Unit 4 Clinical Notes Flashcards
A fracture to the ___ femur would include the neck of the femur and interochanteric line.
Proximal femur
Your patient is complaining pain in the groin area. What type of bursitis do you suspect your patient to have?
Iliopsoas bursitis
Your patient is experiencing sharp, intense pain in the LATERAL hip and thigh. What type of bursitis do you suspect your patient to have?
Trochanteric burstis
Your hip patient that you have been working with for a couple of months pain has not been getting any better. You decide to look into other options that would remove the pain. What method are you suggesting to your patient?
Total hip arthroplasy ( Aka total hip replacement)
Caused by a blow to the knee or secondary to foot twisting would have an ___ ( Tibia slides anteriorly under femur when the femur is stabilized). What is the clinical manifestation?
Anterior draw sign
Clinical manifestation: ACL Tear
A tear that is uncommon and can be caused by motor vehicle accident or fall on flexed knee. Would result in ___ ( Tibia slides posteriorly under femur when the femur is stabilized) on the femur. What is the clinical manifestation?
Posterior draw sign
Clinical manifestation: PCL Tear
What syndrome would result in repetitive microtrauma from the patella abnormally tracking on the femur? Will cause inflammation.
patellofemoral syndrome
What is the clinical diagnosis?
Genm Varum (bow-legged)
What is the clinical diagnosis?
Genm Vagum ( Knock-kneed)
Done Because of O.A. or D.J.D
Total knee arthroplasty
Your patient is a gymnast and came to you expressing pain in the distal 2/3 tibia. You notice edema on the tibialis anterior. What do you suspect?
Shin Splints
The clinical manifestation typically happens when bearing weight on plantarflexed foot; foot inverts + rolls, tearing LCL’s of ankle.
Ankle sprains
What is the clinical manifestation of a dysfunction of tibiaus posterior causing lateral deviation of forefoot (Fallen arch).
Pes planus
What is the clinical manifestation of lateral deviation of great toe; usually a result of D.J.D
Hallux valgus
What type of fracture is this?
Fracture of calcaneus
What type of fracture is this?
Fracture of metatarsal
What type of fracture is this?
Distal fibular fracture
What type of fracture is this?
Proximal tibial or fibular fracture
What syndromes result from entrapment of sciatic nerve ?
Deep Gluteal syndrome and piriformis syndrome
Your patient is experiencing pain in the buttocks, hip, and low back and numbness (paresthesia) of the thigh/leg and variable weakness of muscles. You suspect your patient has?
Entrapment of sciatic nerve
What is the clinical manifestation of weakness in hip adbductors, and presenting as a positive trendeleburg sign (hip drops on side opposite paralyzation)?
Superior Gluteal nerve injury
What would be the clinical mainfestation when the common fibular nerve is injured?
Foot drop
The deep fibular nerve affects __ compartment of the leg?
Anterior
The superficial fibular nerve affects __ compartment of the leg?
lateral
What ligamet is most commonly injured during an ankle sprain?
Medial Collateral Ligament
Lateral Collateral Ligament
Lateral Collateral Ligament
True or False: Pes Planus is caused by weakness of the tibialis posterior muscle.
True
Pes Plus= flat feet
Hallux Valgus is caused by what anatomical changes?
Lateral deviation of the small toe
Medial deviation of the small toe
Lateral deviation of the big toe
Medial deviation of the big tow
Lateral deviation of the big toe
When the femoral artery travels through the adductor tunnel and exits the adductor hiatus it then becomes what artery?
Lower femoral artery
Tibial artery
Popliteal artery
Posterior tibial artery
Popliteal artery
What artery do you take a pulse to asses the blood supply to the foot and ankle?
Femoral artery
Anterior Tibial artery
Dorsalis Pedis
Posterior Tibial artery
Dorsalis pedis
How do you locate the dorsalis pedis artery to take a pulse?
Lateral to the extensor hallicus and inferior to the ankle joint
Medial to the extensor hallicus longus and inferior to the ankle joint
Lateral to the extensor hallicus and inferior to the ankle joint
Which muscle is responsible for hip extension?
Gluteus Maximus
Gluteus Medius
Gluteus Minimus
All of the above
Gluteus Maximus
The adductor Magnus is innervated by what nerve?
Obturator Nerve
Tibial nerve
All of the above
None of the above
(All of the above)
Tibial AND Obturator nerve
What structure forms the roof of the adductor canal?
Sartorius
