Hips
Knees
Ankles
Potpourri
100

Pain from avascular necrosis will present in which aspect of the hip region?

Anterior (antalgic gait, pain with ROM, and limited ROM)

100

Injury to what structure causes immediate knee swelling?

ACL

100

Which of the following tests has the highest likelihood ratio of detecting an Achilles tendon rupture?

  1. Palpable gap in Achilles tendon

  2. Calf squeeze test

  3. Knee flexion test

Calf squeeze test (13.5)

100

Posterior drawer sign evaluates for tearing of which structure?

PCL

200

What test can be performed to evaluate for deep gluteal syndrome?

Seated piriformis stretch test

200

Injury to what type of structures causes swelling that appears after several hours?

Menisci (relatively avascular)

200

Of the Ottawa ankle rules, which of them has the highest likelihood ratio for detecting midfoot fracture?

Tenderness at the base of the 5th metatarsal (2.9)

200

In long-standing diabetes, an ankle with decreased sensation, bony deformities, and soft tissue swelling may allude to what condition?

Charcot joint

300

Injury to what structure can result in positive FABER and FADDIR tests?

Labral tear

300

To perform the Lachman test, the knee is flexed how many degrees?

20 (hip extended, grasp lower thigh with one hand and upper calf with the other hand, pulling forward on tibia ot stress the ligament to reveal anterior subluxation of tibia)

300

Of the Ottawa ankle rules, which of them has the highest likelihood ratio for detecting an ankle fracture?

Tenderness over posterior medial malleolus (4.8)

300

Which nerve provides sensation to the lateral lower leg and lateral ankle?

peroneal nerve

400

Pain over the hip bony prominence, ASIS, AIIS, or pubic symphysis can indicate injury to what group of muscles?

Hip flexors

400

McMurray test evaluates which part of the meniscus for tears?

Posterior

400

The “too many toes” sign may indicate what tendinopathy?

Posterior tibial tendinopathy (difficulty with pointing toes inward)

400

Which nerve is responsible for ankle inversion?

tibial nerve

500

What test can be performed to evaluate for ischiofemoral impingement?

Long-stride test

500

Which one of these findings has the highest likelihood ratio for osteoarthritis if present?

  1. Stiffness < 30 min

  2. Crepitus, passive motion

  3. Bony enlargement

  4. Palpable increase in temp

  5. Valgus deformity

  6. Varus deformity

Bony enlargement (11.8)

500

The talar tilt (inversion stress test) evaluates which ligament?

Calcaneotibial ligament

500

Not being able to flex beyond how many degrees indicates a likelihood of a knee fracture? (+/-10 degrees)

60