Hip and Knee Disorders

Question 1

Occurs due to interruption of vascular supply of the femoral head. Commonly bilateral.

Answer 1

avascular necrosis

Question 2

Special test performed if there is clicking or snapping of the hip joint to check for iliopsoas or labral tear

Answer 2

Thomas test

Question 3

What diagnostic imaging should you order if you suspect stress fractures?

Answer 3

MRI

Question 4

Patient presents with hip pain with deep click that persists 2 months after a fall. Catching sensation. Worse with deep flexion and raising from seated position. Decreased ROM

Answer 4

Acetabular labrum tear

Question 5

Recreational runner who has gradually increased distance of workouts presents with pain and snapping in groin and anterior hip with hip flexion and crunches

Answer 5

Iliopsoas Bursitis/Tendinosis

Question 6

First line of treatment for acetabular labrum tear

Answer 6

physical therapy

Question 7

Patient presents with lateral hip pain laying on left side. Pain with Ober test and tender over lateral thigh. Gradual onset. No trauma or previous hx

Answer 7

Trochanteric bursitis

Question 8

13 yr patient presents with increasing groin pain over the past 2 months. Pain to jump, run, stretch, and land. Point tender on superior pubic ramus.

Answer 8

Pubic Ramus Stress Fracture

Question 9

What should you do if you suspect a stress fracture on superior side of femoral neck?

Answer 9

ortho referral- high risk for complete fracture and AVN

Question 10

Patient presents with chronic right groin pain for the past several weeks. Increased training. Worse with right footed kicking and resisted adduction. Pain with resisted adduction and TTP medial groin tendon insertion

Answer 10

adductor tendinopathy

Question 11

Patient presents with left groin pain that’s been progressive over past month. Worse with skating and hip motion. Pain in hernia region without palpable hernia

Answer 11

athletic pubalgia/sports hernia

Question 12

Patient presents with left buttocks pain that hurts to sit, increases after a run, some radiation of pain to hamstrings. Painful ROM with internal/external rotation

Answer 12

Piriformis syndrome

Question 13

What is the difference between piriformis strain and syndrome?

Answer 13

with the syndrome you have +sciatica whereas this is absent with a strain

Question 14

Dislocation that needs to be reduced immediately to avoid AVN

Answer 14

hip dislocation

Question 15

Knee injury associated with noncontact injury with pop

Answer 15

ACL tear

Question 16

Knee injury due to lateral blow to knee

Answer 16

MCL tear

Question 17

Knee injury due to medial blow to knee

Answer 17

LCL tear

Question 18

Knee injury associated with fall onto a flexed knee

Answer 18

PCL tear

Question 19

Knee injury characterized by knee “giving out” or “buckled”

Answer 19

ACL tear or patellar dislocation

Question 20

Only palpable structure normally in the popliteal fossa

Answer 20

popliteal artery

Question 21

Patient presents with nonspecific anterior knee pain worse with running, squatting, and jumping. Occasional popping

Answer 21

Patella Femoral Syndrome/ Chondromalaciae

Question 22

Test that assesses injury to MCL

Answer 22

valgus stress

Question 23

Test that assesses injury to LCL

Answer 23

Varus stress

Question 24

Cause of PCL tear

Answer 24

Hyperextension or posterior load

Question 25

Special test to evaluate suspected meniscal tear

Answer 25

McMurray’s

Question 26

Patient stepped off ladder, knee twisted with immediate medial pain. Some swelling. Trouble squatting, kneeling, and climbing ladders. Pain and tenderness on joint line

Answer 26

meniscal injury

Question 27

Treatment for meniscal tear

Answer 27

arthroscopy with meniscectomy vs repair

Question 28

Anterior knee pain localized to patellar tendon. Affects participants in “explosive” sports. Most commonly basketball. Due to excess activity, improper mechanics, excessive weight

Answer 28

patellar tendonitis (jumper’s knee)

Question 29

What is the difference between septic bursitis and septic arthritis?

Answer 29

septic bursitis is red with mov’t intact whereas spetic arthritis is swollen, tender and mov’t causes pain