LE Flashcards

1
Q

Complaint of instability of the knee you should think what?

A

Chronic ACL damage

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2
Q

Complaint of painful locking of the knee you should think what?

A

Meniscus tear

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3
Q

What injury of the knee would result from hyperextension?

A

ACL tear or patellar dislocation

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4
Q

What injury of the knee would result from hyperflexion?

A

PCL tear and or associated ACL tear

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5
Q

What injury of the knee would result from sudden deceleration ?

A

ACL tear

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6
Q

What injury of the knee would result from a vagus force?

A

MCL

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7
Q

What injury of the knee would result from vagus force with rotation ?

A

ACL, MCL and menisci

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8
Q

What injury of the knee would result from a blow to the flexed knee?

A

Contusion, patellar Fx, PCL tear

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9
Q

Tests for ACL ?

A

Lachmans, Ant drawer, pivot shift

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10
Q

Meniscus tests?

A

Compression/distraction, mchmurrarys

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11
Q

What are the Ottawa knee rules?

A

Patient over 55, iso tenderness or the patella and fibular head, cant flex knee to 90, cant bear weight immediately or take 4 steps.

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12
Q

What fx is associated with a ACL tear?

A

Segonds fx

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13
Q

The ACL lines in what plane

A

10-15 degrees externally rotated to the sagittal plane

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14
Q

What is the name of the triad and what are the 3 things it involves when talking about the knee?

A

O’Donohues triad, ACL, MCL, medial meniscus.

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15
Q

What sign is associated with a PCL?

A

SAG sign

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16
Q

Segonds fx indicate a tear of the ACL what percent of the time?

A

75-100%

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17
Q

If you see a segonds fx what do you need to next?

A

Take an MRI

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18
Q

If someone says their knee gives away what do you think is wrong?

A

Meniscus tear

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19
Q

Meniscal tears appear how ?

A

Extending to the articular outside surfaces

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20
Q

What is another name for osgood schlatters?

A

Traction apophysitis

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21
Q

Is a osgood schlatters a clinical diagnosis or a radiograpic one?

A

CLINICAL FINDINGS**

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22
Q

A young patient comes in with insidious onset of anterior knee pain with a limp what are you thinking ?

A

Osteochondroma desicacans

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23
Q

What is the most common cause of an intra articular loose body?

A

Osteochondritis desiccans

24
Q

Osteochondritis desiccans most commonly affects what parts?

A

Lateral portion of th medial femoral condyle

25
Q

What kind of fractures cause leakage of blow nad marrow into the joint which causes what?

A

Intra-articular, FBI

26
Q

What does a FBI sign indicate / /. /> ?

A

Lipohemarthrosis

27
Q

What should the suprapatellar bursa measure?

A

5 mm or less

28
Q

In older patients, calf pain should always suggest a possibitly of what?

A

DVT

29
Q

What test best tells you if someone has a DVT?

A

Doppler ultrasound

30
Q

How do you evaluate for vascular claudication ?

A

Walking for 10 min

31
Q

Leg pain that occurs come waking and is revleived with rest the patient probably has what?

A

Claudication (vascular or neurogenic)

32
Q

Neurogenic claudication is secondary to what?

A

Spinal stenosis

33
Q

Patients with neurogenic claudication are more likely to be able to walk or ride a bike further before the onset of leg pain in a _________position.

A

Flexed

34
Q

What is the most common cause of vascular claudication?

A

Atherosclerotic blockages

35
Q

Rest gives relief from pain immediately in what lower leg complaint/

A

Intermittent claudication

36
Q

Localized swelling in the leg is suggestive of what?

A

DVT

37
Q

What test will help determine between vascular and neurogenic claudication ?

A

Bicycle test

38
Q

What type of claudication usually effects the back, and rarely the butt. ?

A

Neurogenic claudication

39
Q

Walking down hill? Up hill for neurogenic claudication.

A

Worse down, better up

40
Q

What nerve is effected in Morton’s neuroma?

A

Plantar digital nerve

41
Q

What type of compression my increase Morton’s neuroma pain?

A

Transverse

42
Q

Where does entrapment occur most commonly in Morton’s?

A

Plantar surface by the intermetatrasal lig

43
Q

What kind of sprains damage the deltoid lig?

A

Eversion

44
Q

What are the Ottawa ankle rules/

A

Main in the malleolar region and either tenderness at either malleolus or cant bear weight

45
Q

What problem is classically described and seen in ballet dancers?

A

Os trigonum, PAI

46
Q

What type of salter tx is mc ?

A

Type 2 `

47
Q

There is a sign associated with a salter fx what one is it associated with and what is it called?

A

Type 2, thirsten holland sign

48
Q

What type of ankle injury will cause a lateral malleolar fx?

A

Inversion

49
Q

What type of ankle injury will cause a medial malleolar fx?

A

Eversion

50
Q

Boelers angle should what?

A

Not be less than 28 degrees

51
Q

Where is kagers fat pad?

A

By the Achilles

52
Q

A jones/dancer fracture is a result from what?

A

Plantar relaxation and inversion

53
Q

What tendon is effected in a jones/dancers fx ?

A

Peroneus brevis

54
Q

Is a jones/dancers fracture transverse or vertical ?

A

Transverse (vertical is normal)

55
Q

If you think someone has chondrocalcinosis what is it like due from?

A

CPPD