Cases
Mixed
Mixed
Mixed
Mixed
100
Patient is a 10 year old who plays on a travel baseball team. He presents with Medial elbow pain with no reported trauma. What is his most likely diagnosis and what other structures may be damaged.
Little league Elbow. This can be medial epicondyle apophysistis, medial epicondle, UCL ligament. This can leda to ulnar nerve impairement and radial head damage.
100
Describe the ligaments of the shoulder and what movement then impact
Superior GHL - Limits inferior translation
Middle GHL - Limits ER at 45 degrees
Inferior GHL (Anterior band) - Limits ER at 90 degrees
Inferior GHL (Posterior band) - Limits IR at 90 degrees
100
What type of bracing is best for ACL and what does it prevent
Force point hinge technology which prevents multi-planar tranlation and counter forces.
100
Patients are only eligible for a rotationplasty if they meet the following criteria
Stable hip
Would benefit from stability
Normal hip joint
100
Explain the difference between structure and non structural scoliosis
Non-Structural Scoliosis:
- No ratoary component
- Straighten with trunk flexion
- Corrects with radiograph
Structural:
- Rotary Component
-Wont correct when trunk is flexed forward
Wont correct on radiograph
200
Patient presents with pain, tenderness, and swelling near kne within knee extension. They report that pain gets worrse with kneeling, running, and stairs. What is the most likely diagnosis and treatment
Osgood schlatters - enlargement of the tibial tuberostiy due to legnthening of the quad.
Treatment - Rest, decreased activity, avoidance of squatting
200
What is the clinical prediction rule for hypermobility?
- Age <40
Fear avoidance belief questionaire >9
Exam Findings
- SLR >91
- Aberrant motion present with trunk flexion/bending
- Positive prone instability Test
- Step off Sign
200
Pseudo jones fracture
200
When is the youngest afe to introduce prosthetics for children?
6 months when they perform bimanual tasks for UE and for when they pull to stand for LE.
200
Why may someone present with a true leg length discrepency
Salter Harris
300
Patient presents with a lateral ankle sprain and pain dorsi and plantar flexion. They were diagnosied with osteochondrosis and impingement of the dome of the talus after the fact. What could have prevented this impingment and osteochondrosis?
Dosral glides with dorsiflexion and anterior glides with plantarflexion
300
Describe the prone dial test and what you would see with a PLC injury vs PLC and PCL
PLC - Excessive ER at 30 degrees but similar at 90
PCL - Excessive ER at 90 degrees but similar at 30
PLC and PCL - Excessive at 30 and 90
300
What are the types of UE prosthetic devices and what are their pros and cons
Voluntary opening - Limited grip force
Voluntary closing - Does not allow the client to relax without losing grasp . Stronger grip
300
Patient presents patella tendon pain, tender to touch, and increased pain with quad MMT. They indicate that they are an avid runner. What is the diagnosis and considering fear of atrophy, what quad exercise can be completed
Infrapatellar tendinitis (jumpers knee) and SLR
300
Patient has marfans syndrom, low back pain, and radicular symptoms. What diagnosis do you suspect and what would indicate they should participate in athletics?
Spondylolisthesis - Grade 2 or above indicates no sports
400
Patient present with knee pain after jumping/landing and twisting their knee after a layup. They heard an audible pop and state that it feels unstable. What examinations should be completed and in what order to rule in or out your diagnosis?
Suspected ACL tear
1. Posterior Sag Test 2. Posterior draw 3. Anterior Draw 4. Lachmans
Could also be meniscus
1. McMurrays
400
Why are young male patients more likely to have TBI's and activities from adrenaline seeking activities?
- Striatum develops earlier than the prefrontal cortex in men.
The striatum tends to be more impulsive decision making whereas the prefrontal cortex is more planning.
400
_______ is associated with frequent ankle sprains, a flat arch, and foot pain.
Tarsal coalition
400
What condition is usually asymptomatic but becomes symptomatic when irritated or injury. usually after trauma or blow.
Plica Syndrome
400
list the signs and symptoms of Gymnast Wrist
Wrist pain from repetitive acxial loading leading to pain when getting up from chair. leads to distal radius deformity and distal ulna ovvergrowth
500
Patietn presents with diffuse, poorly defined pain. The pain exacerbated with activity, pain with resistive movement. There is slight warmth and swelling. What is the most likely diagnosis
Tendinitis
500
What is the Gold standard treatment for ACL tears?
- Central Tendon Repair
500
List the ottawa ankle rules
1. inability to weight bear immediately after injury and in the ED for 4 steps
2. Bone tenderness at tibia, fibula or medial and lateral malleolus
3. Bone tenderness at the navicular or proximal base of 5th metatarsal
500
What is a thick and dense soft tissue strcture that can be used as WB for a transtibial amputee
Patella tendon
500
What type of injury has a high risk of brachial plexus interference.
Lateral cervical flexion injuries