EXAM 2- Ortho PE

Question 1

what PE is most important in setting of trauma

Answer 1

assess strength, distal pulses, distal sensation, refluxes

Question 2

crepitus noted with ROM w/ palpation

Answer 2

djd

Question 3

joint line tenderness

Answer 3

1. meniscal injury

2. DJD

Question 4

McMurray’s PE technique

Answer 4

foot everted, knee varus position, flex/extend while palpate medial joint line, then invert foot, knee valgus, palpate lateral joint line while flex/extend

• pain or palpable click with and on joint line suggests meniscal injury

Question 5

appley grind test PE technique

Answer 5

foot supine, knee flexed 90 degrees, examiner rotates foot while providing downward pressure

• pain suggests meniscal injury alongside being palpated

Question 6

medial and lateral joint line stress

Answer 6

excessive laxity suggest MCL or LCL tear

Question 7

Lachman’s Test technique

Answer 7

stabilize femur with one hand, pull anteriorly on tibia with other

Question 8

drop Lachman’s test technique

Answer 8

useful if large leg or small hands

leg positioned over side of table, stabilize ankle between examiner’s legs, hold femur down w/1 hand, pull upward on tibia with other

Question 9

ACL tear

Answer 9

• excessive laxity with medial and lateral joint line stress
• Lachman’s test- excessive laxity
• Drop Lachman’s test- excessive laxity
• anterior draw test- excessive laxity

Question 10

posterior draw test PE technique

Answer 10

knee 90 degrees, examiner sits on pt’s foot and pushes posteriorly on tibia

– excessive laxity suggests PCL tear

Question 11

assorted patellar manipulation PE technique

Answer 11

push down on patella, palpate undersurface

– pain suggests chondromalacia patellae