Femoral Torsion
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 15 May 2019
⏱️ 13 minutes
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Summary
Sara presents with 5 degrees of femoral torsion and medial knee pain.
The physical therapist is challenged with determining which muscles are the most likely to be weak and lengthened.
How well do you know your femoral torsion and LE biomechanics? Let's test your knowledge in this excellent episode about Femoral Torsion
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Transcript
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| 0:00.0 | You are now tuning in to the MPTE Clinical Files, two mock MPTE-based questions told and solved |
| 0:06.9 | week by week. Thank you for tuning in to the MPT Clinical Files. My name is Kyle Rice, the MPT |
| 0:12.2 | PrEPP Coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching |
| 0:17.3 | Program. And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. And I'm going to give you more information on how to |
| 0:27.7 | get that. All right. So for our next MPT clinical file, we have our patient Sarah. And Sarah is |
| 0:33.1 | examining a patient with five degrees of bilateral femoral torsion who presents with complaints |
| 0:39.1 | of medial knee pain. Which of the following muscles is the most likely to be weak and lengthened? |
| 0:45.9 | All right? So we have our answer choices. A, gluteus maxims. B, pectinious. C. Obturator and |
| 0:53.8 | Turnus. D. is obterator externus. All right. So let's go up to the top. |
| 0:59.4 | We got Sarah is examining a patient with five degrees of bilhour formal torsion. This is where we need to |
| 1:08.5 | slow up, y'all. This is important. All right? We need to |
| 1:12.1 | slow up because you need to understand, well, what is formal torsion anyway? I mean, this is an area |
| 1:17.5 | I used to get stuck all the time and didn't really understand it in PT school. Didn't understand |
| 1:22.7 | if a patient has antivversion, like what happens with the biomechanics and all that good stuff? I just didn't understand it very well. |
| 1:29.4 | And so when I went back and I looked at formal torsion, I found that it was a twisting |
| 1:34.2 | of the femoral neck and shaft, all right? |
| 1:37.5 | Twisting of the formal neck and shaft. |
| 1:38.9 | And it's typically supposed to be between 8 and 15 degrees of antifversion. All right? So it's direct, |
| 1:48.5 | the, the femoral shaft and neck is, is, is twisted inward. All right. And it's supposed to be |
| 1:56.4 | anteriorly directed by eight to 15 degrees. Okay, so what does that mean to you? |
| 2:02.1 | That means that a patient coming into you who doesn't have any specific pathology related to their bony structure or anything related to the twisting of the bones, if they're typically formed, they should be between 8 and 15 degrees of antifersion. |
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