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8 Cards in this Set

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Which is the MC anatomical pattern of the sciatic nerve as it exits the pelvis? 1-As 1 nerve, ant to the piriformis; 2-As 1 nerve, pos to the piriformis; 3-As 2 branches, both ant to piriformis; 4-As 2 branches, 1 ant to piriformis & 1 through the...
Which is the MC anatomical pattern of the sciatic nerve as it exits the pelvis? 1-As 1 nerve, ant to the piriformis; 2-As 1 nerve, pos to the piriformis; 3-As 2 branches, both ant to piriformis; 4-As 2 branches, 1 ant to piriformis & 1 through the piriformis; 5-As 2 branches, both pos to the piriformis
nl anatomy seen in 79% is a single sciatic nerve exiting underneath (passing anterior) to the piriformis, MC variant, seen in 14%, is the sciatic nerve splitting prox to the piriformis w/ 1 branch passing ant to and 1branch passing through the pir...
nl anatomy seen in 79% is a single sciatic nerve exiting underneath (passing anterior) to the piriformis, MC variant, seen in 14%, is the sciatic nerve splitting prox to the piriformis w/ 1 branch passing ant to and 1branch passing through the piriformis. FAIR test (flex, add, and IR of hip) can reproduce symptoms.Ans1
24yo M is involved in a motorcycle accidt & sustains a R knee inj. PE manuever performed @ 30 deg of knee flex  Fig. Which correctly describes the nl anatomic orientation of the region inj in this pt? 1-Popliteus inserts prox to the LCL on the fem...
24yo M is involved in a motorcycle accidt & sustains a R knee inj. PE manuever performed @ 30 deg of knee flex Fig. Which correctly describes the nl anatomic orientation of the region inj in this pt? 1-Popliteus inserts prox to the LCL on the fem; 2-Pos oblique lig ->from the addctr tubercle, just pos and prox to the MCL; 3-Biceps fem inserts pos to the LCL on the fiblr head; 4-Popliteofibular lig inserts lat to the LCL on the fibular head; 5-Deep MCL has both meniscofemoral & meniscotibial lig
biceps fem inserts pos to the LCL in Illustrations B & C. long head of the biceps fem 2 main parts. direct arm inserts onto the posterolateral aspect of the fibular head, & ant arm crosses lat to the LCL & inserts on the lat aspect of the fibular ...
biceps fem inserts pos to the LCL in Illustrations B & C. long head of the biceps fem 2 main parts. direct arm inserts onto the posterolateral aspect of the fibular head, & ant arm crosses lat to the LCL & inserts on the lat aspect of the fibular head. The short head of the biceps fem has a direct tend insertion onto the sup surface of the fibular head, med pos to the LCL insertion.Ans3
Which best describes the anatomic relationships of the LCL in the posterolateral corner?  1-inserts directly ant to popliteofibular lig on fibula & courses deep to popliteus; 2-inserts anterolaterally-> popliteofibular lig on the fibula & courses ...
Which best describes the anatomic relationships of the LCL in the posterolateral corner? 1-inserts directly ant to popliteofibular lig on fibula & courses deep to popliteus; 2-inserts anterolaterally-> popliteofibular lig on the fibula & courses superfical to popliteus
3-inserts posteromedially to popliteofibular lig on the fibula & courses deep to popliteus; 4-inserts directly pos to popliteofibular lig on the fibula & courses sup-> popliteus; 5-inserts pos & distl to biceps fem tendon on the fibula & courses superficial to popliteus
LCL originates on the lateral femoral condyle prox to the insertion of the popliteus, runs superficial to popliteus, and inserts anterolaterally to the popliteofibular lig on the fibula.Ans2
LCL originates on the lateral femoral condyle prox to the insertion of the popliteus, runs superficial to popliteus, and inserts anterolaterally to the popliteofibular lig on the fibula.Ans2
Hx;34yo M c/o R knee pain, swelling, and sx of buckling 3 mths p/ being involved in a motorcyle accident. PE: moderate effusion, (+) Lachman, (+)pivot shift, (-) quadriceps active test, and medial sided knee pain w/ a (+) Mcmurray test. Fig A leg ...
Hx;34yo M c/o R knee pain, swelling, and sx of buckling 3 mths p/ being involved in a motorcyle accident. PE: moderate effusion, (+) Lachman, (+)pivot shift, (-) quadriceps active test, and medial sided knee pain w/ a (+) Mcmurray test. Fig A leg ER @ 30 deg of fle, however this deformity corrects with placing the knee @ 90 deg of flex. Fig B shows a standing extremity alignment xray. Figure C shows a sagittal MRI image of the R knee. Appropriate surgical treatment includes EXCEPT:
1-(HTO); 2-ACL recon 3- scopic medial partial menisectomy or repair; 4-Posterolateral corner recon;
5-PCL recon:::PCL reconstruction is not indicated in this patient as the physical examination demonstrated a normal quadriceps active test and nor...
1-(HTO); 2-ACL recon 3- scopic medial partial menisectomy or repair; 4-Posterolateral corner recon;
5-PCL recon:::PCL reconstruction is not indicated in this patient as the physical examination demonstrated a normal quadriceps active test and normal external rotation at 90 degrees of flexion.Ans5
While recent studies have failed to demonstrate a significant clinical difference, prox biceps tenodesis compared to tenotomy is felt to possibly result in a lower incidence of which of the following? 1-Arm cramping ; 2-Elbow weak; 3-Elbow stiffne...
While recent studies have failed to demonstrate a significant clinical difference, prox biceps tenodesis compared to tenotomy is felt to possibly result in a lower incidence of which of the following? 1-Arm cramping ; 2-Elbow weak; 3-Elbow stiffness; 4-Shoulder weak; 5-Shoulder stiffness
Concern for cosmetic defmty (“popeye” deformity) & mus spasm or cramping has been an argument against performing tenotomy in the past. The long head of the biceps tendon  a common source of anterior shoulder pain. Surgical options to tx it inc...
Concern for cosmetic defmty (“popeye” deformity) & mus spasm /cramping has been an argument against performing tenotomy in the past. The long head of the biceps tendon a common source of anterior shoulder pain. Surgical options to tx it include biceps tenodesis by various methods and intraarticular biceps tendon release- tenotomy.Ans1
Popliteal Artery Entrapment Syndrome define, how many types? pt c/o? DX
Popliteal Artery Entrapment Syndrome define, how many types? pt c/o? DX
A condition characterized by constriction of the popliteal artery by either, adjacent mus, tendons
fibrous tissues, 5 types; Dx-Arteriogram
foot numbness and paresthesias also common
tingling sensation of toes following vigorous exercise, calf ...
A condition characterized by constriction of the popliteal artery by either, adjacent mus, tendons
fibrous tissues, 5 types; Dx-Arteriogram
foot numbness and paresthesias also common
tingling sensation of toes following vigorous exercise, calf cramping following light exercise which improves with vigorous exercise
H: 20yo M ftballer c/o knee inj p/ being hit below the knee while blocking. You suspect a (PLC) injury, but are also concerned about a (PCL) tear. Which of (+) PE findings is indicative of a combined PLC & PCL injury? 1-(+) Dial test at 30 deg of flex; 2-Valgus stress test opening @ 0 & 30 deg of flex;3-(+) Pos drawer test; 4-(+) Pivot shift test; 5-(+) Dial test at 30 & 90 deg of flex
(PLC) & (PCL) injury is most likely suggested by a positive dial test at 30 & 90 deg of knee flexion.Ans5
Which injury patterns is most appropriately managed with an immediate posto PT regimen that includes no active flex but does allow active ext from 90 to 0 deg? 1-Patellar tendon repair; 2- ACL recon 3-ACL recon w/MCL repair; 4-ACL recon w/posterolateral corner repair; 5-PCL recon w/ posterolateral corner repair
postop PT = no active flex & active extension from 90 to 0 degrees is most appropriate for a combined PCL and posterolateral corner injury. 1st 4 wks often consist of hinged knee bracing & crutches w/ PWB to allow the posterolateral corner to heal along w/ quadriceps exer (quad sets & SLR). Active knee flex is avoided in the immediate postop period as hamstring contraction has the potential to subluxate the tibia posteriorly and compromise the repair.Ans5