx of ACS | exercise induced and described as deep cramping |
Tibial plateau Fx often occurs with | MCL injury |
Grade 2 ankle sprain | some loss of function, partial disruption of ATFL and CFL |
Normal tibiofemoral shaft angle is | 6d of valgum |
Pain with palpation of distal posteromedial tibial border | medial tibial stress syndrome |
MOI of Tarsal tunnel syndrome | pronation, overuse with tendonitis of long flexor & posterior tibialis, trauma that compromises space |
PCL & MCL laxity results in | posteromedial rotary instability |
Equinus etiology | congentical, neuro disorders like CP, calf contractures, trauma, inflamm Dz |
PCL & LCL laxity results in | posterolateral rotary instability |
Tendonopathy common in ballet dancers | Flexor hallucis tendonopathy |
Talipes equinovarus deformity seen | PF of talocrural, INV of subtalar & talocalcaneal & talonavicular & calcaneocuboid, SUP in midtarsals |
Genu varum | excess medial tibial torsion “bowlegs” |
Acute ACS | medical emergency that requires immediate surgical intervention with fasciotomy. |
Pes cavus deformity | incr longitudinal arch, dropping of anterior arch, met heads lower than hindfoot, plantar flexion, splaying of forefoot, claw toes |
Inflammation of deep trochanteric bursa | Trochanteric bursitis |
Pes cavus etiologies | genetics, neuro DO’s with muscle imbalances, soft tissue contractures |
Rigid inversion of calcaneus when subtalar neutral | Rearfoot Varus |
Grade 3 ankle sprain | complete loss of function, complete tearing of ATFL and CFL, partial tear of PTFL |
MOI of meniscal injury | TibFem flexion, compression and rotation forces |
ACL & MCL laxity results in | anteromedial rotary instability |
ACL & LCL laxity results in | anterolateral rotary instability |
MRI with bony crescent sign –collaps of subchondral bone at fem neck/head indicates | Legg Calve Perthe’s disease |
Traction apophysitis of tibial tubercle at patellar tendon insertion | Osgood-Schlatter’s /jumper’s knee |
ITB Friction caused by | Tight ITB, abnormal gait |
Pes anserine bursitis often caused by | oversue or contusion |
Camel back sign | two bumps over anterior knee due to patella alta |
Etiology of plantar Fasciitis | pronation, 1st MTP limited ROM, tight calves, rigid cavus foot. |
Epiphyseal plate Fx occur in | adolescents where an ACL injury woud occur in an adult |
Peroneal muscular atrophy that affects motor & sensory nerves | Charcot-Marie-Tooth disease |
LE Stress fractures most commonly involve | tibia |
Rearfoot Varus etiology | abnormal tibial alignment, shortened rearfoot soft tissues, malunion o calcaneus |
3 common etiologies of shin splints | abn alignment, poor conditioning, improper training |
Sx of Piriformis syndrome | decr IR, TTP, pain referred to posterior thigh, weak ER, + Piriformis test, uneven sacral base |
Epiphyseal plate Fx MOI | WB torsional stress |
Eversion of calcaneus when subtalar neutral | Rearfoot Valgus |
Angle of femoral neck with shaft of femur <120d | Coxa Vara |
Rigid Metatarsus adductus | medial subluxation of tarsometatarsal joints. Hind foot slightly valgus with navicular lateral to head of talus |
MOI of Trochanteric bursitis | direct blow, irritation by ITB, gait abnormalities |
Impaired blood supply to femoral head with osteonecrosis | AVN of hip |
ACL laxity results in | anterior instability |
Dx test for abnormal patellar positions | XR with ‘sunrise’ view |
Sx of Tarsal Tunnel syndrome | pain, numb, paresthesias at medial ankle to plantar aspect |
Entrapment of posterior tibial nerve or one of its branches within the tarsal tunnel | Tarsal tunnel syndrome |
Etiologies of Pes Planus | genetic, muscle weakness, lig laxity, paralysis, pronation, trauma, disease such as RA |
Dx test for OSD | XR with irregularities of the epiphyseal line |
Trochanteric bursitis common in pt with | RA |
Signalment of LCP disease | average age 6yr, males 4x more than girls |
Rearfoot Valgus etiology | genu valgum, tibial valgus |
Gait results of Pes Planus | decreased ability of foot to provide rigid lever for push off in gait |
Increased LE compartmental pressure resulting in a local ischemic condition | Anterior compartment syndrome |
Talipes equinovarus | clubfoot due to abnormal devel of head/neck of talus 2/2 heredity or NM disorder |
Plantar flexed foot | equinus |
Pes Planus deformity | reduced meidal longitudinal arch |
Flexible Metatarsus Adductus | adduction of all 5 metatarsals at the tarsometatarsal joints |
MOI of lateral ankle sprain | plantar flexed and inverted roll of ankle |
Coxa Vara and Valga may result from necrosis of femoral head 2/2 | septic arthritis |
Created by:
Jenwithonen
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