Shared Flashcard Set

Details

Sports Podiatry -Hip to Foot conditions
Name, Dx Test, Meaning, Tx
5
Sports
Undergraduate 2
11/03/2012

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Cards

Term

PatelloFemoral Pain Syndrome 

(PFJS)

 

MOI/ CAUSE /DX TEST /DIFFDX / TX

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Definition

 

  • IND:ANTERIOR KNEE PAIN
  • MOI:Patella displaced/dislocated laterally due to twisting or jumping, audible 'pop'
  • CAUSE: Hxtrauma or lig laxity/other biomechanical predispositionb (q angle,valgum, pronation)
  • DX TEST: Tender Medial border Patella, Positive Lateral Apprehension test (watch facial expression & pain on quads Ctrn) & Clarke's (pain on Ctrn). Pain 1 leg squat. 
  • DIFF DX: ACL rupture, Ostochondral # (xray r/o)
  • STRETCH: Quads, lateral structures if tight
  • STRENGTHEN: VMO, CORE /pelvic stability
  • TAPE: McConnell- Medial glide w hyperfix, see wrinkle medially. 1-2days.?Inferior tilt/Lat rotation

 

Term

 PATELLA TENDINOPATHY

MOI/ CAUSE /DX TEST /DIFFDX / TX 

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Definition
  • IND: ANTERIOR KNEE PAIN exacerbated with loading activities,common at start and end of activity (cf PFJS inc during) 
  • MOI:jumping, repetitive eccentric load, fall on knee
  • DX TEST: INFERIOR PATELLA tender, Single/Dbl leg squat, weaks quads, U/S & MRI can view
  • DIFF DX:Infrapatella pad fad impingemnt(c.f  as this occurs with forced extension, no eccentric load eg kick in swimming)/bursitis, PFPS
  • STRETCH:
  • STRENGTHEN: Quads.
  • TAPING: Band around inferior pole
Term

ITBFS (ILIOTIBIALBANDFRICTION SYNDROME)

MOI/CAUSES/DIFFDX/DX TEST/TX

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Definition

MOI: Running esp downhills. friction of ITB over lat epicondyle femur due to less flexion during running. Flexion of knee allows for less friction. 

CAUSES: pronation,Tight/wideITB,lat pelvic tilt

DX TESTs: OBER's - positive ind tight ITB, MRI & U/S, tenderness over lat epicondyle 2-3 cm above lat JT line, crepitus may be felt, pain on repeated flex/ext

DIFF DX: LCL strain, FIB #, LAT MENISCIS, BURSA( ITB   adventitious bursa may occur simultaneously)

STRETCH: ITB ?adductors

STRENGTHEN: ABDUCTORS (Med/Min)

ORTHOSES: Low dye tape then Antipronatory

Term

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MTSS (MEDIAL TIBIAL STRESS SYNDROME)/

(MEDIAL TIBIAL PERIOSTITIS)

MOI/CAUSES/DX/DIFFDX/TX

Definition

MOI: Running causing inc stress/traction on tibia

CAUSES: Pes Planus, Tibial varum during running, FDL. TB & SOLEUS Implicated, surface training error, <BMD

DX:Tenderness at Posteromedial Tibial Border. Unlocalised Diffuse pain.Worse in morning & after exercise. MRI: periosteal thickening/ oedema, Bone Scan:diffuse uptake. Improves w warmup/stretch. TEST: HOP/RUN/CALF RAISE

DIFFDX: Compt Syndrome, Tib Post Dysnfn, Stress #, Popliteal Artery Entrapment, Mm/Tendon injury

TX: RICE, non wb exercise, Biomechanical Exam -Tape only if pronation, Transverse friction massage, Digitall Ischaemic (p). PNF Strengthening & flexibility WPL

Term

CHRONIC EXERTIONAL COMPARTMENT SYNDROME

MOI/CAUSES/DX/DIFF/TX

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Definition
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