Lower Extremity
This common overuse injury of the ankle is often treated with progressive eccentric loading of the gastroc.
What is achilles tendinopathy/ tendonitis
This shoulder structure serves as an articular surface within the joint, but it also serves as an attachment site for the tendon of the long head biceps.
What is the labrum/glenoid labrum?
True or false. The facet joint determines the amount of motion that occurs at a joint.
What is False, the facet joint determines type of motion, while the intervertebral joint or relationship of disc height to body height determines the amount
During dorsiflexion, the talus rolls _____ and glides _____ on the tibia and fibula
What is anterior/posterior
What muscle group is the C5 myotome?
What is the Deltoid
This condition is categorized by sharp heel pain upon standing in the morning. Patients usually present with limited ankle dorsiflexion, may have a high BMI, or work related standing activity.
What is plantar fasciitis
A patient walks into the clinic complaining that their shoulder feels like it is regularly “popping forward” when they perform any activity. This special test would be most indicative of anterior instability, but make sure you look at the patient’s face.
What is the anterior apprehension test?
R rotation is achieved with L facet _____ and R facet ____
What is L facet closes, R facet opens
A patient is coming into the clinic for a knee injury. When testing their quadriceps for MMT, the patient was UNABLE to perform partial ROM in the antigravity position. However, when you put them in side lying they are able to move through partial ROM, what would you rate this?
What is 2-
This is an orthopedic procedure performed after failed conservative treatment in patients with severe joint degeneration or arthritis.
What is Total Joint Arthroplasty
When diagnosing this LE pathology, it is critical to rule out the lumbar spine and SI joint as it presents with gluteal tenderness and a referral pattern of pain and weakness down the leg.
What is piriformis syndrome?
When assessing strength as part of an upper quarter screen you find that pt has weak elbow flexion, but deltoid strength is intact. What structure is likely causing this finding?
What is the musculocutaneous nerve - peripheral entrapment, brachial plexus injury, etc. etc. but not the C5/C6 spinal root bc deltoid is intact which is also C5 nerve root
Pt presents to the clinic for initial evaluation. Upon postural exam, you note an increase in forward head positioning. This posture results from an asymmetry in muscle tightness/weakness known as upper crossed syndrome. Which muscles do you anticipate needing to strengthen or stretch?
What is Stretch: upper traps, levator scap., pecs Strengthen: deep neck flexors, rhomboids, serratus anterior
A patient presents with R trendelenburg sign during gait. Which side would you see lateral trunk flexion and weight shifting?
What is ipsilateral side (R)
What muscle and its associated nerve are responsible for preventing winging scapula?
What is the serratus anterior and the long thoracic nerve.
This LE medical emergency is characterized by the Six P’s: Pain, Palpable tenderness, Paresthesias, Paresis, Palor, and Pulselessness.
What is Acute Compartment Syndrome of the Lower Leg?
A pt c/o hand weakness especially when gripping small items using the thumb. A visual inspection of their hand reveals atrophy of the thenar eminence. What is the likely diagnosis and what structure is involved?
Carpal tunnel syndrome, median nerve
Pt presents to the clinic with LBP. Pt reports pain symptoms as numbness, tightness, or cramping that is brought on with walking for any distance, and will persist for hours after assuming a resting position. You decide to perform the bike test, in which the pt was able to tolerate biking for 10min. Based on these results do you suspect pt to have vascular claudication or spinal stenosis?
What is Spinal stenosis (vascular claudication would not tolerate flexed position on bike, as this pain is brought on by any physical exertion and spinal positioning)
In terms of phases of the gait cycle, how do you measure a patient’s step length?
What is the distance measured between right heel strike and left heel strike
Shannon accounted for 2 distal radius fractures in a year this year. How many distal radius fractures happen every year?
What is 640,000
This injury occurs where the sartorius, gracilis and semitendinosis insert and can often be overlooked for other causes of medial knee pain. For this injury, active and passive ROM examinations would both elicit pain.
What is pes anserine bursitis?
A patient comes into your clinic following an arthrogram on her L shoulder that showed a possible SLAP tear. Upon examination, she shows gross weakness with shoulder external rotation. She likely has a paralabral cyst, interfering with this nerve’s supply to the infraspinatus muscle.
What is the suprascapular nerve?
Pt presents to the clinic with complaints of severe LBP after a fall off his front steps where he landed directly on his behind. He reports since the incident he has begun to have weakness in the legs, numbness and tingling on the inside of his thighs and groin, and has had some issues with going to the bathroom. From these subjective findings what could you suspect the patient has going on medically?
What is Cauda Equina Syndrome
This term refers to the phase of the gait cycle where the hip extensors are eccentrically contracting to slow the rate of hip flexion and prepare the limb for the next phase of gait.
What is terminal swing/heel strike
The etiology of this is largely unknown, but is thought to relate to a previous or traumatic event. It presents with dysfunction of the sympathetic nervous system including pain, circulation, and vasomotor disturbances.
What is complex regional pain syndrome?