Hundley- Lower Extremity Injuries Flashcards
patient w/ pain but without loss of function while abducting leg and pain w/ external rotation; no weakness and reflexes are normal
piriformis syndrome
what nerve is being compressed in piriformis syndrome
sciatic n. (or branches)
patient unable to abduct the hip; loss of function; what injury?
superior gluteal injury; gluteus medius m.
tenderness of L lateral hip posterior to greater trochanter and trouble climbing stairs; “popping”
trochanteric bursitis
what structure irritates the bursa in trochanteric bursitis; causes the “popping”
Iliotibial band
where is true hip pain located
groin area
“popping” or “clunking” sound of IT band
Coxa sultans
Fibrocartilage structure of the joint thought to contribute to stability that is injured in repetitive hip motion and presents with groin pain. Injury?
Acetabular Labral Tear
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?
Meralgia Paresthetica
(lateral femoral cutaneous n.)
burning on lateral aspect of knee and popping sensation; pain while palpating lateral epicondyle when the knee extends; due to overuse of knee
Iliotibial band syndrome
anterior patella tenderness; involves an injury to the knee
prepatellar bursitis
tenderness of anteromedial region of tibia due to overuse; 1/3rd of patients it presents bilaterally
Pes Anserinus Pain Syndrome
tenderness to knee anteriorly and over posteromedial and posterolateral surfaces; patient runs daily now
Patellofemoral pain syndrome (Runner’s knee)
to test patellofemoral pain syndrome
patellar grind test
patient’s knee hit from lateral side, locking sensation
MCL injury
patient’s knee was hit from medial side; locking sensation
LCL injury
nerve injured due to lateral collateral ligament injury
common peroneal n.
locking sensation suggests what other injury
meniscal tear
anterior drawer sign +; felt pain with snapping/popping sensation in R knee
ACL tear
what other structures commonly injured w/ ACL?
the meniscus and collateral ligaments (MCL and menisci)
posterior drawer test +
posterior cruciate ligament tear
catching sensation in L knee while bending it, pain produced w/ McMurray test being performed w/ external rotation
medial meniscus tear
pain with internal rotation during McMurray test
lateral meniscus tear
most common ligament injury w/ low ankle sprains
anterior talofibular ligament
