1 Flashcards
MC demographic for costocondritis
females
>40yo
how many anatomic pts defined and necessary for fibromyalgia
11/18
MC demographic and ratio for AS
Males, 4-10:1
what specific costosternal jts are typically involved in costochondritis and is swelling present?
jt 2-5 StC jt, no swelling
describe cobb angles and tx strategy for ea
0-20 monitor
20-40 brace
>40 surgery
Rt TS scoliosis, which way will the SP move, resulting in a rib hump on what side
sp move left (concavity)
rib hump on rt
how much pressure should be used when evaluating for tender pts for fibromyalgia
4kg approx enough to blange a thumbnail
describe rissers sign, how it relates to the tx of scoliosis
indicator for skel maturity / further along you are in the dev of the iliac growth plate, the less concern there is for progression
children with sprengel’s deform are at an incr risk of three other conditions
scoliosis
klipofile
kidney dz
adolescent idiopathic scoliosis, how often should curve progression be monitored
3-4m
morray topography is a 3d pic used
two systems of body affected by AS
skeletal, CV
[respiratory, vision]
injury presents with wrist drop, weakness/paralysis of extensors of digits and wrist as well as ….
radial neurop
when adjusting a scoliotic spine, always align your thrust:
on convexity TWD convacity
often a rib frx arent dx on film until when/why?
2-4w, until callus formation
cond leading to bamboo spine and trolley track sign on xray
AS
producing unilat pn in band around chest, cond can be caused by herpes zosters, DM, and…
intercostal neuritis
fibromyalgia demographic and ratio
female, 5:1
pt with hx of prolonged coughing and unilat pn
?
name of position that can reprod pn of costochondritis
crowing rooster position
scoliosis dextro/levo which is less common and more dangerous
levo/left, cardiopulm involvement
pt has scoliosis caused by leg length inequality, will this curve straighten with lat/fwd bending, why?
yes, the scoliosis is fxn’l if caused by leg length ineq
name 4 jt commonly affected by AS EXCEPT spine/SI/ribs
calcaneous
pubic symph
hip
shoulder
this occurs from compressive forces resulting in impaired growth of a vertebra on the concave side of a scoliotic curve
lateral wedge deformity [wolff’s law]
curves greater than __ deg are more likely to progress, having reached a pt where gravity is at an advantage
30
rossolimo’s hand sign indicates a __ dz
pyramidal tract
syndrome causes moderate to severe chest pn, unilat, gets better in 6m no matter what you do
titze’s syndrome
pt has upper trunk nerve injury caused by trx, exp weakness of delt, bi’s, infraspin, wrist extensors, most likely dx is
erb duchenne’s palsy
all pt with scoliosis goals of tx are
slow progression, alleviate sx
recurrent LBP, with pelvic obliquity, struct short leg, how would you treat this pt
adjust, heel lift
[if SL was fxn’l, orthotic + adjust]
t/f and why, if tuning fork prods pn, safe bet there is a frx
true, bc it is very specific, but not sensitive