Practice Exam 2 Flashcards
Stress fracture imaging preference
1) X-ray
2) bone scan
Following normal xrays, which imaging technique is appropriate for suspected labral tear or bankart lesson?
MR arthrogram
Tietze syndrome
Common in younger athletes and may be caused by chest impact
Typically will have swimming and tenderness in costochondral junctions
Rib fracture symptoms
Pain with breathing
Tenderness and crepitus
Contraindication for spinal manipulation
Active infection
Bone cancer
Severe osteoporosis
Pregnant females is just a precaution, not contraindication
What is the most definitive test for measuring femoral anteversion/retroversion?
Craig’s test (outside of imaging)
Anteversion
Angle greater than 15 deg
Compensations: lateral tibial rotation, lateral rotation at knee, compensatory lumbar rotation to same side
Normal alpha angle of hip
45 degrees
>50 may be consistent with csm impingement
Crossover in hip imaging
Anterior rim lies lateral to posterior rim means acetabular retroversion
Pincer impingement
Plyometric activity parameters
2 sessions per week
200 contacts per session
Work:rest ratio of 1:5 to 1:10 for high-intensity
Time for RTP following SLAP repair
12 months
Best tests for SLAP tear
Crank test
Resisted supination external rotation test
Stage I lisfranc
Minimal to no diastasis or arch height loss
Does have increased bony uptake
Stage II Lisfranc sprain
2-5 mm diastasis between 1st and 2nd metatarsals
No loss of arch height
Stage III Lisfranc sprain
> 5 mm diastasis
Loss of arch height
Mallet dinger conservative approach
Splint DIP in hyper extension
Splint game keeper’s thumb
Plastic with the thumb in FLEXION and lunar deviation
TFCC sprain conservative approach
Splint with plastic to restrict elbow and wrist region
PROM begins at 6 weeks
Wingate test
Widely used protocol for muscle power and indirectly aerobic capacity.
Max cycle for 30 seconds
Best imaging for OCD lesion
MRI
Normal healing times for liver
3-6 months
Freiberg’s test
Forceful IR of extended hip which elicits butt pain by stretching piriformis muscle
Micro fracture precautions
8 weeks of no more than 30 pounds WB’ing
When are ACL re ruptures highest?
Returning to play within first 12 months.
After 12 months, graft rupture rTes were not significantly greater than sustaining C/L injury
(Indicates that graft strength and muscle function are achieved a year post-op)