Orthopedic Radiology Terms Quiz
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Questions and Answers

What is the significance of an acetabular angle greater than 20 degrees?

  • It implies pincer impingement.
  • It indicates femoral head containment.
  • It signifies mild dysplasia.
  • It suggests retroversion. (correct)
  • In the context of acetabular angles, what is the implication of a center edge angle (LCEA) greater than 39 degrees?

  • Moderate dysplasia
  • Mild dysplasia
  • Pincer deformity (correct)
  • Pincer impingement
  • How is acetabular inclination evaluated, and what is considered normal?

  • Evaluated by acetabular roof angle, normal range 3-13 degrees (correct)
  • Evaluated by acetabular index, normal range 33-38 degrees
  • Evaluated by acetabular index, normal range >47 degrees
  • Evaluated by center edge angle (LCEA), normal range >47 degrees
  • What does an acetabular index assessed on an anterior-posterior radiograph measure?

    <p>The degree of acetabular dysplasia (A)</p> Signup and view all the answers

    What is the significance of an acetabular angle in the dysplastic range?

    <p>Imply more dysplasia (B)</p> Signup and view all the answers

    What is the incorrect assumption regarding human function in kinesiology?

    <p>Function is only governed by structural biomechanics (A)</p> Signup and view all the answers

    Where does the hamstring (HS) muscle group originate from?

    <p>Ischial tuberosity (C)</p> Signup and view all the answers

    What structure covers the femoral head?

    <p>Articular cartilage (D)</p> Signup and view all the answers

    In pelvic anatomy, what landmark joins the two rami from each hemi pelvis?

    <p>Pubic symphysis (D)</p> Signup and view all the answers

    What does the crossover sign indicate in acetabular over coverage?

    <p>Retroverted position of the pelvis (B)</p> Signup and view all the answers

    From which landmark is the acetabular version angle measured?

    <p>Posterior rim of acetabulum (C)</p> Signup and view all the answers

    In acetabular protrusion, the femoral head is located:

    <p>Medial to Kohler's line (D)</p> Signup and view all the answers

    What does an alpha angle greater than 60 indicate?

    <p>Large bony anomaly (D)</p> Signup and view all the answers

    According to Tonnis and Kellgren-Lawrence scales, how do arthritic grading scales typically range?

    <p>0-3 according to Tonnis and 1-4 according to Kellgren-Lawrence (D)</p> Signup and view all the answers

    In the hip joint, which muscles pass anterior to the hip axis?

    <p>Hip flexors and internal rotators (C)</p> Signup and view all the answers

    What type of motion is primarily observed in the hip joint arthokinematics?

    <p>Primarily spin (B)</p> Signup and view all the answers

    Where do the abductors pass in relation to the hip axis?

    <p>Lateral (C)</p> Signup and view all the answers

    What is the significance of a leg length discrepancy of 5-6mm in palpation?

    <p>It indicates a possible SIJ dysfunction (C)</p> Signup and view all the answers

    What is the primary purpose of the Thomas Test?

    <p>To evaluate hamstring flexibility (C)</p> Signup and view all the answers

    What is the position of the opposite hip during the Thomas Test when assessing for rectus femoris length?

    <p>Extended (C)</p> Signup and view all the answers

    Why is it important to monitor for substitution during hip flexion with knee extension in supine position?

    <p>To check for restrictions from other muscles like TFL (A)</p> Signup and view all the answers

    What does palpation of bony landmarks symmetry help in assessing?

    <p>Joint contractures (C)</p> Signup and view all the answers

    Which test is used to assess sciatic nerve tension?

    <p>SLR Slump Test (A)</p> Signup and view all the answers

    What should be assessed when performing the OBER test?

    <p>Hip rotation range of motion (B)</p> Signup and view all the answers

    Which movement is involved in the HE Log Roll Test?

    <p>Flexion, adduction, and internal rotation (A)</p> Signup and view all the answers

    What does the FABER test evaluate?

    <p>Joint impingement (B)</p> Signup and view all the answers

    What does the Quadrant Test primarily evaluate?

    <p>Hip OA and labral pathology (C)</p> Signup and view all the answers

    In the context of hip assessments, what is the purpose of the FADIR test?

    <p>To diagnose femoroacetabular/labral pathology (A)</p> Signup and view all the answers

    What is deemed a positive outcome in the Posterior Inferior Impingement Test?

    <p>Recreation of familiar deep groin/buttock pain (D)</p> Signup and view all the answers

    Which test can help differentiate between intra-articular and extra-articular hip problems?

    <p>HE Log Roll Test (C)</p> Signup and view all the answers

    What is a primary indicator for an anterior hip impingement during assessment?

    <p>Lateral hip pain with anterior complaints (D)</p> Signup and view all the answers

    What special tests could indicate a diagnosis related to ischiofemoral impingement?

    <p>Posterior Inferior Impingement Test (B)</p> Signup and view all the answers

    Flashcards

    Acetabular angle > 20 degrees

    Indicates retroversion of the acetabulum.

    LCEA > 39 degrees

    Suggests a pincer deformity.

    Acetabular inclination

    Measured by acetabular roof angle; normal range is 3-13 degrees.

    Acetabular index

    Measures acetabular dysplasia on an anterior-posterior radiograph.

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    Dysplastic acetabular angle

    Indicates more acetabular dysplasia.

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    Incorrect kinesiology assumption

    Function isn't solely determined by structural biomechanics.

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    Hamstring origin

    Ischial tuberosity is the origin of the hamstring group.

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    Femoral head covering

    Articular cartilage covers the femoral head.

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    Pubic symphysis

    Connects the rami of each hemi pelvis.

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    Crossover sign

    Indicates a retroverted pelvis in acetabular over coverage.

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    Acetabular version angle

    Measured from the posterior rim of the acetabulum.

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    Acetabular protrusion

    Femoral head is medial to Kohler's line.

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    Alpha angle > 60

    Indicates a large bony anomaly.

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    Arthritic grading scales

    Typically range from 0-3 (Tonnis) and 1-4 (Kellgren-Lawrence).

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    Hip flexors/internal rotators

    Pass anterior to the hip axis.

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    Hip joint arthokinematics

    Primarily spin.

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    Hip abductors

    Pass lateral to the hip axis.

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    5-6 mm leg length discrepancy

    Indicates possible SIJ dysfunction.

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    Thomas Test

    Evaluates hamstring flexibility.

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    Thomas Test - opposite hip

    Extended to assess rectus femoris length.

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    Substitution during hip flexion

    Monitor for limitations from other muscles like TFL.

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    Bony landmark symmetry

    Helps assess joint contractures.

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    SLR Slump Test

    Assesses sciatic nerve tension.

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    OBER test

    Assesses hip rotation range of motion.

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    HE Log Roll Test

    Evaluates flexion, adduction, and internal rotation.

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    FABER test

    Evaluates joint impingement.

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    Quadrant Test

    Primarily evaluates hip OA and labral pathology.

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    FADIR test

    Diagnoses femoroacetabular/labral pathology.

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    Positive Posterior Inferior Impingement Test

    Recreation of deep groin/buttock pain.

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    HE Log Roll Test (differentiation)

    Differentiate between intra-articular and extra-articular hip problems.

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    Anterior hip impingement

    Lateral hip pain with anterior complaints.

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    Ischiofemoral impingement (special tests)

    Posterior Inferior Impingement test is one.

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