copyright © 2002 career publishing, inc. visual 18-1 bony structure of pelvis from lifeart,...

Copyright © 2002 Career Publishing, Inc.Visual 18-1

Bony Structure of Pelvis

From LifeART, Grant’s Atlas 2. Copyright

1999, Lippincott Williams & Wilkins.


Muscles of the Pelvis & Thigh

Anterior PosteriorFrom LifeART, Grant’s Atlas 3. Copyright



Arteries and Veins of the Lower Extremity

From LifeART, Orthopedics. Copyright 1998, Lippincott

Williams & Wilkins.


Acetabulum




Bones of the Lower Leg




Muscles of the Leg




Right Knee, Posterior View




Right Knee, Anterior View




Bones of the Lower Leg & Foot




Primary Nerves of the Lower Extremity

From LifeART, Orthopedics. Copyright



Dislocated Knee


Valgus Stress Test for the Knee

Full Extension 20o Flexion


Varus Stress Test for the Knee

Full Extension 30o Flexion


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


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


Lachman Test

application of anterior and posterior force to the proximal posterior tibia to determine the stability of the ACL and PCL


Pivot Shift Test

internal rotation of the ankle combined with medial force to assess the stability of the ACL

Visual 18-18Copyright © 2002 Career Publishing, Inc.

Direct Axial Load

direct pressure applied to the long axis

of a body or limb


Tendon Rupture

a complete tear of a tendon


Patellar Tendon Rupture Test

extension of the lower leg to assess the integrity of the patellar tendon


Meniscal Tear

a partial or complete tear of a meniscus


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


McMurray Test, Cont.


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


Osgood-Schlatter Disease

inflammation or irritation of the tibia at its point of attachment with the patellar tendon


Chondromalacia Patellae

abnormal softening of the cartilage

beneath the patella


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


Shin Splints

pain in the lower leg following strenuous or repetitive lower

extremity exercise


Anterior Compartment Syndrome

swelling of the tissues between the tibia and fibula that requires rapid treatment to prevent permanent neural

and vascular damage


Ankle, Lateral View




Ankle, Medial View




Talar Tilt Test

inversion of the foot to determine the stability of the ankle joint


Anterior Drawer Test for the Ankle

application of anterior force to the heel to assess the stability of the ankle joint


Thompson Test

compression of the calf muscle while observing for plantar flexion

to assess the stability of the Achilles tendon


Ingrown Toenail

a toenail that has grown into the skin of the toe


Athlete’s Foot

a fungal infection of the foot


Plantar Fasciitis

inflammation of the fibrous membranes, or connective

tissue, in the foot


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


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?

copyright © 2002 career publishing, inc. visual 18-1 bony structure of pelvis from lifeart,...

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