OnlineMedEd Shared "Joints of the Lower Extremity" - 15 Picmonics
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Joints of the Lower Extremity
Hip Surgery
- Neurovascular Assessment
- No 90 Degree Hip Flexion
- No Adduction
- No Internal Rotation
- Avoid Turning on Affected Side
- Considerations
- Thromboembolism Prevention
2 mins
Hip Fracture
- Assessment
- External Rotation
- Muscle Spasms
- Shortened Leg
- Pain
- Interventions
- Buck's Traction
- Analgesics
- Surgery
- Considerations
- Avascular Necrosis
1 min
Developmental Dysplasia of the Hip
- Cause
- Abnormal Femoral Head in Acetabulum
- Newborn Assessment
- Positive Barlow Sign
- Clicking with Adduction
- Positive Ortolani Sign
- Clicking with Abduction
- Asymmetrical Limb Lengths and Folds (Gluteal and Thigh)
- Older Child Assessment
- Trendelenburg Sign
- Interventions
- Abduction Device
- Pavlik Harness
- Closed Reduction
3 mins
Slipped Capital Femoral Epiphysis (SCFE)
- Pathophysiology
- Separation of Femoral Epiphysis from Femoral Neck
- Through Growth Plate (Physeal Plate)
- Obesity
- Male Adolescents
- African American
- Growth and Sex Hormone Imbalances
- Signs & Symptoms
- Thigh or Knee Pain
- Inability to Bear Weight
- Decreased Internal Rotation of Hip
- Obligate External Rotation of Hip with Flexion
- Diagnosis
- Frog Leg Lateral X-ray
- Treatment
- Surgical Pinning
- Complications
- Avascular Necrosis of Femoral Head
3 mins
Osteoarthritis Assessment
- Mechanism
- Aging
- Articular Cartilage Destruction
- Biomechanical Stress
- Signs and Symptoms
- Asymmetric
- Pain Decreases with Rest
- Morning Stiffness under 30 Minutes
- Crepitus
- DIP and PIP Joints
1 min
Legg-Calve-Perthes Disease
- Pathophysiology
- Idiopathic Avascular Necrosis of Femoral Head
- Boys 5-7 Years of Age
- Symptoms < 18 Months
- Signs & Symptoms
- Painless Limp
- Limited Range of Motion
- Intermittent Anterior Thigh Pain
- Insidious Pain in Knee
- Atrophy of Upper Thigh
- Diagnosis
- AP and Frog Leg Lateral X-ray
- Compression and Deformity of Femoral Head
- Treatment
- Bed Rest
- NSAIDs
- Containment with Brace or Cast
- Surgery
4 mins
Total Knee Replacement (TKR)
- Indications
- Joint Pain (Uncontrolled)
- Impaired Mobility
- Considerations
- Compression Dressing
- Frequent Neurovascular Assessments
- Continuous Passive Motion (CPM) Devices
- Early Ambulation
- Venous Thromboembolism (VTE) Prophylaxis
- Limit Flexion Positions
- Monitor for Infection
2 mins
MCL Tear
- Mechanism
- Medial Knee Injury
- Unhappy Triad
- Football
- Skiing
- Sign
- Valgus Stress Test
- Treatment
- Conservative Management
54 secs
Osgood-Schlatter Disease (Tibial Tubercle Apophysitis)
- Pathophysiology
- Apophysitis of Tibial Tubercle
- Active, Young Boys
- Running and Jumping
- Overuse Injury
- Recent Growth Spurt
- Signs and Symptoms
- Diagnosis Made on History
- Anterior Knee Pain
- Enlarged Tibial Tubercle
- Edema
- Treatment
- Rest
- NSAIDs
- Activity Restriction
- Self-limiting
2 mins
Patellofemoral Pain Syndrome (PFPS)
- Pathophysiology
- Young Female Athletes
- Runners
- Overuse Injury
- Idiopathic Patellar & Retinacular Pain
- Signs & Symptoms
- Chronic Anterior Knee Pain
- Increased with Squatting or Running
- Increased with Prolonged Sitting or Climbing Stairs
- Diagnosis
- Patellofemoral Compression Test
- Apprehension Sign
- Treatment
- NSAIDs
- Conservative Therapy
- Bracing
3 mins
Restless Legs Syndrome
- Pathophysiology
- Idiopathic
- Iron Deficiency
- Parkinson's Disease
- Uremia
- Signs and Symptoms
- Urge to Move the Legs
- Unpleasant Sensations in Legs
- Worsens with Inactivity
- Relieved by Movement
- Treatment
- Iron Supplementation
- Nonpharmacologic Treatment
- Gabapentinoids
- Non-ergot Dopamine Agonists
2 mins
ACL Tear
- Mechanism
- Non-contact
- Popping
- Sudden Stop
- Change in Direction
- Unhappy Triad
- Sign
- Lachman Test
- Treatment
- Reconstruction if Severe
1 min
Meniscus Tear
- Fibrocartilage Semicircular Band
- Traumatic
- Unhappy Triad
- Degenerative
- Symptoms
- Clicking and Locking
- McMurray Test
- Pain on External Rotation
- Treatment
- Conservative Management
- Surgery
1 min
Calcium Pyrophosphate Deposition Disease (CPPD) (Formerly Pseudogout)
- Pathophysiology
- Calcium Pyrophosphate Crystals
- > 50 Years Old
- Acute Inflammation of Large Joints (Classically the Knee)
- Risk Factors
- Prior Joint Injury
- Osteoarthritis
- Metabolic Conditions
- Diagnosis
- Positively Birefringent
- Rhomboid-shaped Crystals
- Chondrocalcinosis (On X-ray)
- Treatment
- NSAIDs
- Colchicine
- Steroids
3 mins
Rheumatoid Arthritis Assessment
- Mechanism
- Destruction of Connective Tissue and Synovial Membrane
- Signs and Symptoms
- Inflammation of Joints
- Morning Stiffness
- Nodules
- Joint Deformities
1 min
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