Measurements Flashcards
patella alta
greater than 1:1 (ratio of patella tendon length to the height of the patella)
patella baja
less than 1:1 (ratio of patella tendon length to the height of the patella)
normal angulation of the femoral neck after 8 years of age
15 degrees
anteversion/retroversion
increase from 20 degrees in the angulation of femoral neck (anteversion)
decrease - retroversion)
measuring tibial torsion
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
internal rotation of hip caused by
week external rotators or foot pronation
determining patellar tilt
if the heigh of the medial border is more anterior than the lateral than a positive lateral tilt exists
functional leg length
umbilicus to medial malleolous
true leg length
ASIS to lateral malleolous
girth measurements (knee)
8-10 cm above joint line, 2 cm above patella, joint line (tibial plateau), tibial tubercle, belly of gastroc
Q-Angle
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
normal Q angle
10 degrees for males
15 degrees for females
pathological Q ANGLE
exceed 20 degrees
can cause improper patellar tracking in the femoral groove
A Angle
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
pathological A angle
greater than 35 degrees = patellofemoral pathomechanics
apparent discrepancy (leg length)
leg shortening can occur as a result of lateral pelvic tilt (obliquely) or from flexion or adduction deformity
function discrepancy (leg length)
deformity (ex. valgus knee) that cannot be treated or fixed
anatomical discrepancy
shortening equal throughout the femur or lower leg
angle of inclination
angular relationship of the femoral head and the femoral shaft
increase in the angle of inclination
coxa valga, 140 or greater