9 - Stress Fractures Flashcards
1
Q
where do stress fractures commonly occur?
A
poorly vascularised areas:
* 5th metatarsal
* navicular
* anterior tibia
2
Q
what is the non surgical management of stress fractures?
A
- rest and immobilisation
- avoid NSAIDs - slow bone healing
- treat underlying conditions - low BMI
3
Q
when may surgical management of stress fractures be considered?
A
- conservative management has failed
- elite athletes
- tibial black line
4
Q
ACL injury is most commonly caused by what?
A
non contact twisting injury
5
Q
in what demographic are ACLs more common?
A
female athletes
6
Q
what are the management options for ACL injury?
A
- physiotherapy - most pts happy with this
- ACL reconstruction iwth hamstrings/quads or patella tendon
7
Q
what are 4 risk factors for ACL injury?
A
- pre-fatigued
- forces
- muscle weakness - internal rotation
- biomechanics
8
Q
what is the Q angle?
A
angle between force vector of quadriceps tendon and force vecotr of patella tendon
9
Q
why does a bigger Q angle lead to an increased risk of ACL injury or patellofemoral pain?
A
- weak g.medius
- leads to internal rotation of femur
- exacerbates large Q angle
10
Q
A
