LE Random from book Flashcards
If there is pain in the anterior/ medial side of the thigh during a hip test, what does that indicate? pain in the buttock?
- hip intra-articular pain including labral tears and anterior impingement
- posterior labral tears and lumbar spine problems
What is clicking common in? (hip)
labral tears
Diagnostic clues in hip pain: dull, deep, aching
arthritis, paget disease
Diagnostic clues in hip pain: sharp, intense, sudden, associated with WB
Fx
Diagnostic clues in hip pain:tingling that radiates
radiculopathy, spinal stenosis, meralgia paresthetica
Diagnostic clues in hip pain: increased pain when sitting, legs not crossed
condition more common in sitting job; may be pain on resisted knee flexion or SLR
ischiogluteal bursitis
Diagnostic clues in hip pain: pain after standing, walking
hip arthrosis
Diagnostic clues in hip pain: pain on attempted weight bearing
Occult fracture, severe arthrosis
Diagnostic clues in hip pain: unremitting, long duration
paget disease, carcinoma, occasionally severe arthrosis
Condition secondary to either intra-articular (subluxation, loose bodies, labral tears, displaced fractures, capsular instability), internal (iliopsoas snapping, iliofemoral lig snapping, hamstring syndrome, iliopsoas burasal/caspular thickening) or external (thickening of posterior border of the IT band, anterior glut max, trochanteric bursitis)
Snapping hip syndrome
Movements feel weak or abnormal; sciatic nerve is compressed, hip abduction and lateral rotation are week
piriformis syndrome
- m. is tender and compressing sciatic n
What is associated with femoroacetabular impingement?
femoral head (Legg-Calve Perthes Disease, Slipped capital femoral epiphysis) or acetabular dysplasia
Where does the patella contact the femur in the different ROM?
- inferior patella at 20 flexion
- progresses superior at 90 flexion
- medial lateral contact at 135
What does squinting patella indicate?
femoral anteversion
What does grasshopper eye patella indicate?
retroverted hip or weakness in the VMO
What is Hebling’s sign?
medial bowing of Achille’s associated with calcanea valgus (pronated foot)
How do you grade an ankle sprain?
1 = ATF tenderness; ligament stretched 2 = ATF and CF tenderness; partial tear 3 = ATF, CF, and PTF tenderness; complete tear
What symptoms would be seen with a grade 1 sprain?
- slight and local edema/ecchymosis
- full or partial WB
- no instability
What symptoms would be seen with a grade 2 sprain?
- moderate and local edema/ecchymosis
- difficult WB without crutches
- no or slight instability
What symptoms would be seen with a grade 3 sprain?
- significant and diffuse edema/ecchymosis
- impossible WB without significant pain
- definite instability
