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Lower Quarter

Diagnoses

QuestionAnswer
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)
Created by: s1234