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Bony Structure of Pelvis
From LifeART, Grant’s Atlas 2. Copyright 1999, Lippincott Williams & Wilkins.
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Muscles of the Pelvis & Thigh
From LifeART, Grant’s Atlas 3. Copyright 1999, Lippincott Williams & Wilkins. Anterior Posterior
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Arteries and Veins of the Lower Extremity
From LifeART, Orthopedics. Copyright 1998, Lippincott Williams & Wilkins.
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Acetabulum From LifeART, Grant’s Atlas 3. Copyright 1999, Lippincott Williams & Wilkins.
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Bones of the Lower Leg From LifeART, Grant’s Atlas 3. Copyright 1999, Lippincott Williams & Wilkins.
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Muscles of the Leg From LifeART, Grant’s Atlas 3. Copyright 1999, Lippincott Williams & Wilkins.
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Right Knee, Posterior View
From LifeART, Grant’s Atlas 3. Copyright 1999, Lippincott Williams & Wilkins.
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Right Knee, Anterior View
From LifeART, Grant’s Atlas 3. Copyright 1999, Lippincott Williams & Wilkins.
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Bones of the Lower Leg & Foot
From LifeART, Grant’s Atlas 3. Copyright 1999, Lippincott Williams & Wilkins.
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Primary Nerves of the Lower Extremity
From LifeART, Orthopedics. Copyright 1998, Lippincott Williams & Wilkins.
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Dislocated Knee
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Valgus Stress Test for the Knee
Full Extension 20o Flexion
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Varus Stress Test for the Knee
Full Extension 30o Flexion
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Anterior Drawer Test for the Knee
application of anterior force to the proximal posterior aspect of the tibia to assess the stability of the ACL
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Posterior Drawer Test for the Knee
application of posterior force to the proximal anterior aspect of the tibia to assess the stability of the PCL
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Lachman Test application of anterior and posterior force to the proximal posterior tibia to determine the stability of the ACL and PCL
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Pivot Shift Test internal rotation of the ankle combined with medial force to assess the stability of the ACL
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direct pressure applied to the long axis of a body or limb
Direct Axial Load direct pressure applied to the long axis of a body or limb
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a complete tear of a tendon
Tendon Rupture a complete tear of a tendon
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Patellar Tendon Rupture Test
extension of the lower leg to assess the integrity of the patellar tendon
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a partial or complete tear of a meniscus
Meniscal Tear a partial or complete tear of a meniscus
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McMurray Test compression of the meniscus of the knee combined with internal and external rotation while the patient is face-up to assess the integrity of the meniscus
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McMurray Test, Cont.
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Apley Compression Test
compression of the meniscus of the knee combined with internal and external rotation on a patient who is face-down to assess the integrity of the meniscus
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Osgood-Schlatter Disease
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
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Chondromalacia Patellae
abnormal softening of the cartilage beneath the patella
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Patella Grind Test application of inferior force to the superior aspect of the patella as the quadriceps are flexed to assess the condition of the cartilage beneath the patella
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Shin Splints pain in the lower leg following strenuous or repetitive lower extremity exercise
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Anterior Compartment Syndrome
swelling of the tissues between the tibia and fibula that requires rapid treatment to prevent permanent neural and vascular damage
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Ankle, Lateral View From LifeART, Grant’s Atlas 3. Copyright 1999, Lippincott Williams & Wilkins.
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Ankle, Medial View From LifeART, Grant’s Atlas 3. Copyright 1999, Lippincott Williams & Wilkins.
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Talar Tilt Test inversion of the foot to determine the stability of the ankle joint
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Anterior Drawer Test for the Ankle
application of anterior force to the heel to assess the stability of the ankle joint
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Thompson Test compression of the calf muscle while observing for plantar flexion to assess the stability of the Achilles tendon
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a toenail that has grown into the skin of the toe
Ingrown Toenail a toenail that has grown into the skin of the toe
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Athlete’s Foot a fungal infection of the foot
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Plantar Fasciitis inflammation of the fibrous membranes, or connective tissue, in the foot
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Alameda was playing an away game at Clearcreek
Alameda was playing an away game at Clearcreek. Near the end of the first half, the basketball game was starting to get a little sloppy and physical. This is when Julia stole the ball and took off like a flash toward the other end of the court for what looked like an easy lay-up. Maggie was at the other end of the court waiting to defend her. Julia was going full tilt, but Maggie was prepared take the charge. Just as Julia went up, Maggie turned to protect herself. Wham! Her elbow hit the middle of Julia’s thigh, and Julia went down in pain. She tried to get back up, but was a little wobbly. Coach Winn came out to make sure she was okay. Since neither school had an athletic trainer, he was responsible for providing any necessary first aid. Once the coach got there, Julia was able to get up and limp off to the locker room for half time. During half time she sat with her leg extended and listened to the coach’s words of inspiration. Fifteen minutes later, half time was over and Julia tried to jog out, but limped noticeably instead. Coach Winn
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had her try to run forward, backward, and side to side, but she couldn’t do it. It was just too painful. On top of that, the leg was starting to get tight and was losing range of motion. What should Julia have done at half time? Can you think of anything that could have made her more comfortable? What can be done to protect her thigh from getting hit again? If she loses her ROM, how can she get it back? How can she maintain her ROM?
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