Lower Extremity Ortho Conditions PDF

PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO TOPIC OUTLINE: I PELVIS ORTHOCONDITIONS 1 FRACTURE 2 OSTEITIS PUBIS 3 MULTIPLE MYELOMA 4...

PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO TOPIC OUTLINE: I PELVIS ORTHOCONDITIONS 1 FRACTURE 2 OSTEITIS PUBIS 3 MULTIPLE MYELOMA 4 HIP POINTER INJURY 5 INNOMINATE SYNDROME 6 ISCHIOGLUTEAL BURSITIS II. HIP ORTHOCONDITIONS 1 SCFE VS LCPD 2 DISLOCATION 3 COXA VARA & COXA VALGA 4 ANTEVERSION & RETROVERSION 5 COXA SALTANS 6 MERALGIA PARESTHETICA 7 MM CONTUSION 8 MM STRAIN 9 M.O VS H.O III. KNEE ORTHOCONDITIONS 1 DIFFERENTIAL DIAGNOSIS 2 BURSITIS 3 SOFT TISSUE INJURIES/LIGAMENTOUS INJURY 4 KNEE OA 5 DEFORMITIES 6 CHONDROMALACIA PATELLA 7 MISERABLE MALALIGNMENT IV. LEG, ANKLE & FOOT 1 BLOUNT’S DISEASE 2 STRESS FRACTURE 3 ANTERIOR COMPARTMENT SYNDROME 4 SHIN SPLINT 5 ACHILLES TENDINITIS 6 SEVER’S DISEASE VS HAGLUND’S DEFORMITY 7 PLANTAR FASCIITIS 8 FOOT DEFORMITIES 9 TOE CONDITIONS Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO I. PELVIS ORTHOCONDITION 1.FRACTURE FRACTURE DESCRIPTION a. Duverney’s fracture · isolated ilias wins FX Stable · FX b. Malgaine fracture · double vertical FX & ant and first pelvic brim unstable FX c. Traction apophysitis/ avulsion fracture · traction apophysitis 20 to Foneful Ms · CXN 2.OSTEITIS PUBIS “not infectious” - inflammation of symphysis pubis - d/ mechanical causes , not infection X-ray Finding: MOTH-EATEN CAUSES: appearance & 1. pregnan =- waxin 2. Overuse Syndrome Y adductors (Egymnasts , motor side). 3 Hyperactive Signs and Symptoms: 1. Hagging pain 2. nocturnal poin 3. Iom : abduction towards AugustRest : · · Stretching avoid · Binder frog kicking · 3. MULTIPLE MYELOMA benign tumor & tone marrow > - IPI) overproduction of ineloid · cells - pubis ischium - elium - mulignant : site of metastases Signs and Symptoms : · nagging pain · nocturnal pain weight loss & · sudden · multiple bx Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO X-ray findings: mickey-mouse appearance/ punch-out 4. HIP POINTER INJURY  direct tranmer & ASIS ⑳ SISX : - · Tenderness · Bruises Hematoma (200 1st signs 5. INNOMINATE SYNDROME CAUSED BY: LLD dIt muscle imbalance (ALLD) in It) LLD v 21 difference LLD Resulted from Assessment *Functional Leg Length/ Compensation of posture or umbilicus to med Mal. Apparent Shortening positioning Foot pronation, contracture or Spinal Scoliosis True Leg Length Actual difference in length of ASIs to med. Mal the bone Anatomic or structural change in the length of the bone resulting from congenital mal Normal: 0.5 to 1 inch development, bony anomaly, difference hip dysplasia, fracture SPECIAL TEST: SUPINE TO SIT  Palpation: medial malleolus Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO TYPE:  ANTERIOR INNOMINATE SYNDROME (ALSup) (t) APT & longer in supine > - LE : , ↑ > - shorter in sitting (long) · Mahrhatak yung me during sitting supine - > - # -- sitting  POSTERIOR INNOMINATE SYNDROME (PSSup) (t) PPT O · ms stretched - LE : shortes in supine , anteriorly Y & longer in sitting - slouch firwald supine sitting 6. ISCHIOGLUTEAL BURSITIS > - inflammation of ischiogluteal bursa AKA: 1. boatman's bottom · 2. taicois bottom 3. we over's bottim MOI: 1. Prolonged sitting on hard surfaces Auttocks 2. direct traumer E -... Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO Charles doe LPD > - adult ontet of II. HIP ORTHOCONDITIONS 1. SCFE VS LCPD SCFE LCPD Name Slipped Capital Femoral Legg – Calve Perthes Disease Epiphysis Description of the + avascular necrosis slippage * femoral head femoral head A of * * & Cause Direct hip trauma idiopathic Presentation: Demographics Gender: m > F # m > * Age: adolescent children (7 y10 Body: tall , obese short thin , Signs and Symptoms Pain: lat hip and thigh grin area LOM: towards ABIR # ABIR * towards Gait Deviation: (t) anTalgiv gait It) Mundelenbury gait (t) pratic guif (FADDER It) Waddling guit Grading: 1 : < 33 % 11 : 33-50 % 111 : 750% Management ORTHOSIS: ABIR surgery T rilateral T ocouto S cottish-rife Stages of LCPD Time Pathogenesis X-ray Findings Disease process itself may last Period for 2 to 5 years Quiet phase Spontaneous vascular sagging rape 1–2 interruption to the epiphysis Worst sign > - I – Necrosis (Avascularization) weeks II - Fragmentation (H) fragments It crescent sign Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO 6 – 12 weeks urcuruple X arteries growth of new artures III - Revascularization deforming magna a bore 2 -3 years growth of new ( IV – Remodelling (Reparative/Residual) > xa burn Completion of healing or regeneration gradually reforms the growth of new head of the femur into live spongy Final bone Sone and acteris V- Healing (Regenerative/ Months Intravascular) 2.HIP DISLOCATION  CONGENITAL HIP DISLOCATION NOTES: Common in breech babies -F>M, First born due to tight uterin mm and abdominal mm of the mother a CONGENITAL HIP DYSPLASIA > - dislocation & birth ; Ortolani b CONGENITAL DISLOCATABLE HIP c > - intact birth ; ACETABULAR DYSPLASIA a (H) distcutable , hip ; Since > - labrum less Stable d TERATOLOGIC HIP DYSPLASIA - hip dislocation 2 to fixed contracture > - i arthrogryposis Multiple x congenitor associated MANAGEMENT (ORTHOSIS): VIPF Vor Rosen felda harnest  ACQUIRED HIP DISLOCATION dislocation distal NOTES: Frejka pillow => TraumaCFADD )(eashboard injury) Mede · Young : fall Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO me : posterior hip direction MANAGEMENT: gerythropatty mis · MS recurrent hip / PRECAUTIONS: complication :  avoid hip - go  awid crossedby sitting  avoid trunk bending whe pillow when sleeping  avold low/ soft chair lega · trikt reat I between the ,  use high-rised bathing  use bathrovar chair when  pirt on round 48 : And le  stair descending : climbing : ascending good by Types of CEMENTED NON-CEMENTED Fixation: Patient elders active Material used young , Poly Methyl Theth Osseoint bone acrylate H growth Weight Bearing < 24 hes C-12 was/ 3-6 Mis 3 COXA VARA VS COXA VALGA NSA: ① · 125 : COXA VARA ↓ NSA COXA VALGA ↑ NSA P wonated Firt P PT I R of hip and knee I 12 longer Femur S nort temur E R hip and kne A PT S upinated Fort F Head. is pointed inF. F. Head is printed sup. NORMAL COXA VARA COXA VALGA Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO - I P ⑪ : 8-17 · Anteversion 4. ANTEVERSION VS RETROVERSION EXCESSIVE ANTEVERSION * RETROVERSION > - Nanteversion angle ER Hip and Knee IN Eversion of Fort ternal not nversion OF Foot Out-treing n-toeing 2f) Fig Eye Patella - Grasshopper patella (t) Squinting patella W – Sitting / TV sitting – increase Anteversion and medial knee pain 5.COXA SALTANS/ SNAPPING HIP SYNDROME > - di Mm fightness EXTERNAL – MOST INTERNAL INTRA-ARTICULAR COMMON TYPE Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO EXTERNAL INTERNAL INTRA-ARTICULAR right inopsoas " labral tear -"Dancer's hip - > - S "Runner's hip" - Light ilofemoral lg > - degenerativeI t dse - > - MG > - 173 Lightness Test: Passive ER-IR while pt Test: EXABER on affected leg in lateral decubitus position Clinical features: Snapping or clicking with or without pain Tenderness over the affected mm /grin area Treatment: Rest, ice stretching 6.MERALGIA PARESTHETICA LFCN Description: Lateral Femoral Cutaneous nerve (22- (m) Impingement of Caused by: pure sensing affectation · SisX : 1. pregnancy Burning/ Tingling pain of lat. thigh 2. obesit 3. tight clothing Management: 1. lose weight 2. loose clothing 3. meds 7. MUSCLE CONTUSION  Mc : quadriaps (Charley hosses  hamstring : semipe  adductor : longus  gluteus : g med. 8. MUSCLE STRAIN  mc : hamstring  adductor : longus  quadricepsirectio femo ris Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO 9. MYOSITIS OSSFICATION & HETEROTOPIC OSSIFICANS MYOSITIS OSSFICATION HETEROTOPIC OSSIFICANS Description Abnormal bone growth : muscle Abnormal bone growth : joints Cause confusion prolonged immobilization MA (neurologic patients) Location Quads (mc) SCI: Most common hip > knee > SH) elbr UE : brachialis CVA/TBI: SH BURN: post Ulbri. Onset Onset: between Onset:1-4 mos status post-injury 2-3 weeks post injury Symptoms “PaPaFLEXMO hand end feet P alpable mass painful P ainful com (Sallmark Flexion contactile - Diagnostic early : So ne secan/MR X-ray Procedures alkaline late : X-ray Lab findings : phosphatase Management C/1 : Stretching Stretching Massage Early mobilization 1 : grate AROMES , surgery Meda : disodium etidronate - - maturation phase Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO II. KNEE ORTHOCONDITIONS DRAWING: 1. DIFFERENTIAL DIAGNOSIS a OS GOOD SCHLATTER DISEASE > - traction apophysitis &art tibial. Tuberosity >- Young active adolescent , , > Ex - activity restriction (4-8WRA) : O b PATELLAR TENDINITIS > - difficulty during descending stairs (the , ⑫ -overuse & syndrome I jumping running , , squatting knee pain T - Juspers us -insertional tendinopathy leg  Patellar tendon rupture > - patellar alta : patella is located superiorly (t) patellar movt Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO  Quads tendon rupture patellar baja : patella in located inferiorly c SINDING LARSEN JOHANSSON > - liciou & inf pulr of patella d OSTEOCHONDRITIS DISSECANS lesion I lat > - aspect of Ned femoral condyle WB condition I locking rensation > - gradual onset of pain e HOFFA’S DISEASE during WB > impingement of infrapatellar fat pad bet and tibia -. femur 2. BURSITIS knee" a PRE PATELLAR BURSITIS "Housemaids' : - causes - directly in carpet leying front of patella · gardening b SUPERFICIAL INFRAPATELLAR BURSITIS · wiping floru This Knee · Wrestling > - Vicars Knee c curgyman's knew PES ANSERIN BURSITIS "gor se foot" - pain o upper medial tibial staff d BAKER’S CYST ↳ popliteal Arusitis involvement > - tibial serve 3. LIGAMENTOUS INJURIES/SOFT TISSUE INJURIES UNHAPPY TRIAD  Ach  Mch  medial menisers ↑ Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO a MEDIAL COLLATERAL LIGAMENT & LATERAL COLLATERAL LIGAMENT MCL LCL MOI: MOI: ↑ valgus force ↑ vals force ; Rana  Common: Football & skiing  PALPATION:  S/SX: Knee become stiff,medial  Postero-lateral instability swelling, & instability during 30 knee  Assoc with Peroneal Nerve injury flexion  Result from knee d/l  PELEGRINI-STEIDA DISEASE : MCRL ossification Mgmit knew brace · strengthening concominant - surgery : teac a injury · b MENISCAL INJURIES knee V (WB) MOI: libial rotation + partial MEDIAL MENISCUS: football socco , LATERAL MENISCUS: In restling ACUTE DEGENRATIVE kner "pop" stiffness > 40 y10 · /in 24 hist - will effusionlimit knew effusion meniscal · sensation - locking fragments MANAGEMENT: inner 2/3 : resection · surgical · inter 1/3 : surgical repair c ANTERIOR CRUCIATE LIGAMENT INJURY & POSTERIOR CRUCIATE LIGAMENT INJURY ACL PCL CAUSE me injured lig : athleti · stantest eig - O typer/ of knee ② valque force : tibial Bot + O dashboard injury ② part direct in art kneel leg Knee v & ant Traxelation & game keeprs goal Keep is kicked on fixed fer ⑧ hyper-of knee ↑ post translation of tixis S/SX pop sound popliteal Tenderness Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO ant knee pain : difficulty during knee/ post-lat it pain X-ray mym't : avulsion she king fx Tetungthening of quads Itibial plateaus icons knee buckling hamstrings · : arterior drawer text lachman test : SPECIAL TEST ACL RECONSTRUCTION:  BONE-PATELLAR TENDON-BONE GRAFT patellar tendon tibial Tuberosity > - Patella , , > - recommended > - complication : ant. Knee pain  SEMITENDINOSOUS/GRACILIS GRAFT - me used - more practical > - omplication lesser REHABILITATION AFTER RECONSTRUCTION uks Lenox-Hill Dentation first Avoidok ene Brace ROME : 2 tinies t · : · Progress : CKC ex · , quads (isom) 4. KNEE OSTEOARTHRITIS > - WB condition -> knee jt : largest WB j7 debilitating condition eldest : -most & (+) medial side collapse (t) o It space It) bony Spurs (t) value gene O i Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO Inguit : ORTHOSIS: CARS-UBC: Canadian Arthritis and Rheumatism Society—University of British Columbia = - pain reliever - tai-chi - last : Steroids 13-150 = Q angle 5. KNEE DEFORMITIES O O Other name GENU VARUM bow-leg i GENU VALGUM brocked knee GENU RECURVATUM sabe leg", hype knee" description Decrease Q-angle Normal Increase Q – angle Normal Caused by: at 18-19 months at 3-4 years old 1. weak or paralyzed ↑ Q argle extensors - Poliomyelitis ↓ Q angle medial side LOG 3 4 y10WB 2. spastic extensors - CVA ① - => b 18-19 mos , ↑ BOS Normal Valgus : 6 & Gy/0 6. CHONDROMALACIA PATELLA NOTES: patellofemoral pait syndrome" patella athralgia " - > - degeneration softening or of articular Munner's knee" the surface of the patella Pain: stair climbing sitting , squattiny , Special test: WALDRON , CLARK's Sign: cinema sign Stages: ↓ - swelling Il-fissuring III-deformed surface IV-damage/lesion to femoral surface Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO Signs and Symptoms Anterior knee pain Crepitus may be present on ROM Effusion Management: VMO strengthening No jumping running squatting , , · Ice. Rest patellar taping/brace 7. MISERABLE MALALIGNMENT > - dit is imbalance alt malalignment of the structures > - Presentation : Broad · pelvis YO dysplasia subtular pronation ↑ Q4 patellar subluxation nenicular drop Any Huling El Bimbo" ↑ an Kamuka mo si Paraluman na malaki ang balakang version genu valguo Ext APT tibial torsion Sumasakit raw ang tuhod niya kakaboogie at kaka chacha Ngunit ng pag assess mo ay mataas ang anteversion pati na Q angle At genu valgum Subtalar pronation at ETT ohhhhhhhhhhhhhhhhhhhh Pag assess sa patella ay mayroon tong subluxation VMO dysplasia kahit ito lang alam mo ohhh Magkauntog na ang tuhod mo at walang kamalay malay Anterior pelvic tilt at navi drop ay miserable nga na tunay Aray aray…. Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO II. LEG, ANKLE, AND FOOT ORTHOCONDITIONS 1 BLOUNT’S DISEASE tibia vara" -growth arrest of ride ned of tibia 2 STRESS FRACTURE > X-ray finding black draded line - : > - MC : distal 113 of tibia > - WB condition 3 ANTERIOR COMPARTMENT SYNDROME > - ↑ po@ant compartment - Legit : Fasciotomy S/SX > - : , parethesia painful Paralysis , , pallor weakness , , pulse lessnext 4 SHIN SPLINT medial tibial stress > syndrome excessive friction Tibial a medial - - medial tibial > - pain & > - common : toe-runner > - dI tibialis postion overload 5 ACHILLES TENDINITIS insertional tendinopathy > - DIFFICULTY: RUNNING, UPHILL, ASCENDING STAIRS achives > - inflammation tendor  ACHILLES TENDON RUPTURE > - lon : midportion > - ST : Thong son - & 6 SEVER’S DISEASE London avulsion calcaneus via achilles > - fx of 7 HAGLUND’S DEFORMITY > - degeneration of post. calcaneus > - It) ug burp deformity > - cause : winter boots pumps , 8 PLANTAR FASCIITIS ↳ inflammation of plantar aponeurosis/fascia : causes Prolonged standing Signs and symptoms: obesity / pregnancy · first step pain · flat shoes prolonged use of medial her pain light gashica - Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO PAIN:MEDIAL HEEL PAIN/MEDIAL CALCANEUS matching ② Night splint & last option : stewide surgery 9 ANKLE SPRAIN LATERAL ANKLE SPRAIN MOI: INVERSION + PF INJURED LIGAMENTS: ANTAF  Anterior Talofibular Ligament (mc) > - Ant Drawer Jest. F1  Calcaneofibular ligament (2ND MC) Talan Tilt PutAF  Posterior Talofibular ligament ( last) GRADE 1 GRADE 2 GRADE 3 LOCATION AnTAFT AntAFI. CAFI ANTAFI , CAFI , POTAFI PAIN & ECCHYMOSIS local and slight local , moderate diffuse , significant WEIGHT BEARING FWD PWB > - Difficult s crutches impossible 5 pain DAMAGE stretch partial tear emplete tear INSTABILITY zoze n ow or partial definite MEDIAL ANKLE SPRAIN ANTAT  Anterior tibiotalar ligament Grade 1 Stretch tear : POTATI 11 : partial  Posterior tibiotalar ligament CAT  Tibionavicular ligament In Complete Tra : TINA  Tibiocalcaneal ligament MOI: Pronated + Everted + IR of the upper body EX football players, Pure eversion is rare - MANAGEMENT: · Gr 1 2: - Acute Phase - -RICE Mr. - 3 -Early mobilization · 6 mos tial retab program athlete : surgery early as 320s post injury conferativeisthening synt · as - bath - , contrast Whirl poo Proprioceptive. > 10. FOOT DEFORMITIES DEFORMITY PES PLANUS PES CAVUS TALIPES EQUINOVARUS Other name club foot Addict Description d laxityofpinylig high ach date , Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO Charcot Marie Tooth Syndrome Down - a bifida CPA Orthosis Thomas feel · Serial casting : cushion Add > - Abd UCBL (For DS) ↑ the box 1 Eve pF > - university of California - DF Biomechanical Laboratory · Denise Brown Splint Rocker Bottom Reformits * 11. TOE CONDITIONS a. HALLUX VALGUS visted RA shoes > - metatarsus adductus > - fuxion : callus a big formation the & 5th fre - > - Auriohette - : callus formation b. HALLUX RIGIDUS > - Osteophyte formation & dorsmm of ImiT > - E) pust off I appropulsive guit c. GOUT MC arthritis : male > - meds: allogist - - accumulation lic > - (H)tophi : of crystals colchicine > - big ter : podaga free : goingla writ : Cheisagna > - lab finding : uric and (hypernicimial d. DANCER’S TENDINITIS FHL Tendon > - inflammation of > - fallerina e. TURF TOE ruptured FHL tendow fortball > player - e , soccer > - hypers injury of big the f. MORTON’S NEUROMA/INTERDIGITAL NEURITIS > - inflammation of zd interdigital home + muldent sigas add but Treat clicking sound > - pain & 3rd and 4th To g. METATARSALGIA > - If pain MTT head > - Orthosis : MTT bar or pad h. DEFORMITIES DEFORMITY CLAW TOES HAMMER TOES MALLET TOES MTP - S N PIP ~ ~ N DIP ~ v / Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO pathy ↓, sensation alt ↓ vasa hennorm b. DIABETIC FOOT 1 Charlot News = (plantan SEMMES-WEINSTEIN MONOFILAMENT TEST MONOFILAMENT FORCE INTERPRETATION 4.17 · infact resuxation 19 · lost of protective sensation 5.07 log · severely insensitive 6.10 759 (t) = gangrene WAGNER CLASSIFICATION 0 – Pre ulcerative lesion, healed ulcers, presence of bone deformity 1– Superficial ulcer without subcutaneous tissue involvement. 2 – Penetration through the subcutaneous tissue (expose bone, tendon, ligament, joint, muscle) 3 – osteitis, abscess or osteomyelitis (caused by Staph. Aureus) 4 – Gangrene of partial foot/ digit 5 - Gangrene of the entire foot requiring REMEMBER ME! X RAY FINDINGS: MOTH EATEN: OSTEITIS PUBIS MICKEY MOUSE LESION: MULTIPLE MYELOMA CRESCENT SIGN- STAGE II LCPD SAGGING ROPE SIGN-STAGE 1 LCPD ALSUP PSUP TTS-LCPD(ORTHOSIS) VIPF- CONGENITAL DISLOCATION(ORTHOSIS) PISA- COXA VARA PIES-COXA VALGA PAPA FLEX MO- M.O MC TYPE SNAPPING HIP- EXTERNAL MC CONTUSED MM- QUADS MC STRAIN MM- HAMSTRING MC SITE OF OA: KNEE MC SITE STRESS FRACTURE: DISTAL 1/3 TIBIA WEAK POINT ACHILLES TENDON: MID PORTION MC DIRECTION OF HIP D/L: POSTERIOR Lower Extremity Orthoconditions handout by April Ragadio for the Premium Learning Program © 2024 PT Board Exam. Unauthorized reproduction, use or dissemination, uploading or downloading is strictly prohibited and shall be prosecuted to the full extent of the law, including administrative complaints with the Professional Regulatory Board, Philippine Regulation Commission  PLP LOWER EXTREMITY ORTHOCONDITIONS PLP PHYSICAL THERAPY REVIEW BY: APRIL V RAGADIO N: VALGUS: