UW revision stress fracture/patelofemoral/pes anserinus

Question 1

Stress fracture table. risk factors, sport?

Answer 1

Repetitive activities (running, military marching)
Abrupt increase in physical activity volume and intensity

Question 2

Stress fracture table. risk factors, endocrine/GI?

Answer 2

Low BMI from inadequate nutrition, malabsorption, estrogen deficiency in women (eg functional hypothalamic amenorrhea)

Question 3

Stress fracture table. CP?

Answer 3

Insidious, gradual worsening onset of localized pain
Point tenderness at fracture site
Usually negative xray in the first 2-3 weeks

Question 4

Stress fracture table. Mx? 2

Answer 4

Analgesia and reduced weight bearing
Referral to orthopedic surgeon for high-risk fracture (eg anterior tibial cortex, 5th metatarsal)

Question 5

Q. Arthritis?

Answer 5

Typically occurs in the metatarsal-phalangeal joints and is not localized to a single bony surface.

Question 6

Typically occurs in the metatarsal-phalangeal joints and is not localized to a single bony surface.

Answer 6

Q. Arthritis

Question 7

Q. Bursitis?

Answer 7

Caused by wearing poor-fitting shoes for extended period, leading to inflammation between the metatarsal heads

Question 8

Caused by wearing poor-fitting shoes for extended period, leading to inflammation between the metatarsal heads

Answer 8

Q Bursitis

Question 9

Q. Plantar fasciitis?

Answer 9

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.

Question 10

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.

Answer 10

Q Plantar fasciitis

Question 11

Patellofemoral pain syndrome (PFPS).
in general CP and in what patients?

Answer 11

Chronic, poorly localized anterior knee pain in young women.

Question 12

Patellofemoral pain syndrome (PFPS). by convention, the pain is not due to intraarticular or peripatellar disorders.

Answer 12

.

Question 13

Patellofemoral pain syndrome (PFPS). etiology?

Answer 13

variable.
Contributing factors: overuse, malalignment, acute injury to the knee

Question 14

Patellofemoral pain syndrome (PFPS). Dx how is made?

Answer 14

clinical
imaging - to rule out other causes

Question 15

Patellofemoral pain syndrome (PFPS). CP for Dx. what aggravates pain?

Answer 15

running, negotiating stairs, prolonged sitting.

Question 16

Patellofemoral pain syndrome (PFPS). CP for Dx. Quadriceps? malalignment?

Answer 16

Atrophy or weakness of the quadriceps or hip abductors.
Rotational or varus/valgus malalignment

Question 17

Patellofemoral pain syndrome (PFPS). CP for Dx. Provocation of pain test?

Answer 17

Tonic contraction of the quadriceps with the knee flexed (eg squating, lunging) strongly suggests diagnosis.

Question 18

Patellofemoral pain syndrome (PFPS). Mx?

Answer 18

Strengthening exercises for quadriceps and hip abductors; a short course of NSAIDs can also help.

Question 19

Pes anserinus. risk factors?

Answer 19

obesity, DM, OA, angular deformity of the knee.
Can be caused by abnormal gait, overuse, trauma.

Question 20

Pes anserinus. CP?

Answer 20

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.

Question 21

Pes anserinus. Dx?

Answer 21

Clinical. Xray excludes OA

Question 22

Pes anserinus. Mx?

Answer 22

Quadriceps strengthening exercises and NSAIDs

Dar kitur buvo rest.
Exercises need to stabilize the knee.