knee, Foot, And Ankle Pain Flashcards
What is the primary motion of the knee and on what type of joint
Flexion and extension on a hinge joint
What tests will show a ACL tear
Anterior drawer test or lachman test
What tests will show a PCL tear
Posterior drawer test or reverse lachmans
What test swill show a MCL tear
Valgus test
What test will show a LCL tear
A varus test
What tests will show a meniscal injury
Mcmurray test
Apley grind test
What tests will show a patellogemoral pathology
Patellar glide
What is patellofermoal pain due from
Aka runner knee due to overuse
Define the ottawa knee rule to get a radiograph after knee trauma
Pt. Must be >55 Tenderness at head of fibula Isolated tenderness of patella Inability to flex knee to 90 Inability to bear weight
Define the pittsburgh decision rule to get a knee radiograph
Blunt trauma or a fall as MOI plus either:
- Younger than 12 or older than 50
- Inability to walk four weightbearing steps
Which rule is more specific when dealing with isolated knee injury
Pittsburgh rule
What three speciality. Tests can you perform to test for diabetic neuropathy
Pressure sensation using monofolament testing
Vibration sensation using a tuning fork
Superficial pain prick
What tests will show an ankle sprain
Anterio drawer test
Inversion test
Most common sprained L. In the lateral ankle
ATF and calcaneofibular L.
What does the calcaneofibular L. Do
Plantar flexion and dorsi flexion
Define syndesmotic ankle injury
Aka high ankle sprain
Injury to one or moreof the L including the distal tibiofibular syndesmosis
What tests will show a syndesmotic ankle injury
Squeeze test
Define morton neuroma
Pain between the metatarsal heads from the plantar digital N., most commonly affecting the third web space
Caused by chronic trauma or repeated stress due to tight fitting shoes
What specialty test will show a Morton Neuroma
Mulder’s sign
Plantar warts on the foot are usually caused by what
HPV bb
What DTR is the patella testing
L4
What nerve root is Achilles Tendon testing for DTR
S1
What does a valgus test indicate
(+) = increased laxitiy with a soft or absent endpoint
Indicates MCL tear
What does a varus test indicate
(+) = increased laxity, soft or absent endpoint
Indicates LCL tear
What does a mcmurray’s test indicate
(+) = pain or palpable click during extension
Possible medial or lateral meniscus tear
What does apley grind test indicate
(+) = pain with rotation and/or compression
Possible meniscal injury, collateral L injury, or both
What does the Apley grind distraction test indicate
(+) = pain with distraction and rotation
Possible collateral L. Tear
What does the anterior drawer test of the ankle indicate
(+) = pain with excessive laxity
Indicates ATF L. Tear
What does the talar tilt test indicate
(+) = laxity and pain
Indicates calcaneofibular L. Pathology
What does the eversion test indicate
(+) = laxity, pain
Indicates deltoid L. Pathology
What does the squeeze test indicate
(+) = pain
Syndesmosis pathology
What does cross leg test indicate
(+) = pain at distal ankle
Syndesmosis pathology
What does thompson test indicate
(+) = absence of plantar flexion
Indicates achilles tendon rupture
What L. Is involved in a high ankle sprain
Anterior inferior tibiofibular L.
Define turf toe
Inflammation and pain at base of 1st MTP
Caused by hypersextension of great toe causing damage to the joint capsule
