Term
|
Definition
| double squat, single squat, step up/down test, Thessaly test |
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Term
| Purpose of Ottawa Knee Decision Rule |
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Definition
| indicate referral for x-ray to confirm fx |
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Term
| Characteristics of Ottawa Knee Decision Rule (5) |
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Definition
| age ≥ 55 yr; tenderness at fibular hd; isolated tenderness of patella; inability to flex knee to ≥90º; inability to WB both immediately and in ED for ≥4 steps |
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Term
| Look-fors in double/single squat (3) |
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Definition
| symmetry, knees over toes, ↓ ROM in hip/knee/ankle |
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Term
| Aspects of tib-fem jt assessment |
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Definition
| hx, observation, fxnl WB tests, ROM, resisted tests, ligt tests, special tests |
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Term
| Usefulness of step up/down test |
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Definition
| helps visualize squat s pt compensation |
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Term
| Positive sign for Thessaly |
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Definition
| jt line discomfort/pain or sense of locking/catching |
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Term
|
Definition
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Term
|
Definition
| pt on one leg, squat 20º, rotates 3x |
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Term
| Important aspects of resisted tests (2) |
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Definition
| place mm on stretch, ask for eccentric contraction |
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Term
|
Definition
| gracilis, sartorius, semitendinosus |
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Term
|
Definition
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Term
|
Definition
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Term
| main action of semitendinosus |
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Definition
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Term
| Main action of quadriceps |
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Definition
| knee ext (test rectus fem c hip ext) |
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Term
| Main action of hamstrings |
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Definition
| knee flex (best tested c hip flex) |
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Term
|
Definition
| open chain IR of tibia, knee flex |
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Term
|
Definition
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Term
| Alternate method of resisted tests |
|
Definition
| add cuff wt; add repetitions |
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Term
| Position of valgus stress tests |
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Definition
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Term
| CT tested c valgus stress test at 0º |
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Definition
| superficial/deep MCL + ACL(& maybe PCL) (straight medial instability) |
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Term
| CT tested c valgus stress test at 30º |
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Definition
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|
Term
| CT tested c valgus stress test at 90º |
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Definition
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|
Term
| Position of varus stress tests |
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Definition
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|
Term
| CT tested c varus stress test at 0º |
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Definition
| LCL, PCL, and more (straight lateral instability) |
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|
Term
| CT tested c varus stress test at 20-30º |
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Definition
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|
Term
|
Definition
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Term
| Assess _______ prior to ant/post drawer |
|
Definition
| height of tibial tubercles |
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|
Term
| Post drawer test: medial plateau subluxes more posteriorly = ______ |
|
Definition
| posteromedial rotatory instability |
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|
Term
| Post drawer test: lateral plateau subluxes more posteriorly = ______ |
|
Definition
| posterolateral rotatory instability |
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Term
|
Definition
| anterolateral rotatory instability |
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Term
|
Definition
| hip 45º flex, knee 90º flex, tibia IR (valgus stress at knee) |
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Term
| Positive sign for Jerk test |
|
Definition
| tibia "clunks" back into ER c ext |
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Term
|
Definition
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|
Term
| Positive sign for McMurray's |
|
Definition
| consitent click or significant ↑ of pain in jt |
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Term
|
Definition
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|
Term
| Position for Apley's test |
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Definition
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|
Term
| Positive sign for Apley's test |
|
Definition
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Term
|
Definition
| inner flex, outer flex, inner ext, outer ext |
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Term
|
Definition
| articular instability, less irritable meniscal tears |
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|
Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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|
Term
| Conjunct rotation to ↑ knee flex |
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Definition
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|
Term
|
Definition
| combined IR and post glide of tibia |
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Term
| Pt position for knee flex mob |
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Definition
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|
Term
| Pt position for knee ext mob (≥15º loss) |
|
Definition
| prone (towel under femur) |
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Term
|
Definition
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|
Term
| Pt position for knee ext mob (5-15º loss) |
|
Definition
| supine (towel under tibia) |
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Term
| Knee ext mob (5-15º loss) |
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Definition
| post glide & IR of femur (hold tibia in ER) |
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Term
|
Definition
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|
Term
| Pt position for knee ext mob (5º loss) |
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Definition
| supine (towel under femur) |
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Term
| Areas to be examined in assessment of patellofemoral jt (4) |
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Definition
| ankle/foot, knee, hip, low back |
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Term
| Common direction of patellar dislocation |
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Definition
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|
Term
| Rx for patellar dislocation (2) |
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Definition
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|
Term
| WB tests for patellofemoral assessment |
|
Definition
| double squat, single squat |
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Term
| Observation components for patellofemoral assessment |
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Definition
| swelling, architecture (foot, legs, hips), patellar tendon length |
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Term
| Assessment of patellar length |
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Definition
| patellar t length > patellar length = patella alta; patellar t length < patellar length = patella baja |
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Term
| Strength testing for patellofemoral assessment (7) |
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Definition
| hip flex, SLR endurance, hip abd, hip hike, hip abd endurance, hip ER & ext, squat strength |
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Term
| McConnell Method of patellofemoral assessment |
|
Definition
| VMO/VL firing (VMO should fire before VL; ratio 1:1) |
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Term
|
Definition
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Term
|
Definition
| STRESS ENDURANCE; SLR c wt; hipe hikes (c or s squat+forward flex); hip abd c wt; squat c band around knees; monster walks; hooklying c band around knees |
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Term
| Patellar motion tests (4) |
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Definition
| sup/inf tilt, med/lat tilt, med/lat glid, Q angle (IR/ER) |
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Term
|
Definition
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Term
|
Definition
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|
Term
|
Definition
| associated c PFPS, chondromalacia patella, subluxing patella, ↑ femoral anteversion, genu valgum, lat displacement of tibial tubercle, ↑ ER of tibia |
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Term
| Special tests for PFPS (7) |
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Definition
| hamstring flexibility (SLR), gastroc flexibility, Ober test, Thomas test, patellar grind, eccentric step test, step up test |
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