Clinical Syndromes Flashcards
Q: What type of elbow instabiltiy is most common?
Posterior-lateral
Term:
- AC ligament disrupted
- Sprained coracoclavicular
AC separation type 2
Q: What should you look for with Dupuytren’s Contracture?
Nodules, bands of tissue, curled fingers
Q: What are the signs and symptoms for DeQuervain’s Syndrome?
Radial wrist pain with thumb movements, tenderness over dorsal compartment
Q: What is the 3rd most common fracture in the elderly?
Humeral head fracture (1 = hip; 2 = distal radius)
Q: How are humeral head fractures classified according to Neer?
There are 4 types based on how many pieces the humerus is broken into (1, 2, 3, and 4 part)
Term: Dislocation and radial head fracture
Type 4 radial head fracture
Q: What is the MOI for DeQuervain’s Syndrome? (3)
- Over use
- Shear force on APL/EPB
- Forceful gripping with UD
Q: What does the treatment plan consist of for triceps tendinosis? (3)
- Rest
- Stretch
- Strengthen
Term: Sprain of AC ligaments
AC separation type 1
Q: What are the stages in Raynaud’s?
Digital pallor > cyanosis > rubor
Defn: Rupture of biceps brachii long head
Complete tear of the tendon of the biceps brachii long head
Term: Small crack in the radial head, bone pieces remain fitted together
Type 1 radial head fracture
Q: What is olecranon bursitis?
Inflammatin of the flat bursa located posterior to the olecranon
Q: What are other names for DeQuervain’s Syndrome?
Trigger thumb, Gamers thumb, texting thumb
Content: What are the signs and symptoms of a type 1 AC joint separation? (3)
- Tenderness with mild pain at joint
- Pain with resisted adduction
- Normal x-ray
Q: Who is pulled elbow most common in?
Children
Q: What test will be positive for DeQuervain’s Syndrome?
Finkelstein’s test
Defn: Triceps tendinosis (2)
- Chronic inflammation of the triceps tendon OR
- Degeneration of tricpes tendon insertion
Defn: Triangular fibrocartilage disc (TFCC)
Stabilizes the distal radoulnar joint and helps improve ROM allowing the wrist to move in 6 different directions
Q: What are the signs and symptoms of olecranon bursitis? (3)
- Swelling and pain
- Restricted motion (flexion)
- Infection
Q: What is the MOI for a humeral head fracture in older individuals?
Low energy trauma - FOOSH
Content: Modalities for snapping scapula (3)
- Ice
- Heat
- Ultrasound
Content: Modalities for AC joint separation in 1) acute 2) subacute and 3) chronic phases
- Ice, NSAIDs, analgesics
- Ice and ultrasound
- Ice and/or head as needed
Content: Immobilization (1-2 wks) > gentle PROM/AROM > RC resistive strengthening (2-4 wks) > throwing program (after 6-8 wks) > Return to all overhead motions (3-4 mo)
TherEx progression for biceps brachii long head rupture
Defn: Elbow instability
General laxity with in the elbow joint capsule that makes the joint susceptible to subluxation and dislocation
Q: What muscular imbalances can cause snapping scapula?
Serratus anterior or subscapularis
Q: ___% of humeral head fractures are treated conservatively while ___% of humeral head fractures are treated non-conservatively/surgically.
80, 20
Content: Signs & Symptoms for biceps brachii long head tear (4)
- “Popping”
- Tenderness w/palpation over anterior shoulder
- Popeye sign
- Positive Speed’s Test
Q: What is the typical treatment plan for young/athletic pts. (who need max supination strength) after a biceps brachii long head tear?
Surgery
Q: What are the 2 most common sites of a biceps brachii long head tear?
- Supraglenoid tubercle
- Proximal intertubercular groove
Content: Qualification for non-conservative treatment of humeral head fractures in young and old (2)
- Used in young pts. with > 0.5 cm or 20 degrees of fracture displacement
- Used in older pts. with > 1 cm or 45 degrees of fracture displacement
T/F: Radial head fractures are more common in men than women
False: flip it
Defn: Scapulocostal syndrome
Adhesive myocapsulitis (formation of adhesions) that restrict motion and cause pain
Q: What is the typical treatment plan for older pts. after a biceps brachii long head tear?
Avoid operation
Q: What muscles should you focus on stretching for postural training of snapping scapula?
- Upper trap
- Pectoralis
Q: What is the MOI for radial head fracture (3)
- FOOSH
- Elbow dislocation
- Direct blow to radial head
Content: TherEx for type 1 and 2 AC joint separation in the 1) acute 2) subacute and 3) Chronic
- Rest, gentle ROM
- Isometric, CC exercises
- Isotonic, OC exercises, task specific
Q: What activities can increase your risk for scapulocostal syndrome? (3)
- Desk jobs
- Prolonged sitting
- Overhead activities
Q: What modalities would you use for TFCC? (3)
- Ultrasound
- E-stim
- Ice
Content: 3 MOI for snapping scapula
- Repetitive overhead use
- Muscular imbalance
- Bony abnormalities
Q: What modalities can be used for Dupuytren’s Contracture? (2)
- Heat
- Paraffin bath