LL Pathologies <=> Symptomes

Question 1

FAI

Answer 1

• Ant hip pain
• clicking
• stiffness
• giving away
• restricted ROM (FLEX & IR ++)
• pain in flexed hip & decr. hip EXT

Question 2

Hip labral tear

Answer 2

• Ant hip pain
• Incr. in ER & loss of elasticity
• pain in flexed hip (thomas)

Question 3

Hip OA

Answer 3

• pain while squatting, strairs, STS & walking
• pain in EXT, FLEX, IR, ER ABD, ADD..
• Decr. IR

Question 4

Adductor tear

Answer 4

• pain on palpation
• Decr. ADD & p+

Question 5

Pubic bone overload

Answer 5

• p+ on palpation
• tenderness
• p+ ADD & resisted ADD

Question 6

Hamstring tear

Answer 6

• p+ locally on muscle belly
• sudden onset of post thigh p+
• decr. strength & ROM

Question 7

Proximal hamstring tendinopathy

Answer 7

• p+ around gluteal fold/ buttock region/ ischial tuberosity
• p+, reduced strength
• decr. ROM

Question 8

Greater trochanteric pain syndrome = GPTS (Glut tendinopathy)

Answer 8

• lat hip p+ (greater trochanter)
• side lying p+
• p+ with prolonged sitting

Question 9

ACL rupture

Answer 9

• swelling
• sudden onset
• p+
• feeling of instability
• pop sound !!

Question 10

PCL rupture

Answer 10

• effusion & pain
• no pop sound
• post sag

Question 11

MCL tear

Answer 11

• p+ &/or laxity (valgus)
• med p+ over MCL fibers
• giving away

Question 12

Meniscal tear

Answer 12

• p+ -> rotating/twisting ++
• swelling
• joint line tenderness
• intermittent locking
• tearing feeling at TOI

Question 13

PFPS

Answer 13

• diffuse/vague ant p+
• p+ & tenderness, on palpation
• p+ aggravated w/ squatting, stair climbing, running, jogging.. = loading PFJ
• occasional clicks

Question 14

Patella Tendinopthy (Jumper’s knee)

Answer 14

• p+ & tenderness
• localised p+
• p+ aggravated w/ jumping/explosive activities

Question 15

Knee OA

Answer 15

• p+ & on palpation
• stiffness (AM+)
• effusion
• decr. ROM (FLEX/EXT)

Question 16

MTSS

Answer 16

• diffuse pain on distal 2/3 of postmedial border of tibia
• tenderness of palpation
• warm up effect on p+

Question 17

CECS

Answer 17

• Bilateral
• Ache/pain & feeling of tightness w/exertion
• sympts resolves within minutes of stopping exercise
• might be tense on palpation

Question 18

Achilles tendinopathy

Answer 18

• gradual onset of p+
• morning stiffness/pain
• pain on palpation
• +/- tendon thickening
• p+ stiffness following activity

Question 19

Achilles tendon rupture

Answer 19

• sudden & loud snap
• unable to continue activity
• bruising & swelling
• weak PF

Question 20

Gastrocnemius Tear

Answer 20

• immediate pain
• swelling
• +/- unable to walk
• tenderness
• p+ on Active & Passive DF
• p+ on resisted PF w/knee extended

Question 21

LCL injuries (tear) (ankle)

Answer 21

ATFL > CTFL >PTFL
- p+ on lat side
- Decr. ROM
- Swelling

Question 22

MCL injuries (ankle)

Answer 22

-> Deltoid lig
- p+ on medial side
- Decr. ROM
- swelling

Question 23

syndesmosis injuries (high ankle sprain)

Answer 23

• p+ on palpation over tibiofibular lig.
• proximal bruising
• feeling of isntability (in WB ++)

(present in 13% of ankle fracture)

Question 24

Sinus tarsi syndrome

Answer 24

• gradual onset of p+ following instability or acute ankle sprain
• P+ anterolat ankle
• End or ROM p+ & PROM Inversion & eversion p+
• Instability in Inv & evers
• severe p+ in morning

Question 25

Tibialis post tendinopathy

Answer 25

• gradual onset of p+
• posteromedial p+ ankle
• difficulty standing on toes
• weak resisted inv & painful
• tender on palpation
• weakness on heal raise
• decr. inversion

Question 26

plantat fasciitis = plantar heel pain

Answer 26

• gradual onset of pain
• loacalised p+ -> calcaneal insertion of fascia
• p+ w/ WB
• Morning stiffness
• Windless mechanism affected