DSA 18 Mason

Question 1

What muscles are tested during abduction of the hip?

Answer 1

adductor magnus, adductor brevis, adductor longus

Question 2

What muscles are tested with adduction of the hip

Answer 2

Gluteus medius, gluteus minimis

Question 3

What muscles are tested in external rotation of the hip

Answer 3

gluteus medius, gluteus minimis

Question 4

What muscles are tested in internal rotations of the hip

Answer 4

gluteus maximus, glamella, obturator, piriformis

Question 5

What muscles are tested in flexion of the hip

Answer 5

hip extensors, hamstrings

Question 6

What is the origin, insertion and action of the piriformis

Answer 6

Origin: anterior surface of the sacrum
Insertion: greater trochanter of the femur
Action: external rotation of the femur at the hip

Question 7

What are characteristics of Psoas syndrome

Answer 7

Tight psoas on one side-causing sidebending of lumbars to the side and shortening of the leg with eversion of the foot on that side
Tight piriformis on the other side- causing external rotation of the leg

Question 8

Weakness of which 2 structures might be an underlying cause of Patellofemoral syndrome

Answer 8

vastus medialis or lateral retinaculum

Question 9

Describe a common presentation of patellofemoral syndrome (4)

Answer 9

1. anterior knee pain, vague, achy
2. more common in young to middle aged females
3. pain is common when going upstairs
4. common after prolonged standing

Question 10

What are some PE findings in a pt with patellofemoral syndrome (2)

Answer 10

positive grind test and positive apprehension ttest

Question 11

List some predisposing fectors to IT band syndrome (4)

Answer 11

1. tightness of IT band
2. excessive foot pronation
3. genu varum
4. tibial torsion

Question 12

What tests might be positive in a pt with IT band syndrome (2)

Answer 12

1. Obers Test

2. Nobles test

Question 13

Describe the knee effusion test

Answer 13

1. the pt is supine with the knee semi-flexed
2. the pt’s heel is supported in one hand and the calf supported with the other
3. the hand under the calf is carefully removed and the knee allowed to extend fully
4. failure to extend fully= increased joint fluid

Question 14

Patellar tendonitis in younger patients may be associated with what dz

Answer 14

Osgood Schlatter’s dz

Question 15

Patellar tendonitis is an overuse injury of what (2)

Answer 15

Quads

Patellar tendon

Question 16

Is a pt has Osgood Schlatter’s what will you find on PE and xray?

Answer 16

Boney mass at tibial tuberosity

Calcium deposition at tibial tuberosity on xray

Question 17

Describe Osgood Schlatter Dz

Answer 17

very common cause of knee in children and young athletes usually between that ages of 10 and 15, it occurs due to a period of rapid growth, combined with a high level of sporting activity