lower extremity

Question 1

jumper’s knee

repetitive trauma from running, jumping

occurs after skeletal maturity

pain c. hill running or foot pronation

Answer 1

patellar tendonitis

ice, nsaids, bracing

no steroid injection

Question 2

MC asymptomatic

fluid filled sac in popliteal fossa

Answer 2

baker’s cyst

nsaids, aspiration/injection

compression

Question 3

Mc knee complaint in primary care

malalignment, patellar tracking concern

anterior pain under patella + crepitus

worse w/ stairs

+ patellar glide and apprehension
+theater sign/long car ride sign

Answer 3

patellofemoral pain syndrome

ice, nsaids

Question 4

moi: rotational force on femur/tibia

point line pain, locking/catching of knee

difficulty c. stairs

+mcmurray, apley grind

Answer 4

meniscus tear

Question 5

pivoting injury, or direct impact c. hyperextension. valgus deformity c. lateral impact

pop c. immediate pain/swelling

nwb

+ lachman, anterior drawer, pivot shift

Answer 5

ACL

Question 6

MC lateral hip pain in adults from repetitive overload

tendinopathy

pain c. pressure over greater trochanter

pain c. walking, stairs, incline prolonged standing

TTP greater trochanter

Answer 6

greater trochanteric pain syndrome

Question 7

popping in hip when walking, rising form chair, swinging leg

Answer 7

snapping hip syndrome

Question 8

pain in groin, dull or sharp

radiates to lateral hip, ant. thigh, buttock

catching, clicking c. pain

Answer 8

labral tear of hip

MR arthrogram

conservative tx

Question 9

acetabular or femoral head pain.

bone abnormality or overgrowth in hip joint

groin or lateral hip pain

worse c. turn, twist, prolonged standing or squatting

Answer 9

femoroacetabular impingement

nsaids, pt,