Msk Lower Extremities

Question 1

What is the 1st step in physical exam of msk lower extremities?

Answer 1

Inspect the skin for symmetry, pallor, edema, color changes, HAIR distribution

Question 2

What is the 2nd step in physical exam of msk lower extremities?

Answer 2

To PALPATE pulses
posterior tibial, dorsalis, pedis, popliteal and GRADE 2+

Question 3

What is the 3rd step in physical exam of msk lower extremities?

Answer 3

PALPATE calves for tenderness HOMAN’s sign and ankles for edema and grade

Question 4

What is the 4th step in physical exam of msk lower extremities?

Answer 4

Assess AROM and muscle strength of hips, knees, ankles, and feet AROM
Hips abduct/ adduct
Flex and extend
internal/ external rotation

KNEE flex/ extend
ankle dorsiflex/ plantarflex
inversion/eversion

Question 5

What are the msk special tests and what do they test for?

Answer 5

McMurray test- tests for torn meniscus (palpable auditory click)

ACL Lachman test- Laxity of ACL

Ballottement and bulge sign-patellar effusion

valgus and varus stress test collateral ligament injury performed at 0 degree 20- 30 degree

straight leg raise test- lumbar radiculopathy

thompson test- patient is prone tests for tendon rupture

Question 6

What do you check after doing special test?

Answer 6

Stabilize pelvis, test AROM of SPINE.
must be standing

AROM: flex, extend, hyperextend
rotate, lateral bend

Question 7

Describe varus and valgus

Answer 7

Varus bow legged

Valgus knock knee

Question 8

Peds correct technique for scolosis detection; girls 10-12 and boys 13-14

Question 9

what is barlow vs ortolani?