Wed - soft tissue injury

Question 1

R.I.E.C.

Answer 1

rest
ice
elevation
compression

Question 2

Congenital defect in MTP (metatarsal phalengeal) joint causing bone spurs

Answer 2

Hallux rigidus

Question 3

Metatarsalgia.

How to releave?

Answer 3

Swelling of the metatarsal head.

Metatarsal pad that goes right under the metatarsal head

Question 4

Morton’s neuroma

Answer 4

Benign neuroma of an intermetatarsal plantar nerve, most commonly the second and third intermetatarsal spaces.

Question 5

Plantar Fasciitis

Treatment?

Answer 5

most common place that you see this is tip of the heel, slightly medial.

40-50 y/o range due to loss of elastin. low arches can cause it.

Hurts first thing in the morning, stepping on the hard floor.

Heel cup, arch suports, stretching, night splint that cocks foot up at 90 degrees

Question 6

What types of tissues cross link as we get older in connective tissue?

Answer 6

Elastins, sulfhydro-groups start to cross link. Loose elasticity.

Question 7

Achille’s tendon rupture test

Answer 7

Grab gastrocnemius and squeeze.

Question 8

Inversion sprain most common ligament tear

Answer 8

anterior talofibular

Question 9

ottawa rules for ankles

Answer 9

only xray if:
If you can’t take 3 steps and,

bone tenderness along distal 6cm of the posterior edge of the tibia or medial malleolus

bone tenderness along the distal 6cm of the posterior edge of fibula or lateral malleolus

bone tenderness of 5th metatarsal

Question 10

Extreme dorsiflexion of ankle results in tearing of what?

What type of sprain

Answer 10

tibiofibular ligament.

Syndesmotic sprain or high ankle sprain

Question 11

Pes anserine bursitis

Tx?

Answer 11

Pes anserine = goose’s foot

Sartorius, Gracilis, Semitendinosus.

Corticosteroid injection

Question 12

Small muscle that is on posterior leg, ruptured in dancer often

Answer 12

Plantaris muscle

Question 13

Osgood schlatters disease

Answer 13

Jumper knee, tibial tubercle apophyseal traction injury.

Question 14

O’ donoghue triad

Answer 14

MCL
ACL
Medial meniscus (often attached to MCL)

Question 15

Housemaid’s knee
Which bursa?
Who now-adays?

Answer 15

Prepattelar bursitis

Concrete men and carpenters

Question 16

Knee sprain common in women.

Answer 16

patellar sprain (chondromalacia patellae)
patella wants to move laterally if you have wide hips, which can cause uneven wearing of the subpatellar cartilage

Question 17

Chondromalacia patellae

Where exactly on the patellae?

Answer 17

Inflamation of the underside of the patella and softening of the cartilage. The cartilage under the patella is a shock absorber.

Question 18

Trochanteric bursitis
Clinical symptoms?
What type of muscles attach to the trochanter?
Tx?

Answer 18

“Cannot sleep on my side, cannot walk up a flight of stairs”

where abductor of legs attchs.

Corticosteroid injection

Question 19

Arthritis in hip is felt where?

Answer 19

anterior groin

Question 20

General name for a bony tubercle?

Answer 20

Apophysis