Musculoskeletal Day 5 Flashcards

1
Q

where are the menisci palpable?

A

joint line medially and laterally

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2
Q

where does the synovial cavity lie?

A

6cm above the upper border of patella in the supra patellar pouch

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3
Q

what is the largest joint cavity in the body?

A

knee joint cavity

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4
Q

when can you palpate the synovial cavity of the knee?

A

when it is swollen, inflamed or effused

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5
Q

where is prepatellar bursa?

A

lies b/w patella and overlying skin

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6
Q

where is the anserine bursa?

A

1-2 in below knee joint medially -under overlying tendons

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7
Q

where is the semimembranosus bursa?

A

large bursa that communicates with joint cavity

located on posterior and medial surfaces of the knee

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8
Q

a non-contact injury with a pop might indicated

A

ACL tear

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9
Q

contact injury with a pop might indicate

A

MCL, LCL tear,
meniscal tear,
fracture

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10
Q

acute swelling might indicate

A

ACL, PCL tear,
fracture,
knee dislocation,
patellar dislocation

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11
Q

lateral blow to the knee might indicate

A

MCL tear

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12
Q

medial blow to the knee might indicate

A

LCL tear

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13
Q

knee “gave out” or buckled might indicate

A
ACL tear (years of wear and tear)
patellar dislocation
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14
Q

fall onto a flexed knee might indicate

A
PCL tear (tibia gets driven backwards)
-rare in isolation
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15
Q

what would be a positive patellofemoral grinding test?

A

pain and crepitus when moving patella

-occurs with chondromalacia patella (softening of patella) “housewives knee” from being on your knees a lot

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16
Q

where does a popliteal baker’s cyst arise from?

A

gastroc semimembranosus bursa

17
Q

what is the most common injury in athletics?

A

ankle sprain

18
Q

which bones form the ankle joint?

A

tibia
fibula
talus

19
Q

where is most of the weight baring on the ankle joint?

A

tibia

20
Q

what is the subtalar joint?

A

b/w talus and calcaneus

give inversion and eversion

21
Q

where is the deltoid ligament located?

A

on the inside of the foot medially
protects against eversion
fans out from inferior surface of medial malleolus to the talus and proximal tarsal bones

22
Q

what are the lateral ligaments of the angle?

A

ATFL (ant. talofibular ligament)
CF (calcaneofibular ligament)
PTF (post. talofibular ligament)

23
Q

which ligament is more easily injured in an inversion and the most commonly sprained ligament in your body?

A

anterior talofibular ligament

24
Q

what should you consider when you find localized tenderness?

A

arthritis
ligamentous injury
infection

25
Q

when would a ligament not illicit tenderness?

A

no pathology

if it’s completely torn

26
Q

what is acute inflammation of 1st MTP suggestive of?

A

gout

27
Q

what is metatarsalgia?

A

pain or tenderness of the metatarsal heads

-seen in trauma, arthritis, vascular compromise

28
Q

when is an arthritic joint painful?

A

when moved in any direction and/or NWB

29
Q

when is a ligament sprain painful?

A

max pain when ligament is stretched

30
Q

what is a positive talar tilt test?

A

more than 5 degrees of rotation

31
Q

what would you be suspicious of if you had a painful callus?

A

plantar’s wart

32
Q

what is specific to plantar’s warts?

A

speckled (stippled) appearance