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What is the most popular graft for ACL reconstructions?
Why is the patellar tendon graft the most popular graft for ACL reconstructions?
Why is the patellar tendon graft not useful
What are the negatives to hamstring recon?
What are the stats for recons for ACL's
Following a patellar graft, what are you also likely to injure?
What are the factors that determine surgery vs. conservative management?
What is the stats for OA post ACL recon?
What did the Mueffells' study in regards to conservative vs. surgical post ACL
At what time period are ACL's at their most vulnerable to tears?
Why are open kinetic chain exercises not appropriate at 6 weeks?
What are the goals for weeks 0-2 for ACL
Weeks 2-6 ACL recon
Weeks 7-12 ACL recon
Weeks 13-26 ACL recon
Weeks 26+ ACL recon
Functional outcome measures RTS for ACL
What is the major problem post- ACL tear
What are the three types of Polar Classification of Instability
What are the benefits of Polar Classification of Instability
Ottawa Ankle Rules:
Dorsiflexion restriction
Plantar-flexion restriction
What joint is involved with lack of dorsiflexion/ plantar flexion for AP and PA glide of talus
Why would you perform a medial/ lateral glide of the calcaneus?
What joint is involved with medial and lateral glide of calcaneus?
What ligament is stressed in the anterior drawer test?
What ligament is stressed in the talar tilt test?
Rupture to Achilles Tendon- Clinical Presentation
A 30 year old man has trouble squatting 6 weeks post fractured tibia- the movement is only slightly painful and irritability is low
-WHICH DIRECTIONS OF ACCESSORY GLIDE MAY BE RESTRICTED?
How would you determine if a loss of ankle DF is due to soft tissue or stiffness to the joint
What is the role of the talocalcaneal ligament complex
Ligaments of antero-lateral ligament
Medial ankle complex
Low ankle sprain mechanisms of injury
Pronation sprains
Lateral ankle sprains- why are they more common
Mild supination sprain
Moderate supination sprain
Severe supination sprain
Grade 1 supination sprain
Grade 2 supination sprain
Grade 3A supination sprain
Grade 3B
Which grade is most likely to have reinjury
High ankle sprain- Ankle syndemsosis
Weber A fracture
Weber B fracture
Weber C fracture
Mechanisms of injury for syndemosis injuries
Symptoms of syndemsotic injury
Four landmarks for significant swelling of ankle (oedema)
Rehabilitatio for ankle sprain
Chronic ankle instability
CAI- clinical features
Talar dome fracture/ lesion
-Mechanism of injury
Post-traumatic synovitis
Medial tibial stress syndrome
Causes of medial tibial stress syndrome
AKA SHIN SPLINTS
What is the most important predictor of ingoing instability in ankle sprain patients
SPRICEMM
POLICE
Grade 1 tear what management?Gra
Grade 2
Grade 3 tear- what management?
Plantar Fasciosis
Symptoms of plantar fasciosis
Compartment Syndrome
Three compartments of compartment syndrome
Purpose of the foot posture index
FPI
Normal score
FPI
Pronated score
FPI
Supinated foot
FPI criteria
Talar head palpation
Curves above and below the malleoli
Inversion/ eversion of the calcaneous
Talo-navicular congruence
Medial longitudinal arch
Forefoot abduction and adduction
Tendinopathy
(COOK)
Intrinsic factors that cause tendinopathies
Three stages of tendinopathy
Reactive tendinopathy
Imaging for reactive tendinopathy
Treatment for reactive tendinopathy
Tendon disrepair
Imaging for tendon disrepair
Tendon disrepair clinically
Treatment for tendon disrepair
Degenerative tendinopathy
Imaging of degenerative tendinopathy
Degenerative tendinopathy clinically
What exercises are best for the acute stages of tendon healing?
Once a patient has begun to be less irritable with their tendinopathy, what exercises will they undertake?
Stretch shortening training
Examples of stretch shortening exercises:
Criterion for SSC training
In Sherry et al. study on hamstring strains who is prone to getting hamstring strains?
In Sherry et al. study on hamstring strains what are the risk factors for hamstring strains?
In Sherry et al. study on hamstring strains what are the likely mechanisms for injury?
In Sherry et al. study on hamstring strains what are the best methods for reconditioning the injured hamstring?
In Mueller-Wohlfahrt et al. study on muscle terminology and classification
WHAT IS TYPE 1A
In Mueller-Wohlfahrt et al. study on muscle terminology and classification
WHAT IS TYPE 1B
In Mueller-Wohlfahrt et al. study on muscle terminology and classification
WHAT IS TYPE 2A
In Mueller-Wohlfahrt et al. study on muscle terminology and classification
WHAT IS TYPE 2B
In Mueller-Wohlfahrt et al. study on muscle terminology and classification
WHAT IS TYPE 3A
In Mueller-Wohlfahrt et al. study on muscle terminology and classification
WHAT IS TYPE 3B
In Mueller-Wohlfahrt et al. study on muscle terminology and classification
WHAT IS TYPE 4
In Mueller-Wohlfahrt et al. study on muscle terminology and classification
WHAT IS CONTUSION
According to: The association of scapular kinematics and glenohumeral joint pathologies
by Ludewig and Reynolds
WHAT IS SHOULDER IMPINGEMENT DEFINED AS?
According to: The association of scapular kinematics and glenohumeral joint pathologies
by Ludewig and Reynolds
WHAT CAUSES SHOULDER IMPINGEMENT?
According to: The association of scapular kinematics and glenohumeral joint pathologies
by Ludewig and Reynolds
WHAT CLINICAL SIGNS ARE SEEN WITH SHOULDER INSTABILITY?
According to Rotator Cuff Tendinopathy by JS Lewis
WHAT ARE THE MAIN REASONS PEOPLE EXPERIENCE SHOULDER PAIN?
According to Rotator Cuff Tendinopathy by JS Lewis
HOW WOULD YOU DESCRIBE SHOULDER DIAGNOSIS?
According to Rotator Cuff Tendinopathy by JS Lewis
WHY CANT THE CLINICAL ASSESSMENT PROCEDURES FOR ROTATOR CUFF TENDIOPATHY DIAGNOSE INDIVIDUAL TENDON OR OTHER STRUCTURES?
According to Rotator Cuff Tendinopathy by JS Lewis
WHAT IS THE SHOULDER SYMPTOMS MODIFICATION PROCEDURE
According to Rotator Cuff Tendinopathy by JS Lewis
WHAT ARE THE FOUR CATEGORIES OR SHOULDER SYMPTOM MODIFICATION PROCEDURE?
According to Rotator Cuff Tendinopathy by JS Lewis
WHAT ARE THE ADVANTAGES OF THE SHOULDER SYMPTOMS MODIFICATION PROCEDURE?
According to Rotator Cuff Tendinopathy by JS Lewis
WHAT ARE THE DISADVANTAGES OF THE SHOULDER SYMPTOM MODIFICATION PROCEDURE?
According to the J S Lewis' study on subacromial impingement
WHAT IS SAPS?
According to the J S Lewis' study on subacromial impingement
WHAT ARE THE MAJOR FINDINGS OF THE STUDY?
According to the J S Lewis' study on subacromial impingement
STATS
According to the J S Lewis' study on subacromial impingement
WHAT IS THE EVIDENCE IN REGARDS TO POSTURE AND SAPS
According to the J S Lewis' study on subacromial impingement
WHAT ARE THE THREE TYPES OF ACROMIAL SHAPE
According to the J S Lewis' study on subacromial impingement
WHAT ARE THE TYPES OF ACROMIAL SHAPE THAT WILL CAUSE SAPS
What are the upward rotators of the scapular?
What attaches to the inter tubercular sulcus?
What are the attachments of levator scapulae?
Contribution of supraspinatus and middle deltoid to abduction
Attachments of rotator cuff
Ligaments of glenohumeral joint
External types of impingement
Internal types of impingement
Structures which can sub acromial pain syndrome
Functional outcome measures to allow for testing for chronic ankle instability
What are the benefits of eccentric training?
Extrinsic causes of shoulder region pain
Why is there lack of specificity in shoulder tests?
What is primary impingement of the shoulder?
What is secondary impingement of the shoulder?
Sub acromial impingement- encroachment of which structures?
Structures potentially impinged in SAPS
Symptoms of SAPS
Possible causes for sub-optimal RC function
Consequences of gross of subtle GHJ hypo mobility
Normal scapular position
How can scapular mechanics change
Excessive medial border winging
Excessive downward rotation- muscles involved
Excessive anterior tilt- muscles involved
Alterations in scpaular kinematics common in patients w/ impingement, RC pathology, GHJ instability, GHJ hypomobility
Result of flexed/ kyphotic thoracic postures
Is impingement a diagnosis or clinical sign?
Acromial irritation model- limitations
Why does 90% of RC pathology occur on intra-articular/ deep side
Risk factor predisposing to RC tears
Classification of RC tears
Diagnosis of RC tear
Calcific tendinopathies
Joint Laxity
Joint instability
Multi-directional joint instability
Anterior instability
Inferior instability
Posterior instability
General classifciation system TUBS
General classification system- AMBRII
Mechanisms of injury for anterior dislocation
Posterior dislocation- MOI
Structures affected w/ anterior dislocation
Structures affected w/ posterior dislocation
Common symptoms w/ non-acute instability
Adhesive capsulitis
-aka frozen shoulder
Clinical features of adhesive capsulitis
Stages of adhesive capsulitis
Closed packed position of shoulder
Open packed position of the shoulder
