Hundley- Lower Extremity Injuries Flashcards

1
Q

patient w/ pain but without loss of function while abducting leg and pain w/ external rotation; no weakness and reflexes are normal

A

piriformis syndrome

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2
Q

what nerve is being compressed in piriformis syndrome

A

sciatic n. (or branches)

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3
Q

patient unable to abduct the hip; loss of function; what injury?

A

superior gluteal injury; gluteus medius m.

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4
Q

tenderness of L lateral hip posterior to greater trochanter and trouble climbing stairs; “popping”

A

trochanteric bursitis

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5
Q

what structure irritates the bursa in trochanteric bursitis; causes the “popping”

A

Iliotibial band

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6
Q

where is true hip pain located

A

groin area

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7
Q

“popping” or “clunking” sound of IT band

A

Coxa sultans

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8
Q

Fibrocartilage structure of the joint thought to contribute to stability that is injured in repetitive hip motion and presents with groin pain. Injury?

A

Acetabular Labral Tear

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9
Q

31-year-old man with a BMI of 35 presents with numbness and tingling of the anterior lateral thigh. He has recently started an exercise program for weight loss and symptoms worsen when wearing tight, exercise pants. Diagnosis?

A

Meralgia Paresthetica
(lateral femoral cutaneous n.)

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10
Q

burning on lateral aspect of knee and popping sensation; pain while palpating lateral epicondyle when the knee extends; due to overuse of knee

A

Iliotibial band syndrome

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11
Q

anterior patella tenderness; involves an injury to the knee

A

prepatellar bursitis

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12
Q

tenderness of anteromedial region of tibia due to overuse; 1/3rd of patients it presents bilaterally

A

Pes Anserinus Pain Syndrome

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13
Q

tenderness to knee anteriorly and over posteromedial and posterolateral surfaces; patient runs daily now

A

Patellofemoral pain syndrome (Runner’s knee)

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14
Q

to test patellofemoral pain syndrome

A

patellar grind test

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15
Q

patient’s knee hit from lateral side, locking sensation

A

MCL injury

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16
Q

patient’s knee was hit from medial side; locking sensation

A

LCL injury

17
Q

nerve injured due to lateral collateral ligament injury

A

common peroneal n.

18
Q

locking sensation suggests what other injury

A

meniscal tear

19
Q

anterior drawer sign +; felt pain with snapping/popping sensation in R knee

A

ACL tear

20
Q

what other structures commonly injured w/ ACL?

A

the meniscus and collateral ligaments (MCL and menisci)

21
Q

posterior drawer test +

A

posterior cruciate ligament tear

22
Q

catching sensation in L knee while bending it, pain produced w/ McMurray test being performed w/ external rotation

A

medial meniscus tear

23
Q

pain with internal rotation during McMurray test

A

lateral meniscus tear

24
Q

most common ligament injury w/ low ankle sprains

A

anterior talofibular ligament

25
Q

inversion/supination ankle sprain hurts what ligaments

A

anterior talofibular ligament or calcaneofibular ligament

26
Q

eversion ankle sprain injures what ligaments

A

deltoid ligaments

27
Q

what fracture is associated with deltoid ligament

A

Pott’s fracture (bilateral malleoli)

28
Q

most common ligamental injury with high eversion ankle sprains

A

anterior inferior tibiofibular ligament

29
Q

Person starting training for a marathon develops leg pain. Pain and tenderness over the posteromedial middle and distal third of the tibia. No evidence of fracture.

A

medial tibial stress syndrome (shin splints)

30
Q

Football player pain in great toe MTP and inability to bear weight after hyperextension of the 1st MTP while the foot was in plantar flexion.

A

turf toe

31
Q

Patient has severe heel pain that is worse when first standing after getting up in the morning and after sitting for a prolonged period. On exam, there is tenderness to palpation of the medial calcaneal tubercle

A

plantar fasciitis