Midterm Adjustments

Question 1

Hip Supine: Bimanual Grasp/Distal Tibia Pull; Long Axis Distraction
LOD & SCP

Answer 1

LOD: Long Axis Distraction

SCP: Distal Tibia Superior to the Malleolus

Question 2

Bimanual Grasp/Proximal Femur; Internal Rotation
LOD & CP

Answer 2

LOD: Internal Rotation
CP: Inside hand grasps proximal Femur
DO NOT INTERLACE FINGERS

Question 3

Bimanual Grasp/Proximal Femur; External Rotation
LOD & CP

Answer 3

LOD: External Rotation
CP: With inside hand grasp proximal femur
DO NOT INTERLACE FINGERS

Question 4

Hypothenar/Proximal Femur, Lamar/Distal Femur Grasp; Anterior to Posterior Glide
LOD & Special reminder

Answer 4

LOD: A-P
** MUST BRING PATIENTS KNEE OVER MIDLINE

Question 5

Bimanual Grasp/Proximal Femur; Inferior Glide in Flexion
LOD & DP

Answer 5

LOD: Femoral Head moving S-l, but LOD = A-P
DP: Pt’s calf on Dr’s shoulder, TUCK ELBOWS IN

HAVE PATIENT GUARD

Question 6

Hypothenar/Trochanter push; long axis distraction: LOD, PP & DP

Answer 6

LOD: long axis distraction
PP: Side posture w/ Dorsum of foot in popliteal fossa
DP: Straddle patients involved leg

Question 7

Hypothenar/Proximal Femur, Palmar Distal Femur Grasp to Induce Posterior-to-Anterior Glide: LOD, PP & DP

Answer 7

LOD: P-A
PP: Prone
DP: Lift pt’s leg with their knee bent to 90 degrees with inside hand

Question 8

Bimanual Grasp/Proximal tibia with Knee Extension; Long axis distraction: LOD & Special Reminders

Answer 8

LOD: long axis distraction
** Dr thrust knees during thrust

Question 9

Reinforced Web/Proximal Tibia Push; Anterior-to-Posterior Glide in Flexion: LOD, PP & DP

Answer 9

LOD: A-P
PP: Supine w/ Knee & Hip in 90 degree flexion
DP: Stand o affected side with foot on table

Question 10

Bimanual Grasp/Proximal Tibia with Knee Extension; Internal or External Rotation in Extension: LOD

Answer 10

Rotation

Question 11

Hypothenar/Proximal Medial Tibia with Leg Stabilization; Medial-to-Lateral Glide: LOD & DP

Answer 11

LOD: M-L
DP: Stand on Outside of involved leg

Question 12

Hypothenar/Proximal Lateral Tibia with Leg Stabilization; lateral-to-Medial Glide: LOD & DP

Answer 12

LOD: L-M
DP: Stand on the involved side with caudal arm grasping distal tibia in the axilla

Question 13

Reinforced mid-hypothenar (knife edge) proximal tibia pull; posterior-to-anterior glide in flexion: LOD, DP, & CP

Answer 13

LOD: P-A
DP: stand @ foot of table with Dorsum of pt’s foot on shoulder
CP: Inside Hand on posterior proximal tibia

Question 14

Bimanual Grasp/Distal Tibia with Knee Thigh Stabilization; Internal or External Rotation in Flexion: LOD, DP & CP

Answer 14

LOD: rotation
DP: side of table placing your proximal tibia on pt’s distal femur (lightly)
CP: Grab distal tibia w/ interlaced fingers (NOT THE ANKLE)

Question 15

Bimanual Web/Patella; Superior Medial-to-Inferior Lateral Glide; Superior Lateral-to-Inferior Medial Glide; Inferior Medial-to-Superior Lateral Glide; Inferior Lateral-to-Medial Glide: LOD, DP & CP

Answer 15

LOD: Inferolateral, Inferomedial, Superolateral, or Superomedial
DP: Involved side if contacting lateral aspect of patella & Contralateral side if contacting the medial aspect of patella
CP: Reinforced Thumb

Question 16

Index/Proximal Fibula, Palmar Ankle Push Posterior-to-Anterior Glide in Flexion: LOD & CP

Answer 16

LOD: P-A
CP: 1st MCP posterior to fibular head after a L-M tissue pull

Question 17

Reinforced thumbs/Proximal Fibula; Anterior to Posterior Glide in Flexion: LOD & DP

Answer 17

LOD: A-P
DP: Either kneel or sit on pt’s foot to stabilize it

Question 18

Reinforced Mid-hypothenar (knife edge)/Proximal Fibula Pull; Posteriorto-Anterior Glide in Flexion: LOD & DP

Answer 18

LOD: P-A
DP: Dorsum of pt’s foot on Dr’s inside shoulder

Question 19

Reinforced Mid-hypothenar (knife edge/Proximal fibula push; Inferior-to-Superior Glide in Eversion: LOD, PP, DP & CP

Answer 19

LOD: I-S
PP: Leg you are adjusting on Dr’s inside anterior thigh
DP: pt’s involved foot rests against your thigh, maintaining pt’s ankle in eversion
CP: Knife edge or Double thumb

Question 20

Reinforced Mid-hypothenar (knife edge/Proximal Superior fibula push; Superior-to-Inferior Glide in Inversion: LOD, PP, DP

Answer 20

LOD: S-I
PP: Side-lying
DP: facing caudal