UW revision stress fracture/patelofemoral/pes anserinus 03-10 (1) Flashcards
Stress fracture table. risk factors, sport?
Repetitive activities (running, military marching)
Abrupt increase in physical activity volume and intensity
Stress fracture table. risk factors, endocrine/GI?
Low BMI from inadequate nutrition, malabsorption, estrogen deficiency in women (eg functional hypothalamic amenorrhea)
Stress fracture table. CP?
Insidious, gradual worsening onset of localized pain
Point tenderness at fracture site
Usually negative xray in the first 2-3 weeks
Stress fracture table. Mx? 2
Analgesia and reduced weight bearing
Referral to orthopedic surgeon for high-risk fracture (eg anterior tibial cortex, 5th metatarsal)
Q. Arthritis?
Typically occurs in the metatarsal-phalangeal joints and is not localized to a single bony surface.
Typically occurs in the metatarsal-phalangeal joints and is not localized to a single bony surface.
Q. Arthritis
Q. Bursitis?
Caused by wearing poor-fitting shoes for extended period, leading to inflammation between the metatarsal heads
Caused by wearing poor-fitting shoes for extended period, leading to inflammation between the metatarsal heads
Q Bursitis
Q. Plantar fasciitis?
Burning pain in plantar area of the foot, typically severe with the first steps in the morning. Common in runners, local point tenderness on the PLANTAR aspect of the foot.
Burning pain in plantar area of the foot, typically severe with the first steps in the morning. Common in runners, local point tenderness on the PLANTAR aspect of the foot.
Q Plantar fasciitis
Patellofemoral pain syndrome (PFPS).
in general CP and in what patients?
Chronic, poorly localized anterior knee pain in young women.
Patellofemoral pain syndrome (PFPS). by convention, the pain is not due to intraarticular or peripatellar disorders.
.
Patellofemoral pain syndrome (PFPS). etiology?
variable.
Contributing factors: overuse, malalignment, acute injury to the knee
Patellofemoral pain syndrome (PFPS). Dx how is made?
clinical
imaging - to rule out other causes
Patellofemoral pain syndrome (PFPS). CP for Dx. what aggravates pain?
running, negotiating stairs, prolonged sitting.
Patellofemoral pain syndrome (PFPS). CP for Dx. Quadriceps? malalignment?
Atrophy or weakness of the quadriceps or hip abductors.
Rotational or varus/valgus malalignment
Patellofemoral pain syndrome (PFPS). CP for Dx. Provocation of pain test?
Tonic contraction of the quadriceps with the knee flexed (eg squating, lunging) strongly suggests diagnosis.
Patellofemoral pain syndrome (PFPS). Mx?
Strengthening exercises for quadriceps and hip abductors; a short course of NSAIDs can also help.
Pes anserinus. risk factors?
obesity, DM, OA, angular deformity of the knee.
Can be caused by abnormal gait, overuse, trauma.
Pes anserinus. CP?
Localized pain over the anteromedial tibia – exacerbated from the opposite knee while lying on the side.
Well defined area of tenderness over the MEDIAL TIBIAL condyle just below the joint line. Swelling, erythema, induration are typically absent.
Pes anserinus. Dx?
Clinical. Xray excludes OA
Pes anserinus. Mx?
Quadriceps strengthening exercises and NSAIDs
Dar kitur buvo rest.
Exercises need to stabilize the knee.
