OCS Clinical Management of Musculoskeletal Disorders 5

Question 1

A patient is 12 weeks post-ACL reconstruction using a patellar tendon autograft. What is the primary rate-limiting factor for return to running?

Accepted Answer

Graft ligamentization (remodeling) timeline

Answer

Graft ligamentization — the biological remodeling of the autograft to ACL-like tissue — takes 12-24 months and is the primary rate-limiting biological factor, even when strength benchmarks appear adequate.

Question 2

A patient presents with point tenderness over the greater trochanter, pain with resisted hip abduction, and a positive FABER test. Which diagnosis best fits this clinical picture?

Accepted Answer

Greater trochanteric pain syndrome

Answer

Greater trochanteric pain syndrome (formerly trochanteric bursitis) presents with lateral hip tenderness over the greater trochanter, pain with resisted abduction, and is not typically reproduced by the deep FADIR test used for FAI/labral pathology.

Question 3

In treating a patient with complex regional pain syndrome (CRPS) Type I of the upper extremity, which therapeutic approach is supported by evidence?

Accepted Answer

Graded motor imagery and mirror therapy

Answer

Graded motor imagery (GMI) and mirror therapy progressively recalibrate cortical representation and are well-supported by evidence for CRPS management.

Question 4

A 70-year-old patient presents with sudden-onset cervical pain after a fall, with upper extremity weakness and hyperreflexia below C6. What is the most likely diagnosis?

Accepted Answer

Central cord syndrome

Answer

Central cord syndrome is the most common incomplete spinal cord injury, typically occurring in older adults after cervical hyperextension, presenting with disproportionately greater upper extremity weakness and upper motor neuron signs.

Question 5

Which taping technique is best supported by evidence for short-term pain relief in patellofemoral pain syndrome?

Accepted Answer

McConnell medial glide taping

Answer

McConnell medial glide taping (correcting lateral patellar maltracking) has the best evidence for short-term pain reduction in patellofemoral pain syndrome, enabling participation in rehabilitation exercises.

(OCS) Orthopedic Certified Specialist Practice Test

(OCS) Orthopedic Certified Specialist Practice Test

OCS Clinical Management of Musculoskeletal Disorders 5