CLINICAL CARE OF THE LOWER EXTREMITY MUSCULOSKELETAL SYSTEM

Question 1

DETERMINE the management of a patient with shin splints

Answer 1

-NSAIDS
-ice
-light duty
-gradual return to run
-weight lose
-proper shoes

Question 2

DETERMINE the management of a patient with suspected tibial stress fracture

Answer 2

-light duty for 12 weeks
-weight bearing mod
-NSAID
-ice

Question 3

DETERMINE the management of a patient with compartment syndrome

Answer 3

-requires fasciotomy
-Place limb in neutral position
-Analgesics & O2
-Rest
-NSAIDS

Question 4

DETERMINE the management of a patient with achilles tendon rupture

Answer 4

-light duty
-ice
-NSAIDS
-achilles tendon support

Question 5

DETERMINE the management of a patient with ankle sprain

Answer 5

-RICE
-NSAIDS
-light duty
-stretch & strength
-bracing

Question 6

DETERMINE the management of a patient with lisfranc fracture

Answer 6

-non-displaced are tx 6-8 weeks of NWTB cast immobilization
-fractures/dislocation require surgery
-Analgesics
-MEDEVAC

Question 7

DETERMINE the management of a patient with a bunion

Answer 7

-pt education
-avoid heels
-light duty
-ice

Question 8

DETERMINE the management of a patient with morton neuroma

Answer 8

-metatarsal pads
-low heeled
-soft-soled
-wide toe shoes

Question 9

DETERMINE the management of a patient with plantar fasciitis

Answer 9

-NSAIDS
-Ice
-Light duty
-heel pads
-night splints

Question 10

DETERMINE the management of a patient with posterior heel pain

Answer 10

-Light duty
-Heel lift or open back shoes
-Ice
-massage
-Achilles stretch
-Casting for 6 weeks in extreme cases

Question 11

DETERMINE the management of a patient with turf toe

Answer 11

-RICE
-NSAIDS
-Stiff shoe inserts
-Severe injury weight bearing or immobilization for 1-2 weeks
-4-6 week period of rest from sports