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by: Garth Dach


Garth Dach
Texas State
GPA 3.64

R. Patton

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R. Patton
Class Notes
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This 13 page Class Notes was uploaded by Garth Dach on Wednesday September 23, 2015. The Class Notes belongs to AT 2356 at Texas State University taught by R. Patton in Fall. Since its upload, it has received 58 views. For similar materials see /class/212760/at-2356-texas-state-university in Athletic Training at Texas State University.

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Date Created: 09/23/15
CHAPTER 18 Question 1 of 10 10 Points The main supporting ligament of the medial longitudinal arch is E A Deltoid E B Long Plantar Ligament C C Plantar Aponeurosis E D Plantar Calcaneonavicular Answer Key D Question 2 of 10 10 Points A common foot condition with a sudden onset of pain in the arch region that is relieved by becoming non weightbearing and gives extreme point tenderness at the plantar surface of the calcaneus may be indicative of E A A Plantar Fascia Strain B A Stress Fracture E E C A Bruised Instep E D A plantar neuroma Answer Key A Question 3 of 10 10 Points A general term to describe pain in the ball of the foot is E A Bursitis v E B Metatarsalgia E C Morton39s Syndrome C D Exostoses Answer Key B Question 4 of 10 10 POIntS A condition in which the plantar nerve gets entrapped between the 3rd and 4th metatarsal heads producing swelling with radiating pain distally is called v E A Morton s Neuroma E B Interdigital Syndrome E C Hammer Toes E D Hallux Neuritis Answer Key A Question 5 of 10 10 Points A bunion is usually associated with a bone growth on w E A The First Toe C B Any of the Toes E C The Medial Malleolus C D The Ball of the Foot Answer Key A Question 6 of 10 10 Points Another name for an abnormally high arch is E A Pes Planta ris E B Pes Equina v E C Pes Cavus E D Hallus Rigidis Answer Key C 10 Points Question 7 of 10 Pain on the anterior medial heel that occurs with the rst steps in the morning is indicative of E A Calcaneal Fracture v E B Plantar Fasciitis U C Calcaneal Apophysis E D Cuboid Subluxation Answer Key B Question 8 of 10 10 Points A stress fracture of the 2nd metatarsal is known as a C A Jones Fracture E B Coes Fracture E C Runners Fracture E D March Fracture Answer Key D Question 9 of 10 10 Points Sever39s disease is an apophyseal tractiontype injury commonly seen at the E A Peroneal Attachment on the Fifth Metatarsal E B Tibialis Posterior Attachment on the Navicular E C Extensor Hallucis Longus Attachment on the Great Toe E D Achies Tendon Attachment on the Calcaneus Answer Key D 10 Points Question 10 of 10 A bony outgrowth from the surface of the bone capped by cartilage is called an E A Bunionette C B Exostoses U C Bone Bruise E D Apophysis Answer Key B C HA PTE R 19 Question 1 of 10 10 Points The normal range of motion for dorsi eXion of the ankle is E A 5 Degrees V E B 10 Degrees C C 15 Degrees E D 20 Degrees Answer Key B Question 2 of 10 10 Points A positive anterior drawer test indicates damage to which ligament v E A Anterior Talofibular E B Anterior Tibiofibular E C Calcaneofibular E D Posterior Talofibular Answer Key A Question 3 of 10 A grade II lateral ankle sprain indicates damage to which ligaments A Anterior Talofibular and Calcaneofibular v E E B Posterior Talofibular and Anterior Talofibular E C Anterior Tibiofibular and Anterior Talofibular E D Deltoid and Anterior Tibiofibular Answer Key A Question 4 of 10 10 Points When squeezing the calf muscle with the leg extended and the foot hanging over the edge of the table you are performing which test for Achilles tendon rupture j A Apley Squeeze Test 3 B Babinski Test U C Compression Test E D Thompson Test Answer Key D Question 5 of 10 10 Points When a fracture of the lower leg is suspected what test can be done to reaf rm your suspicions E A Rangeof Motion Test v E B Percussion Test C C Auscultation Test C D Cutaneous Sensation Test Answer Key B Question 6 of 10 10 Points A condition that occurs when the tissue uid pressure has increased because of the con nes of the fascia and or bone resulting in compression of the muscles nerves and blood vessels is called E A Shin Splints E B Tibial Periostitis v39 E C Compartment Syndrome C D Plantar Fasciitis Answer Key C Question 7 of 10 10 Points Which of the following is a sprain that results from forceful external rotation of the ankle E A Eversion E B Syndesmotic E C Achilles Tendon E D Inversion Answer Key B Question 8 of 10 10 Points A common mechanism of injury for peroneal tendon subluxation is E A Forced Dorsiflexion and Supination E B Forced Plantarflexion and Eversion E C Forced Dorsiflexion and Inversion v E D Forced Plantarflexion and Inversion Answer Key D Question 9 of 10 10 Points Which of the following would be a speci c functional test for dorsi exion v E A Walk on Heels C B Walk on Toes E C Walk on the Borders of the Feet C D Jumping Answer Key A Question 10 of 10 10 Points A common injury in the lower leg of athletes or joggers who run downhill for an extended period of time is C A Retrocalcaneal Bursitis v E B Anterior Tibialis Tendinitis E C Posterior Tibialis Tendinitis C D Peroneal Tendinitis Answer Key B Question 1 of 10 10 Points The ligament that protects the knee from a valgus stress and external rotational forces is the E A Anterior cruciate E B Posterior cruciate vquot E C Medialcollateral E D Lateral collateral Answer Key C Question 2 of 10 10 Points The strongest ligament of the knee and the main stabilizer is the E A Anterior cruciate v E B Posterior cruciate C C Arcuate Ligament C D Lateral collateral ligament Answer Key B Question 3 of 10 10 Points Q angles that exceed degrees can be considered excessive and can lead to a pathological condition in the patella E A5 3 B 10 3 C 15 Answer Key D Question 4 of 10 10 Points Running turning figureeights backing up and stopping are what types of test B A Muscle strength E B Stress v39 E C Functional C D Range of motion Answer Key C Question 5 of 10 10 Points The ligament injury of the knee generally considered to be the most serious involves the A Anterior cruciate C Medial collateral v E E B Lateralcollateral E E D Posterior cruciate Answer Key A Question 6 of 10 10 Points A gradual degenerative process of the underside of the patella is called E A Patellaritis v39 E B Chondromalacia patella C C Osteochondritis dissecans E D OsgoodSchlatter39s disease Answer Key B Question 7 of 10 10 Points A drawer test with the lower leg internally rotated indicates possible damage to E A Medial collateral ligament and posterolateral capsule E B Anterior cruciate ligament and posterolateral capsule C C Lateral collateral ligament and posteromedial capsule E D Anterior cruciate ligament and posteromedial capsule Answer Key C Question 8 of 10 10 Points When measuring for a functional leglength discrepancy one should take the measurements from A The greater trochanter to the lateral malleolus E E B The umbilicus to the medial malleolus E C The anterior superior iliac spine to the lateral malleolus E D The posterior superior iliac spine to the medial malleolus Answer Key B Question 9 of 10 10 Points The mechanism of injury that leaves the posterior cruciate ligament at greatest risk for injury is E A Hyperextension of the knee E B Falling with the knee bent and the foot dorsiflexed v39 E C Landing on the anterior aspect of the bent knee with the foot plantarflexed C D A valgus stress with the knee fully extended Answer Key C Question 10 of 10 10 Points Which of the following is the most common direction for the patella to sublux v E A Laterally C B Superiorly C C Medially E D Inferiorly Answer Key A THE REST OF THE INFORMATION MCL Medial Collateral Ligament From medial epicondyle of the femur medial conder of the tibia resist forces that push medially valgus Valgus movement w knee bent causes injury LCL Lateral Collateral Ligament From lateral condyle of femur head of tibia resist varus forces ligament is on outside of the knee ACL Anterior Cruciate Ligament From lateral condyle of the femur9intercondyoid eminence of the tibia prevents anterior shifting of the tibia with regards to the femur PCL Posterior Cruciate Ligament STRONGEST MUSCLE IN THE KNEE From posterior intercondlyar area of the tibia medial condyle of the femur resists forces pushing the tibia posteriorly relative to the femur Capsule 2 parts of the capsule Synovial lines the noncartilaginous regions of the knee fluid Fibrous9membrane is made almost all of fibrous tendons fascia etc and lines the synovial membrane thus quotenclosingquot the capsule Intracapsular area that contains the 2 cruciate ligaments Extracapsular area that contains the other ligaments of the knee Q angleQuadriceps angle Measured by the line drawn from the anteriorsurface of the iliac spine to the central patella An increased angle leaves the pt at risk for patellar sublaxation An increased Q angle gives the appearance of valgus knees knockkneed Normal Measurements Males14 degrees Females 17 degrees Evaluations of the knee Collateral Ligament Stress test valgus amp varus Used to assess the integrity of the MCL amp LCL respectively Anterior Cruciate Ligament Tests Drawer test 90 degrees flexion knee shouldn t slide fo rwa rd Lachman drawer test 30 degrees attempt is made to translate the tibia anteriorly tibia shouldn t translate freely Many Variations towel under femur leg off table pt supine pt prone w knee and lower leg just off table Pivot shift testUsed to determine anterolateral rotary instability9quotclunkquot is a positive test Jerk test FIeXion Rotation drawer test Losee s Test Posterior Cruciate Ligament Tests Posterior drawer test Knee flexed 90 w posterior motion applied to tibia free posterior translation is a positive sign External Rotation Recurvatum Test Posterior Sag TestSupine w leg flexed 90lateral observation for positive sag Meniscal test Knee is flexed and extended in conjunction with external and internal rotation applied positive test occurs when clicking and popping are heard Devices used to measure the knee KT2000 arthrometer Stryker knee laxity tester and Genucom can be used to assess the knee The most frequent and serious ofthe knee iniuries is the ACL


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