Signs
Footloose
Concussion
Diagnose this
Potpourri
100
The following procedure was performed: Pelvis is stabilised by one hand gripping between the sacrum and pubic symphisis with the thumb of the other hand along the thigh and fingers on the greater trochanter, backward pressure is applied to dislocate the hip if the head of the femur subluxes, force in the opposite direction or abduction should promote reduction A positive sign occure when a palpable clunk of exit with telescoping of the leg.
What is Barlow's sign
100
Mom and Dad concerned about their toddlers' feet turning in, usually around 15 - 18 months. They say, "There's something wrong with his foot." Actually, if you look at the foot carefully, you'll see that it is perfectly normal. It is not bent. It seems to hang normally on the ankle joint. Now, how does the foot line up with the knee, that is does it point in the same direction as the thigh. No, it seems to point in towards the center of the body. It is the lower leg (the tibia) that is twisted. There is internal tibial torsion (the large bone in the calf is rotated inward). It makes this toddler seem pigeon-toed. The name of this benign self limiting condition is?
What is Tibial Torsion
100
Name the grade of concussion (Grad 1, Grade 2, or grade 3) Presence of post-traumatic amnesia and no loss of counciousness
What is Grade 2
100
Teen presents following pain to knees for one week. Teen recently got job doing yard work (kneeling for extended periods of time is part of job)preceding his pain. No trauma to sites of pain. If the following are picked up during exam what condition should you suspect: Tenderness of the patella to palpation Fluctuant edema over the lower pole of the patella Erythema of the knee Crepitation of the knee Decreased knee flexion secondary to pain
What is Prepatellar bursitis
100
12 year old black male who initially presented with a history of left knee pain for 4 months. He denied any obvious history of trauma, but he claimed to play a lot of basketball and felt that the pain was worse after playing. Patient also claimed to have a "knot" over the anterior aspect of his proximal tibia. On physical examination the patient had a prominent tibial tubercle which was swollen and tender. The knee did not have an effusion, and there was no joint line tenderness. There was also no tenderness over the patellar tendon. There was full range of motion in the knee, but the patient had hamstring tightness. He also had pain with resisted knee extension. There was no instability to varus or valgus stress. McMurray test was negative. Lachman test was negative. Patellar tracking was normal, and there was no pain with loading of the patellofemoral joint. Xray of the left knee revealed an ossicle anterior to the tibial tuberosity. Patient was diagnosed with ????
What is Osgood-Schlatter disease
200
This positive sign describes a patient that has to use his or her hands and arms to "walk" up his or her own body from a squatting position due to lack of hip and thigh muscle strength.
What is Gowers' sign
200
This foot deformity is characterized by a sharp, inward angle of the front half of the foot. It is thought to occur as a result of the infant's position inside the uterus where the feet are bent inward at the instep. Most cases resolve spontaneously and the majority of the remainder can be corrected with simple exercises. Name this condition seen in some newborns
What is Metatarsus adductus
200
Apply to any athlete who loses consciousness for any period of time. What grade of councussions is this
What is Grade 3
200
This knee problem is quite common in runners. The pain is usually described as being located around or under the knee cap. Pain under or around the knee cap Pain is often worse after activity that involves knee bending - running, stairs, squats, etc. Knee 'cracks' or needs to be cracked to decrease pain. Patient cannot sit for long periods of time without straightening out the knee to make it crack. This is called 'Theatre Sign' - patients must sit in an aisle seat at the Theatre so that they can straighten out their knee frequently. Name this condition
What is prepatellar syndrome
200
4-year-old boy with a history of two weeks of non-specific right lower extremity pain with limping. The pain appear worst with use through the day. The patient has been afebrile and otherwise appears well. Plain radiograph of the pelvis demonstrate slightly sclerotic right femoral capital epiphysis which is smaller than the left one Ultrasonographic examination demonstrated no right hip joint effusion.
What is Legg-Calve-Perthes disease
300
This positive sign occurs when a snap as the head of the femur moves back into the acetabulum after being moved to the rim of the acetabulum.
What is Ortolani's sign
300
In a newborn the left foot turns inward and downward and is difficult to place in the correct position. The calf muscle and foot may be slightly smaller than normal. Name the condition.
What is Club Foot
300
If there are no symptoms after one week and no symptoms during testing (both at rest and with exertion), the athlete may return to practice or competition following which grade of concussion.
What is Grade 2
300
Injury caused by sudden subluxation of the radial head, usually resulting from forcible traction to a child’s pronated hand or wrist, with the elbow extended. Ironically, this condition can occur when a parent tries to maneuver a child away from perceived danger, and the child experiences pain and acute loss of function of the affected limb
What is Nursemaid's Elbow
300
Fall or blow to a shoulder or outstretched arm could lead to what fracture
What is clavicular fracture
400
This positive sign would be present in an infant with both feet placed firmly on the table, and the knees are not symmetric (positive sign). This finding is usually caused by a dislocated femoral head which is situated posterior to the acetabulum, instead of in the acetabular fossa. This creates a shortened appearance of the thigh on the affected side
What is Galeazzi sign
400
A parent of a 3 year old brings patient in as mom noticed that her child is walking with his toes turned inward. He trips and falls more times than other children his age at play dates. Mom is most worried about the appearance of the child's leg while walking or running. The child rarely has pain. You look to see if the patella is turned inward (toward the midline of the body). You also watch to see if the child walks with the toes inward. You note intoeing and an inward twist in the femur (thigh bone). This condition is very common and can occur in up to 10% of children. It is the most common cause of children walking with their toes inward (in-toeing) in children older than 3 years of age.
What is femoral anteversion
400
If an athlete suffers a second Grade II concussion, he or she is removed from competition for a period of how long.
What is one month
400
This disease occurs whenthere is anterior displacement of a vertebra or the vertebral column in relation to the vertebrae below. Seen in Gymnast.
What is Spondylolisthesis
400
A little leaguer complaints of shoulder pain when throwing. He's sore for a few days afterwards. Dad notices that his pitches are slower and less controlled. At times there is swelling or tenderness around the upper arm or shoulder. No fever, Patient loves to play baseball and says if you fix him, he will batt one out of the park for you. On exam there is tenderness along the upper arm or shoulder. X-rays show widening in the growth plate Diagnosis?
What is Proximal humeral epiphysitis
500
This positive sign occurs upward pressure on the angle of the mandible causes pain due to parotitis in mumps, but no pain in adenitis
What is Hatchcock's sign
500
Common finding in newborn. The foot has excessive dorsiflexion that allows its dorsum to come into contact with the anterior aspect of the lower leg. The forefoot has an abducted appearance.
What is calcaneovalgus foot
500
An athlete with a Grade III concussion may return to practice only after being symptom free for a period of how long.
What is 2 weeks
500
Curving of the spine that causes a bowing of the back, which leads to a hunchback or slouching posture
What is Kyphosis
500
Which Salter Harris Classification describes fracture involving the physis and the epiphysis.Sparing occured of metaphysis.
What is type 3
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