Knee Flashcards
The most commonly injured medial compartment muscle is the
Gracilis
Adductor magnus
adductor longus
adductor brevis
pectineus
Adductor longus
Most common cause of osteonecrosis of the femoral head in children
trauma e.g fracture
metabolic disorder e g. gout, diabetes
prolong use of steroids
Idiopathic
Idiopathic
The femur receives it main blood supply from the
Retinacular artery
obturator artery
nutrient artery
lateral femoral circumflex artery
Retinacular artery
Although Legg Calve Perthes Disease is a self limiting disease, all of the following are good prognosis for recovery except:
young patients
female patient
xray reveals that only anterior part of head is affected
thin patients
female patient
Also known at the deltoid of the hip
gluteus maximum
gluteus medius
gluteus minimus
Tensor fascial lata
gluteus medius
Patient was diagnosed to have a snapping hip noted at the area of the greater trochanter due to tight ilidsbial band. At what movement would he feel the snap?
when moving the hip from external to internal rotation
while hip is adducted when from lying supine, patient extends and externally rotates hip from a flexed hip position
in a standing postion, patient flexes and extended knee
while in sidelying, he extends his upper leg/thigh back
when moving the hip from external to internal rotation
True regarding the acetabulum EXCEPT
The acetabulum is the meeting point of the ilium, ischium and pubis
fracture of the acetabulum is commonly associated with central femoral hip dislocation
largest part of the acetabulum is contributed by the pubis
it is oriented lateral, inferior and anterior
It is further deepened by the presence of the labrum make of fibrocartilage
largest part of the acetabulum is contributed by the pubis
All are management for slipped capital femoral epiphysis
for acute slip, gradual reduction through traction can be done
manipulation with pinning can be done
for severe slip, osteotomy
A and B only
all
all
Weaver’s bottom
iliopsoas bursitis
ischiogluteal bursitis
hip contusion
deep trochanteric bursitis
snapping hip
ischioglute al bursitis
Match the following conditions if seen in Legg Calve Perthes Disease or Slipped Capital Femoral Epiphysis or both
affected children are normally in the adolescent age group
Also Known as Coxa plana
Patient are usually thin and has a short stature
Affects the female more than male
One of the treatment is to put patient in traction
scfe
lcpd
lcpd
none
both
A patient was referred for rehabilitation assessment and management of Cox vara deformity. What are features that you most likely will find
the range of motion is limited in abduction and internal rotation
+ Trendelenburg’s test
painful limping gait with Mae west gait
only A and B
all
a and b
A 65 year old female was referred for physical therapy following a history of surgery for partial hip arthroplasty, 1 week ago. The following are precautions to remember during doing range of motion of the patient.
no hip flexion beyond 90 degrees
no rotation of the hip
no hip abduction or adduction
Aand B only
all
a and b
A patient had a femural neck fracture, and you noticed that the affected limb is externally rotated and short. The shortening is due to the pull of this muscle
quadriceps muscle
hamstring muscle
gluteus maximus muscle
piriformis muscle
hams
The following conditions are more commonly seen affecting the male population
Slipped Capital femoral epiphysis
Legg Calve Perthes disease congenital hip dislocation
Aand B
all
a and b
75 year old female underwent hip arthroplasty, cemented 5 days ago and was referred to the rehabilitation unit for gait or ambulation training. How soon do we start full weight bearing ambulation in this patient.
ambulate with full weight as tolerated
ambulate with partial weight for 4 to 6 weeks then gradually progress to full weight bearing
start with non weight bearing ambulation for 2 months until the cement is fixed
patient should be in bed and wait for rays after 1 month to see if it is healed
ambulate with full weight as tolerated
