Module 3: LE Part 2

Question 1

pain over greater trochanter

Answer 1

greater trochanteric bursitis

Question 2

pain down lateral leg going into knee

Answer 2

TFL syndrome

Question 3

pain from pressure over piriformis with possible radiation down into leg

Answer 3

sciatic nerve entrapment

Question 4

impact of injury/causes of internal rotated hip

Answer 4

kinetic chain, muscle imbalance, pelvis, spine, congenital

Question 5

signs of external rotation

Answer 5

limited IR, tenderness at posterior greater trochanter, weak TFL

Question 6

break up hip adhesions with

Answer 6

scouring, distraction, other techniques that involve soft tissue

Question 7

sub patellar ache with grinding upon movement
aching in knee if sitting longer than an hour
chronic muscle imbalance

Answer 7

chondromalacia patella

Question 8

what should you muscle test with chondromalacia patella

Answer 8

VMO and VL

Question 9

what shuts down the VMO

Answer 9

post trauma

Question 10

pain from medial tracking patella, medial facet friction against medial femoral condyle

Answer 10

patello-femoral arthralgia

Question 11

pain when walking up hill

Answer 11

VM with weakness in VL

Question 12

pain from lateral tracking of the patella, lateral facet friction against lateral femoral condyle

Answer 12

excessive lateral pressure syndrome (ELPS)

Question 13

what can increase Q angle causing lateral tracking of patella

Answer 13

foot pronation

Question 14

pain walking down hill or down stairs

Answer 14

uses more VL, may have weaker or fatigued VM

Question 15

rule of 3

Answer 15

3 minutes a day
3x a day
3 days or until

Question 16

movement that makes the best VMO/VL balance

Answer 16

lunge

Question 17

consider what with Patellofemoral Pain Syndrome (PFPS)?

Answer 17

foot, hip, pelvis, core

Question 18

Dr. Mansion approach to ELPS

Answer 18

sartorius, gracilis, semitendinosis (medial knee stabilizers)

Question 19

Quads to Hams muscle strength ratio

Answer 19

4:3 or 3:2

Question 20

height of the patella should equal the

Answer 20

distance between the lowest pole of patella and tibial tubercle

Question 21

Q angle for males

Answer 21

8-14 degreees

Question 22

Q angle for women

Answer 22

17-17 degrees

Question 23

what increases Q angle

Answer 23

pronation

Question 24

what may indicate potential displacement of patella

Answer 24

Q angle over 20 degrees

Question 25

how does the patella most commonly subluxate

Answer 25

superior and/or lateral

Question 26

what indicates knee adjsutment

Answer 26

non-specific ache in knee
crepitus with movement
painful walking up/down stairs
knee aches after sitting

Question 27

main reasons for locking of knee

Answer 27

1. ) joint mouse
2. ) quad spasm during sport
3. ) contraction of quad into intercondylar groove

Question 28

ligament that plays key role in patella tracking, primary medial stabilizer of the knee

Answer 28

medial patellofemoral ligament

Question 29

ratio of tibial rotation

Answer 29

3:1 medial to lateral

Question 30

for patients up to 225lbs, what kind of knee brace to recommend

Answer 30

1 hinge that is adjustable on the lateral side

Question 31

ankle dorsiflexion causes fibula to go

Answer 31

superior and posterior

Question 32

ankle plantarflexion causes fibular to go

Answer 32

inferior and anterior

Question 33

Steinman sign if pain moves as knee is flexed and extended or pain completely disappears

Answer 33

peripheral medical meniscal tear

Question 34

if pain stays in spot during Steinmans sign

Answer 34

deep meniscus tear

Question 35

Wilsons Test

Answer 35

knee flexed and internally rotated, extend knee until pain occurs then externally rotate at current point of flexion, if external rotation alleviates pain–>osteochondritis dessicans

Question 36

what is plica syndrome

Answer 36

result of remnant of fetal tissue in knee that typically diminishes in 2nd trimester

Question 37

how to help with plica syndrome

Answer 37

rest
control inflammation
cortisone
surgical resection

Question 38

what does wobble to the knee do?

Answer 38

reset condyle and plateau

Question 39

RMT for posterior tibia

Answer 39

popliteus

Question 40

mechanism of injury on posterior tibia

Answer 40

hyperextension, blow to anterior leg, repetitive kneeling, landing hard on flexed knee

Question 41

Baker’s cyst treatment

Answer 41

ice 3x a day for 3 weeks

Question 42

fibula moves what directions with dorsiflexion

Answer 42

posterior, superior, lateral

Question 43

fibula motion is controlled by

Answer 43

ankle/talus

Question 44

compartments of the leg

Answer 44

anterior, lateral, deep posterior, superficial posterior

Question 45

Five P’s of compartment syndrome

Answer 45

pain, pallor, pulselessness, paresthesia, paralysis

Question 46

three types of compartment syndrome

Answer 46

1. ) Traumatic
2. ) Acute Exertional
3. ) Chronic Exertional

Question 47

Chronic exertional compartment syndrome is

Answer 47

secondary to anatomic abnormalities obstructing blood flow in exercising muscles

Question 48

intermittent claudication seen in

Answer 48

chronic exertional compartment syndrome

Question 49

symptoms occur during or after exercise. intense pain with tightness, possible burning/tingling

Answer 49

Acute Exertional

Question 50

medial tibial stress syndrome occurs in

Answer 50

15% of running injuries due to excessive pronation