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Lower Quarter
Diagnoses
Question | Answer |
---|---|
Achilles Tendon Rupture | -unexpected dorsiflexion while weight bearing OR forceful eccentric contraction of the plantar flexors -"weekend warriors" men 30-50 y.o. -impaired blood flow & repeated microtrauma - + Thompson test (unable to stand on toes) |
ACL sprain-grade III | -Young athletic females -poor blood supply in that area -hyperflexion, rapid deceleration, hyperextension -usually an associated meniscal repair -Anterior drawer, Lachman, Lateral pivot shift, & Solcum tests |
MCL sprain-grade II | -Valgus stress test -Return to previous function: 4-8 weeks -partial tearing of ligament= joint laxity upon stretch |
Patellofemoral Syndrome | -Clarke's Sign -Adolescent females -damage to patellar articular cartilage |
Plantar Fasciitis | -chronic overuse -excessive foot PRONATION during loading in gait -severe heel pain upon standing in AM |
Total Hip Arthroplasty | -55+ with severe pain that cannot be relieved through conservative measures -Posterolateral approach: posterior capsule interrupted, but aBductor muscles in tact -Cemented: WBAT (PWB)/ Non-Cemented: TTWB 6 wks. |
Total Knee Arthroplasty | -damaged articular cartilage due to Osteoarthritis -Post. Op: knee immobilizer, CPM, Cryotherapy, Elevation, etc. |
Transfemoral Amputation (AK-Above Knee) | |
Transtibial Amputation (BK-Below Knee) |