Clinical Lower Extremity - Zamzow

Question 1

What serious spinal problem can lead to a serious condition called cauda equina syndrome?

Answer 1

A large central disc protrusion

Numb from the buttocks down

Question 2

Why is a femoral neck fracture an emergency situation?

Answer 2

You are at very high risk for avascular necrosis

Question 3

If you see on a film that there is synovial fluid in an area of the knee joint where it shouldn’t be, what is this indicative of?

Answer 3

A meniscus tear!

Question 4

A positive lachman’s exam would be indicative of?

Answer 4

a tear of the anterior cruciate ligament

Question 5

Apart from Lachman’s sign, what would be another indication that there is an ACL tear?

Answer 5

There is going to be A LOT of swelling and it is going to occur quickly.

Question 6

What kind of stress should be applied to the knee joint to test the medial collateral ligment?

Answer 6

valgus stress

Question 7

Varis stress should be applied to the knee joint to test which ligament?

Answer 7

Lateral collateral ligament

Question 8

Inability to perform foot plantar flexion would indicate a rupture in what tendon?

Answer 8

Achilles tendon

Question 9

If the femoral head is dislocated posteriorly it can impinge which major nerve?

Answer 9

The sciatic nerve! Ouch!

Question 10

Which direction will the entire lower limb be rotated in the case of an anterior and posterior dislocation of the femoral head?

Answer 10

Anterior = whole leg is rotated laterally away from the body

Posterior = Whole leg is rotated medially inward toward body.