Ortho Free Review | Dr Hutaif General Orthopedics Revie -...

DISCUSSION: In a recent evidence-based review of the literature, the only consistent factor predicting outcome after arthroscopic partial meniscectomy was the extent of osteoarthritis as classified by the modified Outerbridge cartilage score at the time of surgery. All other factors listed (ie, location of meniscal tear, patient age, patient BMI, and amount of meniscal resection) were shown to not predict outcome following partial meniscectomy. While not provided as an
hoice, female gender was shown to be a predictor for slower recovery in the short term. The Preferred Respon # 114 is 5.

DISCUSSION: Children that sustain a spinal cord injury or otherwise use a wheelchair for mobility, and thus often have more pain and a higher incidence of structural and functional changes of the shoulder joint as an adult. MRI studies have shown a four-fold risk of rotator cuff tears in people with long-term paraplegia when compared with age- matched controls. An MRI scan would not show bone density changes. The other
hoices have not been demonstrated in higher numbers on MRI in paraplegics.
The Preferred Response to Question # 127 is 2.

DISCUSSION: The patient injured his tensor fascia lata based on his symptoms, the mechanism of injury, and the MRI findings. Although various authors have described different functions of the tensor fascia lata, it has generally been agreed on that it functions as a hip flexor, hip internal rotator, and to a lesser degree, hip external rotator. Initial therapy to facilitate healing of a muscle begins with ice, compression, and initial passive range of motion. After this initial phase, active motion can commence, followed by strengthening and functional rehabilitation. Initial passive range of motion of the injured tensor fascia lata would include hip internal rotation and flexion.
hoice 1 is incorrect because active hip internal rotation and flexion would potentially injure the tensor fascia lata before it had healed. Answer choice 2 is incorrect because immediate active hip flexion would injure the tensor fascia lata. Answer choice 3 is incorrect because active hip internal rotation would injure the tensor fascia lata before healing. Answer choice 4 is correct for the previously mentioned explanation. Answer choice 5 is incorrect because active hip flexion and internal rotation would injure the tensor fascia lata.
The Preferred Response to Question # 160 is 4.