WRITTEN EXAM #3 (ORTHOPEDIC ASSESSMENT) - MSAT 6300
ACTUAL QUESTIONS WITH COMPLETE SOLUTIONS RATED
100% PASS
Ottawa Knee Rules
refer a patient for knee x-rays in the presence of any of the following
- age 55 years or older
- tenderness at head of fibula
- isolated tenderness of patella
- inability to flex to 90 degrees
- inability to bear weight (4 steps) both immediately and at time of evaluation
Ballotable Patella
to examine the knee swelling or knee effusion
Sweep Test for Intracapsular Swelling/Effusion
knee joint effusion
Joint Play: proximal Tib-Fib Syndesmosis
moving the proximal fibular anteriorly and posteriorly
Meniscus Tear: History
- acute
- MOI: tibial rotations, knee flexion, valgus/varus stress
- pain characteristics: medial/lateral joint lines, locking/catching
Meniscus Tear: Inspection
,joint effusion 24 - 48 hours post-injury
Meniscus Tear: Palpation
- TTP along joint line (w/ crepitus)
- palpable cyst
Meniscus Tear: Special Tests
- AROM/PROM: decreased @ end range flexion or extension
- mechanical block due to defect
- MMT: typically unremarkable
Meniscus Tear: Clinical Diagnostics
- Thessaly Test
- McMurray Test
- Apley Compression/Distraction Test
Meniscus Tear: Differential Diagnoses
- PCL sprain
- ACL sprain
- MCL sprain
Iliotibial Band Friction Syndrome: History
- insidious/chronic
- MOI: repetitive flexion and extension
- pain characteristics: over lateral femoral condyle
Iliotibial Band Friction Syndrome: Inspection
postures that are at risk
Iliotibial Band Friction Syndrome: Palpation
, TTP over lateral femoral condyle
Iliotibial Band Friction Syndrome: Special Tests
- AROM/PROM: wnl
- MMT: weakness w/ hip abduction
Iliotibial Band Friction Syndrome: Clinical Diagnostics
- Noble Compression Test
- Ober (ITB tightness) Test
Iliotibial Band Friction Syndrome: Differential Diagnoses
- quadriceps strain
- LCL sprain
- Lateral meniscus tear
Popliteus Tendinopathy
- onset: chronic (repetitive)
- MOI: squatting activities and running downhill (popliteus is active in preventing
posterior shift of tibia on the femur)
- 16.7% occur with ACL injuries
- 29.2% occur with PCL injuries
- pain presents like ITB friction syndrome @ proximal insertion
- risk factors: pronation, running downhill
- inhibition/dysfunction of muscle may predispose lateral meniscus tear
Osteochondral Lesions: History
ACTUAL QUESTIONS WITH COMPLETE SOLUTIONS RATED
100% PASS
Ottawa Knee Rules
refer a patient for knee x-rays in the presence of any of the following
- age 55 years or older
- tenderness at head of fibula
- isolated tenderness of patella
- inability to flex to 90 degrees
- inability to bear weight (4 steps) both immediately and at time of evaluation
Ballotable Patella
to examine the knee swelling or knee effusion
Sweep Test for Intracapsular Swelling/Effusion
knee joint effusion
Joint Play: proximal Tib-Fib Syndesmosis
moving the proximal fibular anteriorly and posteriorly
Meniscus Tear: History
- acute
- MOI: tibial rotations, knee flexion, valgus/varus stress
- pain characteristics: medial/lateral joint lines, locking/catching
Meniscus Tear: Inspection
,joint effusion 24 - 48 hours post-injury
Meniscus Tear: Palpation
- TTP along joint line (w/ crepitus)
- palpable cyst
Meniscus Tear: Special Tests
- AROM/PROM: decreased @ end range flexion or extension
- mechanical block due to defect
- MMT: typically unremarkable
Meniscus Tear: Clinical Diagnostics
- Thessaly Test
- McMurray Test
- Apley Compression/Distraction Test
Meniscus Tear: Differential Diagnoses
- PCL sprain
- ACL sprain
- MCL sprain
Iliotibial Band Friction Syndrome: History
- insidious/chronic
- MOI: repetitive flexion and extension
- pain characteristics: over lateral femoral condyle
Iliotibial Band Friction Syndrome: Inspection
postures that are at risk
Iliotibial Band Friction Syndrome: Palpation
, TTP over lateral femoral condyle
Iliotibial Band Friction Syndrome: Special Tests
- AROM/PROM: wnl
- MMT: weakness w/ hip abduction
Iliotibial Band Friction Syndrome: Clinical Diagnostics
- Noble Compression Test
- Ober (ITB tightness) Test
Iliotibial Band Friction Syndrome: Differential Diagnoses
- quadriceps strain
- LCL sprain
- Lateral meniscus tear
Popliteus Tendinopathy
- onset: chronic (repetitive)
- MOI: squatting activities and running downhill (popliteus is active in preventing
posterior shift of tibia on the femur)
- 16.7% occur with ACL injuries
- 29.2% occur with PCL injuries
- pain presents like ITB friction syndrome @ proximal insertion
- risk factors: pronation, running downhill
- inhibition/dysfunction of muscle may predispose lateral meniscus tear
Osteochondral Lesions: History
