adv MSK interventions

Question 1

TMJ

hypomobile

Answer 1

limited ROM
NO pain
ipsilateral deviation

Question 2

TMJ

hypermobile

Answer 2

pain with contralateral deviation

Question 3

TMJ

synovitis

Answer 3

inflammation only

Question 4

TMJ

capsulitis

Answer 4

inflammation
ipsilateral deviation
PROM=AROM

Question 5

normal ROM for TMJ

Answer 5

35-55mm

Question 6

mm for TMJ opening

Answer 6

lateral pterygoid

think about saying “lah” when you open the mouth

Question 7

mm needed to close mouth

Answer 7

masseter, medial pterygoid, temporalis

think MMT - masseter, medial pterygoid, temporalis

Question 8

lateral deviation of the manible
ROM:
MM:

Answer 8

ROM: 10-15 mm
mm: lateral pterygoid (contralateral)
medial pterygoid (contralateral)

Question 9

protrusion of the manible
ROM:
mm:

Answer 9

ROM: 7mm
mm: medial and lateral pterygoid

Question 9

retraction of the mandible
ROM:
mm:

Answer 9

ROM: 3-4 mm
mm: temporalis

Question 10

difference between ULNT 1 and ULNT 2

Answer 10

ULNT 1 - shoulder abduction to 110deg
- nerve: median, anterior interosseous nerve
“MAIN”

ULNT 2 - shoulder abduction to 10deg
- median nerve, musculocutaneous, axillary nerve
“MAM”

Question 11

leg calve perthes disease

Answer 11

age: 2-13
- short stature males
- deformity/flatenning of femoral head due to loss of blood supply
- pain worsens with activity
- limping
- stiffness
- EXTENSION, ABDUCTION, IR LIMITED
- treatment: bracing - scottishh rite brace

“MR ABE is Scottish”
medial rotation
abduction
extension

scottish brace for treatment

Question 12

slipped capital femoral epiphysis

Answer 12

age: 10-17
- overweight
- displacement of femoral head due to slippage from growth plate
- pain worsens with activity
- limping
- stiffness
- FLEXION, ABDUCTION, MEDIAL ROTATION ARE LIMITED
- treatment: surgery

“MR FAB is Fat”
medial rotation
flexion
abduction

seen with overweight = fat

Question 13

how does KT taping work to reduce edema

Answer 13

KT pulls the skin upwards and increases the lymphatic drainage throught an INCREASE IN INTERSTITIAL SPACE beneath the underlying skin, alleviating the interstitial pressure and therefore reducing edema and pain

Question 14

where is the KT tape placed for edama reduction

Answer 14

applied ABOVE the joint with the edema

Question 15

jumpers knee

Answer 15

aka patellar tendonitis

overuse injury of quad tendon
pain at lower pole of patella and stiffness AFTER activity

Question 16

osteochondritis disseccans

Answer 16

pain at base of patella due to traction of apophysitis of the tibia tubercle but is seen in younger age groups due to immature skeletal formation

Question 17

difference between osteochondritis dissecans and Osgood schlatter syndrome

Answer 17

Question 18

what is a T score and elaborate on the numbers

Answer 18

looks at the severity of osteoporosis

-1 to -2.5 = osteopenia
>2.6 = osteoporosis

want to avoid rotation and flexion with this population