Tasha Smith age 15, is a competitive cheerleader who is training for the National Cheerleading Association annual competition. You are treating a patient with a diagnosis of patellofemoral pain syndrome (PFPS). This diagnosis includes anterior knee pain and chondromalacia. Select all of the activities that she will most likely have c/o pain.
Read DetailsSuzie Frankfurt, a 55-year-old woman, sustained a patellar fracture after a fall one week ago. Imaging confirmed that the fracture is non-displaced. She has been placed in a long-leg cast for immobilization. 1. Based on current orthopedic guidelines, how long can Suzie expect to remain in the cast for optimal healing of her patellar fracture? A) 2–3 weeksB) 4–6 weeksC) 8–10 weeksD) 12 or more weeks 2. What are the weight-bearing recommendations for a non-displaced patellar fracture treated conservatively? A) Non-weight-bearing until the cast is removedB) Toe-touch or partial weight-bearing with crutches or a walkerC) Full weight-bearing as tolerated in the castD) No restrictions—she can ambulate normally 3. Which factors might influence Suzie’s weight-bearing status and the duration of immobilization? A) Her age and bone healthB) The presence of comorbidities such as osteoporosis or diabetesC) The degree of swelling and pain toleranceD) All of the above 4. What potential complications should be monitored for during the immobilization period? A) Muscle atrophy and joint stiffnessB) Deep vein thrombosis (DVT) and skin breakdownC) Delayed bone healing or nonunionD) All of the above 5. What early interventions can help mitigate complications while Suzie’s leg is immobilized? A) Encouraging movement of the hip, ankle, and toes to maintain circulationB) Performing isometric quadriceps exercises if permitted by her physicianC) Monitoring for signs of DVT, such as swelling or redness in the legD) All of the above
Read DetailsSteve McSwinney is treating a patient in the maximum protection phase of a postoperative ACL reconstruction surgery. What is the most important goal for the patient to achieve in the first two weeks for a noncomplicated recovery?
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