Page 1 of 2: Q: Cinema sign?

draditithegreat · Credits: 1247939 My Scrapbook

what is it? pls help if any one knows.....

nadu · Credits: 17278 My Scrapbook

what r the options ?
from where did u got this q ?

draditithegreat · Credits: 1247939 My Scrapbook

a 18yr old female has cinema sign positive.she probably has
a)osteochondritis dissecans
b)osteomalacia
c)chondromalacia patellae
d)carpal tunnel syn

question is frm my classes paper......

RxPG_Team · Credits: 19656081 My Scrapbook My Reading List 5 Books

the answer is chondromalacia patellae for sure (100%). I just do not remember the reference.

RxPG_Team · Credits: 19656081 My Scrapbook My Reading List 5 Books

PATELLOFEMORAL JOINT DYSFUNCTION
Mechanism of Injury
1. Five facets on posterior patella come into contact with femoral groove throughout range. With patellar tracking abnormality, facets (particularly the odd medial facet) come into contact with femoral groove at abnormal points in the range causing unnatural compressive forces
2. Overuse with repetitive motion activities
Predisposing Factors
1. Hypermobile patella
2. Patella alta
3. Patella baja
4. Genu valgum or genu recurvatum alignment
5. Shallow femoral groove
6. Tight lateral structures (IT band; biceps femoris; lateral retinaculum; lateral gastrocnemius)
7. Vastus medialis oblique (VMO) insufficiency and/or poor timing compared to VL
8. Rear foot and/or forefoot varus foot alignment in NWB
9. Overweight
Signs and Symptoms
1. Initially, athlete complains of peripatellar pain with high impact activities and with prolonged knee flexion (Cinema Sign); symptoms progress in persistence and severity
2. Mild medial swelling
3. Possible visible atrophy of VMO
4. Possible point tenderness at medial retinaculum; lateral patella/femoral condyle
5. Positive apprehension test
6. Crepitus at peripatellar region with active and/or resisted knee extension; ↑ pain at end-range of knee flexion
7. Abnormal patellar orientation; common findings include lateral tilt and lateral glide
8. Hypermobile patella with lateral glide (>3 quadrants); hypomobile with medial glide (<1 quadrant)
9. Positive Ober’s test
10. Positive Clarke’s sign; test lacks in sensitivity because it is positive in almost everyone regardless of knee Pathology
Associated Conditions
1. Chondromalacia patella
2. Chronic subluxing patella
Management
1. VMO strengthening; treatment might include patellar taping to ↑ medial glide; biofeedback to encourage firing of VMO in appropriate sequence
2. Stretch tight lateral structures
3. Consider semirigid orthotic intervention with varus alignment in NWB; trial period with low-dye taping may indicate potential helpfulness of orthotics
4. New athletic shoes may be indicated if current shoes are excessively worn

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RxPG_Team · Credits: 19656081 My Scrapbook My Reading List 5 Books

draditithegreat · Credits: 1247939 My Scrapbook

answer given to us is that only but i didnt know what the sign was.. thanx a lot...

draditithegreat · Credits: 1247939 My Scrapbook

wht is patella alta n baja?

guest · Credits: 77713 My Scrapbook My Reading List 262569 Books

Patella Alta
In patella alta the kneecap rides too high up on the femur (thigh bone). This happens in quite a few people and may never do any harm. However, at the higher end of the thigh bone the groove in which the patellar slides is much shallower than it is in the normal position, so people with patella alta are more likely to dislocate their kneecaps.

Patella alta is also seen in patellar tendon rupture.

Patella Baja
Patella baja is the opposite of patella alta - the kneecap rides too low down the femur. This may occur on its own or, more commonly, it may be a result of the patellar tendon shortening after surgery or injury and pulling the patella downwards. This condition causes pain rather than dislocation.

nadu · Credits: 17278 My Scrapbook

Hey chand, are u a vidyasagar student ?

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