Soft TIssue Injury

Question 1

What is turf toe? WHat is the treatment?

Answer 1

Turf toe is a sprain or capsule inflammation of the MP joint of the great toe. It will be painful when they bend the toe up.

the treatment is just rest.

Question 2

WHere do Morton’s neuromas usually form? WHat causes it?

Answer 2

between the 3rd and 4th toe

wearing shows that are too tight

Question 3

What is plantar fasciitis? WHat will the symptoms be?

Answer 3

It’s inflammation and microtears of hte plantar fascia, which runs from the heel to the toes.

It usually hurts most at the insertion site on the heel.

Usually worse right away in the mornign when they step out of bed

Question 4

What are the treatments for plantar fasciitis?

Answer 4

put a heel cup in the shoe to rest the area

if caused by pes planus (flat arches), get inserts

wear posterior cock-up splints at night

steroid shots or surgery very uncommon

stay hydrated and stretch the area.

Question 5

What is the layman’s term for plantar fasciitis?

Answer 5

heel spur

although this has nothing to do with it

Question 6

Why are achilles tendon tears more common in middle aged and older individuals?

Answer 6

because the tendon has elastin in it and the sulfhydryl groups in the elastin begin to cross link as we age, thus, the elastin doesn’t stretch as easily and it can tear

Question 7

Which achilles tendon ruptures will heal better, distal or proximal?

Answer 7

proximal - the ones involving the muscle will heal better

Question 8

What are the Ottawa rules used for?

Answer 8

determining whether to x-ray a likely ankle sprain

Question 9

What are the Ottawa rules?

Answer 9

x-ray if…

they can’t bear weight for more than 4 steps

pain over medial maleolus or distal tibia

pain over lateral malleolus or distal fibula

pain over 5ith MP joint

pain over navicular bone

Question 10

Which ligament is most commonly sprained in an inversion ankle sprain?

Answer 10

the anterior talofibular ligament

Question 11

What causea a syndesmotic sprain?

Answer 11

forced dorsiflexion of the foot.

you get a syndesmotic tear of the talofibular ligament, which can go all the way up the leg and sometimes fracture the fibula

this will require surgery

Question 12

Which three muscles insert into the pes anserinus, covering the bursa involved in pes anserine burisits?

Answer 12

sartorius

gracilis

semitendinosus

Question 13

What is osgood schlatter’s disease?

Answer 13

jumper’s knee

a tibial tubercle apophyseal traction injury

Question 14

Why should you ask someone with knee pain how quickly it swelled up?

Answer 14

more serious sprains will swell immediately

less severe injuries won’t appear swollen for a few days later

Question 15

Which muscle atrophies quickly in the knee with dissues, suggesting injury?

Answer 15

the vastus medilis obliquus

Question 16

What test do you use to look for an ACL tear? PCL tear?

Answer 16

ACL: anterior drawer and lochman’s

PCL: posterior drawer

Question 17

What test is used to test for meniscal tears?

Answer 17

McMurray’s - feel for clicks or pain

Question 18

Which bursa is inflammed in housemaid’s knee?

Answer 18

prepattelar bursitis

Question 19

What is patelofemoral syndrome?

Answer 19

the cartilage of the patella gets irritated - most commonly in women because women have wider pelvises and the patella always wants to move laterally slightly

Question 20

What muscle needs to be strengthened in patellofemoral syndrome?

Answer 20

the vastus medialis obliquus

Question 21

What test do you use for patellorfemoral syndrome?

Answer 21

the patellar grind test

Question 22

What muscles lies over the trochanteric bursa and can cause inflammation bursitis in the hip joint?

Answer 22

the abductor of the hip

Question 23

When do people with trochanteric bursitis most often experience pain?

Answer 23

when they lay on their sides or climb up stairs