week 5 Flashcards
Where is an injection to the glut given if it causes a limp?
What nerve did it hit?
- Superior medial portion
- superior gluteal nerve which innervates the gluteus medius
What exam confirms that superior gluteal nerve was knicked?
Trundelenburg
What aspect of gait is compromised with gluteus medius weakness due to superior gluteal nerve being knicked?
Swing phase of uninjured leg and stance phase of injured leg
Exams to confirm hamstring tear
- limited ROM in extension of hip and flexion of knee
- can also order MSK ultrasound to look for fluid in area
What portion of gait would be affected by hamstring injury?
step length:decreased flexion of hip as well as decreased control the end of swing
What peripheral nerve would result in foot drop?
Deep fibular nerve
What is the nerve foot of the deep fibular nerve
L4,L5, or S1
What muscles would be affected by deep fibular nerve
anterior compartment of lower leg
What phase of gait would be most affected with damage to deep fibular nerve?
-end swing: because of foot being unable to dorsiflex
How do patients compensate for foot drop?
-swing foot (circumduct leg) or high step
Most likely cause of foot drop in clinic
fracture to fibular head or tibia compressing on deep fibular artery
Stages of gait
-right heel contact; double support; left pre swing; right single support while left is in swing phase; left heel contact; double support; right pre-swing; left single support while right swing phase; right heel contact; REPEAT
Hemiplegic gait
- type
- description
- neurologic
- cirumducting leg on contralateral side of where stroke occurred
High steppage gait
-type
-neurologic
Shuffeling gait
- type
- occurs in
- description
- neurologic
- Parkinsons
- Knees and hips always flexed, use head to move forward; the longer they walk the faster they get
