Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Ortho Special Tests > LE differentals > Flashcards

LE differentals Flashcards

1
Q

MOI of lateral ankle sprain

A
  • inversion ankle injury
  • landed on the lateral side of the foot when running or jumping
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Subjective of lateral ankle sprain

A
  • pt reporting landing on side of the foot
  • potential swelling and bruising
  • potentially painful wt bearing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

objective for a lateral ankle sprain

A
  • decreased ROM or inversion and eversion limited by pain and edema
  • increased joint play with medial glides and PA glides
  • special tests: positive anterior drawer for ATFL and positive medial talar tilt for CTFL
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

treatment ideas for lateral ankle sprain

A

acute: pettrisagge for swelling, iso holds, elevation to decrease swelling
Sub-acute: restore ROM through Calf stretch and AP mob with movement, balance exercises, T band ankle 4 way

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

grade 1lat ankle sprain

A

pain and ATFL stretched no swelling and able to wt bear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

grade 2 lateral ankle sprain

A

pain and ATFL and CFL partially torn, brusing and swelling, PWB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

grade 3 lateral ankle sprian

A

full tear of the ATFL, CFL and PTFL, increased swelling and bruising, unable to wt bear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

posterior tib tendon disfunction MOI

A

chronically stretched tendon leading to pain and dysfunction. common in people with flat feet as posterior tib supports the medial longitudinal arch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

posterior tib tendon dysfunction subjective

A

pain on the posterior medial shin, medial malleolus, or near the navicular. pain with repetitive walking and activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

posterior tib tendon dysfunction objective

A
  • unable to do SLS without the arch collapsing
  • pain with PF and In
  • increased heel valgus
  • special test: positive jack test for a ridged arch
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

post tib tendon dysfunction treatment ideas

A
  • cross friction at tendon, T-band inversion and foot intrinsics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

MOI planter faciitis

A

tightness of the planter fascia. usually an insidious onset

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

planter faciitis subjective

A
  • increased pain when waking up in the morning, with increased activity and prolonged sitting
  • pain on the heel and medial foot
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

planter faciitis objective

A
  • decreased DF ROM due to gastroc tightness
  • tenderness to touch the heel and medial foot
  • special test: positive windless
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

planter faciitis treatment

A

calf stretch with AP glides to increase DF ROM, toe intrisitcs, can roll to the bottom of the foot to increase vascularity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

achillies tendon dysfunction MOI

A
  • eccentric loading of the tendon in DF and knee extension
  • common in runners and sprinters
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

achillies tendon dysfunction subjective

A
  • pain with walking
  • pain when lifting up to toes
  • swelling
  • increased pain in the morning that improves with activity
  • rupture: “feels like being shot in the leg”
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

achillies tendon dysfunction objective

A
  • tenderness along the tendon
  • pain with PF
  • pain with DF
  • gait: limited toe off, limited DF, valgus heel
    • tomptson test with a rupture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

treatment of achillies tendon dysfunction

A

cross friction massage, calf stretch, concentric progressing to eccentric toe raises, towel calf stretch at home

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

MOI high ankle sprain

A

planted foot in DF and tibial ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

high ankle sprain subjective

A
  • pain and tenderness on anterior/lateral leg/foot
  • increased swelling a bruising
  • painful to wt bear
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

objective for high ankle sprain

A
  • tenderness to touch
  • decreased ROM in DF, inversion and eversion
  • increased joint play
  • special test: klinger, syndemosis squeeze, anterior drawer, medial talar tilt
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

treatment for high ankle sprain

A

pettrisage to reduce edema, iso holds for vascularization, elevate the foot to reduce edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

MOI medial meniscus tear

A
  • ER with running or during other activity
  • hit on the outside of the knee while foot is planter flexed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

subjective of a medial meniscus tear

A
  • felt a pop or click at the time of injury
  • pain with knee flexion
  • feel unstable
26
Q

objective of medial meniscus tear

A
  • pain with knee flexion
  • decreased knee flexion ROM
  • special tests: positive mcmurrys with ER, positive thessilies, positive applys with compression
27
Q

treatment for medial meniscus tear

A
  • usually NWB post op
  • tibiofemoral distraction to get fluid into the joint space, AAROM hell slides to increase ROM, hip stabilization
28
Q

MCL strain MOI

A
  • foot planted with valgus force
29
Q

MCL strain subjective

A
  • feel unstable
  • knee giving out
  • pain and tenderness over medial knee
  • constant or persistent pain with increased pain with movement
30
Q

MCL strain objective

A
  • pain with palpation
  • special test: valgus stress at 30 and or 0
31
Q

grade 1 MCL

A

tenderness to palpation but no laxity

32
Q

grade 2 MCL

A

laxity at 30 degrees

33
Q

grade 3 MCL

A

laxity at both 30 and 0 degrees with no end feel

34
Q

treatment ideas for MCL sprain

A

cross friction, adduction strengthening, hip abduction strengthening

35
Q

LCL strain MOI

A

planter flexed foot with varus force

36
Q

LCL strain subjective

A
  • pain on lateral knee
  • feel unstable
  • localized swelling
37
Q

LCL strain objective

A
  • tenderness to touch
  • increased joint play
  • special test: positive varus stress test. negative nobles compression for ITB
38
Q

LCL strain treatment

A

cross friction, adduction strengthening, abduction strengthening

39
Q

patellofemoral dysfunction MOI

A

insidious onset of pain due to potential lateral tracking issues

40
Q

patellofemoral dysfunction subjective

A
  • anterior knee pain
  • increased pain with increase in ground reaction forces ex running and jumping
  • pain with increases knee flexion
41
Q

patellofemoral dysfunction objective

A
  • mildly decrease in knee flexion due to pain
  • decreased patellar mobilization
  • special tests: negative sweep test, positive clarks test
42
Q

treatment of patellofemoral dysfunction

A

patellar mobs with movement, eccentric loading of the quads (step downs), hip stabilization

43
Q

donahues injury MOI

A

traumatic anterior and valgus force to the knee

44
Q

donahues injury subjective

A

swelling, brusing, unable to wt bear
pain and instability in all ranges

45
Q

donahues injury objective

A
  • increased joint play
  • decrease of ROM due to pain (empty end feel)
  • special tests: positive valgus stress test, positive lachmanns, positive anterior drawer, postive mcmurries with ER, positive thesislies, positive applys
46
Q

treatment of donahues

A
  • send to the doctor for imaging
  • post op: PROM into AAROM medial meniscus, efflarage , iso hold for vascularization, AAROM heel slides to increase ROM and imbibe the joint space elevate to reduce edema.
47
Q

MOI of a medial HS strain

A

overstretch of the hamstrings with hip flexed and knee extended

48
Q

Medial hamstring strain subjective

A
  • feel a pull
  • painful to bend knee and extend the hips
49
Q

medial hamstring strain objective

A
  • pain with palpation
  • pain with resisted knee flexion and IR
  • pain with 90/90
  • check for leg length discrepancy
50
Q

treatment for medial HS strain

A

PNF with PROM into flexion and extension, HS AAROM, HS curls, HEP light HS stretch

51
Q

FAI MOI

A
  • sports with repeatitive end range hyperextension or hyper flexion combined with adduction
  • ideopathic tears for slipping and twisting injury
52
Q

FAI subjective

A
  • anterior hip pain
  • C sign
  • “clicking”, “locking” or “catching”
  • 20-40 year olds
  • pain worse with prolonged sitting
53
Q

FAI objective

A
  • postive anterior hip impingement test
  • pain with FADIRS (CAM)
  • pain with extension and ER (pincer)
54
Q

FAI treatment

A

distraction, PNF leg press, hamstring slides

55
Q

Adductor strain MOI

A

overstretched of the adductors

56
Q

Adductor strain subjective

A
  • twisting and stabbing pain in the groin area with quick starts and stops
  • endema and eccymosis several days post injury
  • increased symptoms with running, kicking, single leg exervises, cutting and lunging
57
Q

Adductor strain objective

A
  • tingiling or stabbing pain in the groin area
  • symptoms aggrevated with passive abduction at different angles of hip flexion
    0= gracillis
    45= adductor longus and brevis
    90= pectinuous
58
Q

adductor strain treatment

A

PNF rhythmic initiation of hip adduction and abduction
hip abduction stabilization
adductor stretch at home

59
Q

Piriformis syndrome MOI

A

tightness of the periformis that leads to impingement of the sciatic nerve

60
Q

piriformis syndrome subjective

A

posterior hip pain with rediating symtpoms down posterior leg

61
Q

piriformis syndrome objective

A
  • pain with resisted ER
  • pain with passive IR
  • special test: positive fadirs and fair test
62
Q

piriformis treatment

A
  • soft tissue message of the pirifomis
  • pnf hond relax into fadirs
  • piriformis stretch at home

Ortho Special Tests (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions