ESAT Lower - weeks 8-14
Bringing the patient's foot into passive inversion you feel laxity, Which two ligaments are you suspecting? Anterior tibiofibular ligament and Posterior tibiofibular ligament Calcaneofibular ligament and Anterior talofibular ligament Anterior tibiotalar ligament and Tibionavicular ligament Calcaneofibular ligament and Tibiocalcaneal ligament
Calcaneofibular ligament and Anterior talofibular ligament
The talocrural joint is composed the following bones except... Talus Tibia Fibula Calcaneous
Calcaneous
Patient presents in office after an ankle sprain and you find swelling bilaterally on the patient's ankle, what should you do? Amputation Adjustment Imaging Cryotherapy
Imaging
Following an ankle injury, this is the first thing we are working with patients to restore. Active ROM Passive ROM Wobble board Return to sporting
Passive ROM
When performing goniometry on the hip, you find the patient has unilateral reduced internal rotation on one side. Should you suspect there is a tight/shortened muscle preventing this movement to occur, which muscle should you check first? TFL Piriformis Hamstrings Glute Medius
Piriformis
What Ddx would be indicated if you were told the patient had a nerve piercing and moving through a muscle (rare), causing numbness, tingling down the posterior thigh, and inability to sit on hard surfaces? Meralgia Paresthetica Piriformis Syndrome Labral tear Femoral nerve entrapment
Piriformis Syndrome
If your patient is prone with their knee flexed to 90 degrees and you squeeze the calf muscles, what do you expect to happen? Plantar-flexion of the foot with a damaged or ruptured Achilles tendon Dorsi-flexion of the foot with a damaged or ruptured Achilles tendon Dorsi-flexion of the foot with an intact Achilles tendon Plantar-flexion of the foot with an intact Achilles tendon
Plantar-flexion of the foot with an intact Achilles tendon
What is the action of the muscle that must be palpated when we use a 45 degree, oblique toward the spine palpation? Piriformis TFL Glute Medius Psoas
Psoas
What is the action of the muscle that must be palpated when we use a 45 degree, oblique toward the spine palpation? Psoas TFL Glute Medius Piriformis
Psoas
Following a PCL sprain, we should focus strengthening of the ___ to help shoulder the load of forces while it recovers. Tibialis Anterior Hammies Quads Adductors
Quads
If the patient presents with a bursitis type of injury, which of the following is contraindicated? Soft tissue work directly into the bursa Stretching Adjust surrounding joints Rest
Soft tissue work directly into the bursa
The following muscles are responsible for the action of ankle inversion... Tibialis posterior and tibialis anterior Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus Flexor digitorum longus and flexor hallucis longus Extensor digitorum longus, peroneus longus and brevis, and peroneus tertius Gastrocnemius, soleus, and plantaris
Tibialis posterior and tibialis anterior
Even though this joint is not part of the knee joint acitivity, this joint can still be the source of knee pain. Tibiofemoral Tibiofibular Glenohumoral Patellofemoral
Tibiofibular
In the standing position, why does the shaft of the femur slant in a medial direction and is not vertically straight? To take weight off of the ankle joints To create the angle of anteversion To place the center of motion of the knee joint under the center of motion of the hip joint Byproduct of the birthing process
To place the center of motion of the knee joint under the center of motion of the hip joint
When adjusting the toes, our thumbs should be facing... Away from each other Toward each other Away from the doctor To the sky
Toward each other
The ______ ligament attaches from the sustentaculum tali to the navicular. The function of this ligament is to keep the medial aspect of the forefoot and hindfoot in apposition and, in so doing, help to maintain the arched configuration of the foot. spring dorsal talonavicular long plantar lateral longitudinal
spring
Functionally, the ____ serves as a link between the leg and the foot. Navicular Cuboid Tibia Talus
talus
Through the normal gait pattern only __ degrees of dorsiflexion and __ degrees of plantar flexion are required. 20, 50 5, 10 10, 20 5, 5
10, 20
Through the normal gait pattern, however, only __ degrees of dorsiflexion and __ degrees of plantar flexion are required. 10;20 20;30 10;30 20;50
10;20
Through the normal gait pattern, however, only __ degrees of dorsiflexion and __ degrees of plantar flexion are required. 20;30 10;30 20;50 10;20
10;20
Morton's Neuroma's are most commonly found at which two interspaces? 3/4 2/3 1/2 4/5
2/3
Forced internal rotation of a femur with a planted tibia creating knee abduction is the hallmark for what type of injury? Collateral ligament injury Meniscus injury ACL injury Patellar injury
ACL injury
Most commonly affected ligament from an ankle sprain is... ATFL - Anterior talofibular ligament ATFL - Anterior tibiofibular ligament Calcaneofibular ligament Deltoid ligament
ATFL - Anterior talofibular ligament
Pronation is made up of all these movements besides which? Abduction Eversion Dorsiflexion Adduction
Adduction
With a menisci injury, generally, ___ would exacerbate , ___ would give relief Rotation to the side of injury, Rotation to the side of non-injury Locked extension, Locked flexion Decompression, compression Compression, Decompression
Compression, Decompression
The following muscles are responsible for the action of ankle dorsiflexion... Extensor digitorum longus, peroneus longus and brevis, and peroneus tertius Tibialis posterior and tibialis anterior Gastrocnemius, soleus, and plantaris Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus Flexor digitorum longus and flexor hallucis longus
Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus
The following muscles are responsible for the action of ankle dorsiflexion... Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus Tibialis posterior and tibialis anterior Extensor digitorum longus, peroneus longus and brevis, and peroneus tertius Gastrocnemius, soleus, and plantaris Flexor digitorum longus and flexor hallucis longus
Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus
The following muscles are responsible for the action of ankle dorsiflexion... Flexor digitorum longus and flexor hallucis longus Gastrocnemius, soleus, and plantaris Extensor digitorum longus, peroneus longus and brevis, and peroneus tertius Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus Tibialis posterior and tibialis anterior
Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus
T/F - Calcaneal heel spurs are a result of plantar fasciitis
False
The following muscles are responsible for the action of ankle plantar flexion... Extensor digitorum longus, peroneus longus and brevis, and peroneus tertius Tibialis posterior and tibialis anterior Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus Gastrocnemius, soleus, and plantaris Flexor digitorum longus and flexor hallucis longus
Gastrocnemius, soleus, and plantaris
The following muscles are responsible for the action of ankle plantar flexion... Flexor digitorum longus and flexor hallucis longus Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus Extensor digitorum longus, peroneus longus and brevis, and peroneus tertius Tibialis posterior and tibialis anterior Gastrocnemius, soleus, and plantaris
Gastrocnemius, soleus, and plantaris
___ is a lateral deviation of the big toe, usually with a concomitant metatarsal varum. Improperly fitting footwear, as well as an unstable and pronated foot, has been blamed for this condition. Shin Splints Hallux valgus Inversion sprain of the ankle Plantar fasciitis
Hallux valgus
A segmental contact point of anterior aspect of the proximal femur is associated with which of the following adjustments? Bimanual Grasp/Distal Tibia Pull; Long-Axis Distraction Hypothenar/Proximal Femur, Palmar/Distal Femur Grasp; Anterior-to-Posterior Glide Bimanual Grasp/Proximal Femur; External Rotation Bimanual Grasp/Proximal Femur; Internal Rotation
Hypothenar/Proximal Femur, Palmar/Distal Femur Grasp; Anterior-to-Posterior Glide
Pronation is a combination of three movements, which is NOT one of them? Dorsiflexion Eversion Inversion Abduction
Inversion
Which of the of the following is not part of the Unhappy Triad? Being, 3 associated structures where when one is damaged, you must check the others due to a close relationship due to biomechanics or anatomial connection Medial Meniscus MCL ACL LCL
LCL
Eversion ankle injuries are at risk for fx primarily on the ___ side of the foot Posterior Lateral Anterior Medial
Lateral
Which ligament attaches to the fovea capitis? Ligamentum Teres Iliofemoral Pubofemoral ligament Transverse
Ligamentum Teres
Patient's who have Pronation Syndrome would show increased wear on their shoes of which region Medial heel Lateral heel Toe box Uniform
Medial heel
Do we typically have more external or internal rotation of the hip? More external More internal
More external
If you are creating internal rotation of the patient's right 3rd DIP and you are set up in the correct doctor position, how are you moving the toe? Rotating toward you Rotating away from you
Rotating away from you
The navicular articulates with the _____ proximally and _____ distally. Talus; Cuneiforms Cuboid; Talus Talus; Cuboid Cuneiforms; Talus
Talus; Cuneiforms
Why do we add "a little bit of flexion" to most of our knee adjustments? The knee locks in extension as it externally rotates It helps lock the knee and make it more stable You just like to make up new rules for no reason It gives us a better grip on the patient's calf tissue
The knee locks in extension as it externally rotates
When setting up for Hypothenar/proximal tibia with leg stabilization; lateral-to-medial glide, what type of force are we putting into the knee joint to bring it to pretension? Varus Valgus A-P None of the above
Valgus
Which muscle is generally WEAK OR INHIBITED, which could lead to lateral tracking of the patient's patella? Vastus Intermedius Rectus femoris Vastus medialis Vastus lateralis
Vastus medialis
T/F- A pronated foot creates a rigid structure for the foot, needed for heel-strike.
false
T/F- Commonly, ankle injuries have a chronic and insidious onset disorders whereas the foot is more likely to develop an acute traumatic onset from stress overload.
false
___ results as a strain to the plantar fascia on the sole of the foot. This may be a result of standing on hard surfaces, quick acceleration or deceleration, repeated shocks, standing on ladders, or long periods of pronation. Inversion sprain of the ankle Shin Splints Hallux valgus Plantar fasciitis
plantae faciitis
___ refer to a generalized, deep aching or, sometimes, sharp pain along the tibia. It is considered an overuse or abuse syndrome occurring commonly because of running or jumping on a hard surface. This activity causes the talus to be driven upward into the mortise, forcing the tibia and fibula to separate. Stress to the interosseous membrane results and may cause a periostitis. Shin Splints Inversion sprain of the ankle Plantar fasciitis Hallux valgus
shin splints
T/F- Commonly, ankle injuries have an acute traumatic onset, whereas the foot is more likely to develop chronic and insidious onset disorders from stress overload.
true