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evidence based managment > L4 > Flashcards

L4 Flashcards

1
Q

What is the M/c dislocated joint in the human body

A

shoulder

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2
Q

What are four common conditions of the shoulder

A

frozen shoulder
rotator cuff pathology
instability
impingement

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3
Q

with any shoulder complaint, what (4) must be performed for the cervical spine eval to rule out the neck?

A

ROM
compression
distraction
C5-T1 MRS

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4
Q

What are 9 common shoulder evaluation tests?

A

appleys
supraspinatus press
codmans drop
impingement
dawbarns pushbutton
abbot saunders
speeds
yergasens
muscle testing shoulder

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5
Q

What were two NEW exams that were presented to diagnose shoulder disorders?

A

obriens (labrum)
gerbers lift off (subscap)

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6
Q

diagnostic ultrasound is good for visualizing ___ of the shoulder (3 things)

A

bursa
tendons
ligaments

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7
Q

MRI of the shoulder is used to visualize the following 2 things:

A

soft tissue
edema

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8
Q

reduced capacity for dye in the GH joint on an MRI is diagnostic of what two conditions?

A

frozen shoulder
2/3ml compared to 20-30 normal

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9
Q

What are five main medical management of the shoulder?

A

NSAIS
corticosteroids
surgery
referral to PT or chiro
percutaneous needle tenotomy

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10
Q

What are some common elbow conditions?

A

medial and lateral epicondylitis
ulnar neuropathy at cubital tunnel (repetitive compression)

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11
Q

medial epicondylitis may cause:

A

ulnar neuropathy from inflammation and irritation

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12
Q

What are 7 tests for elbow evaluation?

A

cozens
mills
golfers
varus/valgus
tinel tap at cubital tunnel
rule out referred pain
palpate area for TP/reproduce pain

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13
Q

What are three common wrist/hand complaints?

A

TFCC tear
carpal tunnel syndrome
DJD

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14
Q

Explain how you obtain a TFCC tear mechanism:

A

ulnar deviation with compression
forced ulnar deviation

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15
Q

What is a carpal tunnel syndrome DDx?

A

pronator teres syndrome
(sensation over the flexor retinaculum is maintained in pronator teres syndrome)

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16
Q

Where are the four common median nerve entrapment sites?

A

ligament of struthers
thickened bicep aponeurosis
pronator teres
carpal tunnel

17
Q

pronator teres entrapement ddx:

A

Ok sign is normal in true carpal tunnel and is weak in pronator teres
Anterior interosseous nerve muscles

18
Q

ulnar nerve entrapment sites:

A

cubital tunnel (dorsal and palmar sides)
tunnel of guyon (palmar side only)
DDx with TOS (mc C8/T1)

19
Q

ulnar entrapment mc due to:

A

repetitive compression/trauma
elbows on table
wrist gripping handlebars

20
Q

radial nerve entrapment commonly occurs at:

A

spiral groove

21
Q

Posterior interosseous nerve is commonly entrapped at:

A

along radial neck before piercing supinator muscle

22
Q

terminal branches of radial nerve are often compressed at:

A

-fibrous bands around radial head
-recurrent radial vessels
-arcade of frohse
-tendinous margin of extensor carpi radialis brevis
-usually due to overuse injuries

23
Q

EMG/nerve conduction studies shoulder only be considered if:

A

surgery is a possibility

24
Q

nerve conduction velocity only evaluates what?

A

evaluates peripheral nerves only

25
Q

EMG evaluates what?

A

peripheral and nerve roots

26
Q

EMG/NCV must have nerve damage to see what findings at what time frame?

A

EMG: 7 days spine, 21 days in extremity

27
Q

EMG differentiates between

acute:
giant:

A

acute: sharp waves and fibrillation potentials
giant motor waves: chronic

28
Q

chiropractic management of the shoulder consists of:

A

shockwave

laser

acupuncture

soft tissue/compression band

mobilization (not unstable)

taping

rehab exercises

29
Q

elbow conditions and chiropractic management consists of:

A

education/advice

soft tissue (aggressive)

compression band

shockwave

laser

taping/bracing

nerve flossing

mobilization

(annular lig in relation to extensor carpi radialis)

exercise

30
Q

what are some medical management of wrist/hand conditions?

A

rest

pt referral

corticosteroids

surgery:

TFCC

carpal tunnel release

31
Q

what would be some chiropractic management of wrist/hand complaints?

A

soft tissue

compression band

laser/EMG therapy

mobilization

taping

median nerve flossing

strengthen/stretch

32
Q

what are some nerve entrapment treatment?

A

soft tissue

cupping

acupuncture

rockfloss/voodoo

mobilization

nerve flossing

50-70% successfully treated conservatively

evidence based managment (8 decks)

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