Measurements Flashcards

1
Q

patella alta

A

greater than 1:1 (ratio of patella tendon length to the height of the patella)

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2
Q

patella baja

A

less than 1:1 (ratio of patella tendon length to the height of the patella)

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3
Q

normal angulation of the femoral neck after 8 years of age

A

15 degrees

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4
Q

anteversion/retroversion

A

increase from 20 degrees in the angulation of femoral neck (anteversion)

decrease - retroversion)

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5
Q

measuring tibial torsion

A

pt kneels on stool with foot relaxed
line drawn from center of thigh and lower leg, bisecting the middle of the heel and the bottom of the foot

another line starts at center of middle toe and crosses the heel

angle of more or less than 15 degrees measures tibial torsion

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6
Q

internal rotation of hip caused by

A

week external rotators or foot pronation

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7
Q

determining patellar tilt

A

if the heigh of the medial border is more anterior than the lateral than a positive lateral tilt exists

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8
Q

functional leg length

A

umbilicus to medial malleolous

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9
Q

true leg length

A

ASIS to lateral malleolous

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10
Q

girth measurements (knee)

A

8-10 cm above joint line, 2 cm above patella, joint line (tibial plateau), tibial tubercle, belly of gastroc

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11
Q

Q-Angle

A

draw line from middle of patella to the ASIS

draw line from tibial tubercle through center of patella

measured with the knee fully extended and the knee flexed at 30 degrees

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12
Q

normal Q angle

A

10 degrees for males

15 degrees for females

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13
Q

pathological Q ANGLE

A

exceed 20 degrees

can cause improper patellar tracking in the femoral groove

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14
Q

A Angle

A

measures the patella orientation to the tibial tubercle

line that bisects the patella longitudinally and a line from the tibial tubercle to the apex of the inferior pole of the patella

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15
Q

pathological A angle

A

greater than 35 degrees = patellofemoral pathomechanics

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16
Q

apparent discrepancy (leg length)

A

leg shortening can occur as a result of lateral pelvic tilt (obliquely) or from flexion or adduction deformity

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17
Q

function discrepancy (leg length)

A

deformity (ex. valgus knee) that cannot be treated or fixed

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18
Q

anatomical discrepancy

A

shortening equal throughout the femur or lower leg

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19
Q

angle of inclination

A

angular relationship of the femoral head and the femoral shaft

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20
Q

increase in the angle of inclination

A

coxa valga, 140 or greater

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21
Q

normal angle of inclination

A

about 130

22
Q

decrease in the angle of inclination

A

110 or less coxa vara

23
Q

coxa valga associated with

A

genu varum or laterally positioned patellae, reduced mechanical adv of glute mede

24
Q

coxa vara associated with

A

genu valgum or medial patella (squinting), reduced mechanical adv of glute mede

25
Q

anteverted femur

A

increases of greater than 20 degrees (angle of torsion)

causes internal femoral rotation, squinting patellae, toe in (pigeon toed), decrease in external rotation, and an increase in internal rotation

26
Q

retroverted femur

A

angel of torsion is less than 15 degrees

results in toe out, lateral patella, decrease in hip internal rotation and an increase in external rotation.

27
Q

Nelaton’s line

A

draw from ASIS to ischial tuberosity

location of greater tuberosity superior to this line indicates coxa vara

28
Q

T3 lines up with

A

medial border of the scapular spine

29
Q

T7 lines up with the

A

inferior angle

30
Q

C7

A

prominent bulge seen in neck flexion

31
Q

T1

A

right below C7, does not disappear in ext

32
Q

C1

A

finger’s breadth below mastoid processes

33
Q

L3

A

normally lines up with umbilicus

34
Q

L4

A

level with iliac crest

35
Q

L5

A

dimples

36
Q

S2

A

PSIS`

37
Q

L1-L2 motor neuron testing

A

Lumbar Plexus

38
Q

L3 motor neuron testing

A

femoral nerve

39
Q

L4-L5 motor neuron testing

A

Deep peroneal neuron

40
Q

S1 motor neuron testing

A

superficial peroneal

41
Q

S2 motor neuron testing

A

tibial nerve and common peroneal nerve

42
Q

C5 motor neuron testing

A

Axillary nerve

43
Q

C4 motor neuron testing

A

dorsal scapular

44
Q

C6 motor neuron testing

A

musculotaneous

45
Q

C7 motor neuron testing

A

radial

46
Q

C8 motor neuron testing

A

median

47
Q

T1 motor neuron testing

A

medial branch cutaneous

48
Q

deep tendon reflex at biceps and brachioradialis

A

musculotaneous

49
Q

deep tendon reflex at triceps

A

radial

50
Q

carrying angle

A

10-15 women; 5-10 men

increased (cubitus valgus)
decreased (cubitus varus)

51
Q

tibia angled medially more than 5 degrees (relative to femur)

A

genu valgum

increase pressure on lateral joint, medially - tensile forces, foot pronation, internal tibial rotation, medial patellar position, internal femoral rotation (anteversion)

52
Q

tibial angled laterally more than 5 degrees (relative to femur

A

increased tension on lateral forces, compression on medial joint structures, foot supination, external tibial rotation, lateral patella position, external femoral rotation (retroversion)