KNEE Flashcards
At end range flexion do you get IR or ER of tibia
IR
What is the screw home mechanism
near end of extension the lateral compartment of the knee closepacks first (smaller and shorter AP diameter) while medial compartment continues to glide anteriorly creating conjuct tibial ER with full extension
Which compartment of the knee come to its end range first
lateral
Which compartment of the knee much be mobilized at end range for flexion and extension
medial
What positions do you do distraction of the tib on the femur
resting position (30 flexion) or 90 degree flexion
what are you looking for with distraction and compression
pain reproduction or relief
What is the dermatome (schlerotome) for the hip joint
L3
Where is the hip likely to refer to (most likely to least)
- Buttock
- Thigh
- Groin
- Distal to knee
- Foot
- Knee
Hip Resting position
30 flex, 30 abduction, sight ER
Hip Closed packed postion
Extension, abduction, IR
Hip Capsular patten
Flex, abd, IR (order is variable but these are the most common)
loss of hip IR would make you curious of what
OA
The hip acetabulum faces…
Down, laterally, and anteriorly
The femoral head faces…
up, medially, and slightly anteriorly
What is the glide for flexion and extension of the hip
no glide just pure spin
what is the result of a tight posterior capsule of the hip
pushes femoral head forward. loss of flexion
what should be you treatment technique for a loss of extension
most likely soft tissue
Myofascial restriction from the muscles at the front of the hip
Sign of the buttock - Signs:
- Limited and painful SLR (no improvement with knee bent)
- No change in hip flexion ROM with knee flexed
- Empty end feel
- Red, hot, swollen
Sign of the buttock -Causes:
- Rheumatic bursitis
- Osteomyelitis
- Neoplasm
- Fractured sacrum
- Ischiorectal abscess
- Septic arthritis
- Septic bursitis
When would you use physiological rotation in rest position
Treating hip with acute pain
Posterior glide to treat ____
IR restriction
With a posterior glide which direction do you push in
postero-lateral
Anterior glide to treat ___ restriction
ER
With an anterior glide which direction do you push in? where do you landmark to push
antero-medially
in between the GT and isch tube
