L8 FINAL Flashcards
AAA symptoms
incidental findings most often
> 3.5cm is aneurysm
if ruptured, sever hypotension, tachycardia, shooting pain in abdomen
risk factors of AAA
smoking, obesity, atherosclerosis, CAD
>55
male
marfans, ehlers
abdominal exam steps
bend knees
inspect, auscultate, percussion , palpation
Oppenheimers erosion
L3 anterior body erosion from pulsatile AAA
diagnosed Via ultrasound
classifications of AAA
3-3.5 dilation
>3.5 aneurysm
4.5-6 watch and wait
>7cm surgery immediately
symptoms of AS
> 3months pain
worse at rest
better with activity
eye disease
peripheral joint involvement
difficulty breathing due to decrease chest wall expansion
tests for AS
lewin supine
forestier
Any SI,LS exams
ROM
chest expansion
chiropractic management of AS
pain management
can adjust until fusion sets in
MSTM
ergonimcs
exercise
SI joint syndrome usually presents with pain on the
hypermobile side of involvement
symptoms of SI dysfunction
low back, pelvic pain
pain in thigh or wrapping around hip
difficulty going from seated to standing
pain worse with bending
laslett test cluster
distraction
compression
thigh thrust
sacral thrust
gaenslens
if + with negative response to mckenzie technique, 80% chance it is SI
chiropractic management of SI syndrome
soft tissue
manipulation
trochanteric belt
utilize pain relief modalities
shockwave for ligaments
stability
pubic diastasis
> 10mm gap of pubic symphesis
examination of Pubic symphysis dysfunction
palpation while supine is painful for more than 5 sec after removed
single leg standing-inability to maintain level pelvis
Faber
sacrotuberous ligament tenderness
taut pelvic muscles
management of pubic symphysis dysfunction
support belt
acupuncture
MSTM
adjust other areas
exercise
increase risk of piriformis syndrome
sedentary jobs
total hip replacement
DJD
6x increase in women
symptoms of piriformis syndrome
LBP, radiating to buttock, leg numbness of tingling
sitting, walking, standing, squatting is painful
tender to palpation
worse with IR
DUCK FEET presentation
clinical evaluation of piriformis syndrome
ROM
MRS, no weakness or reflex changes, chest sensory
bonnets, piriformis stretch
SI, FA (Rule out)
abdominal exam if 50+
chiropractic management of piriformis syndrome
shockwave
MSTM
acupuncture
lifestyle changes
pigeon stretch
manipulation of pelvis/lumbar
compartment syndrome
increase pressure within closed osteofascial compartment
impaired circulation or neuropathy
most common compartment syndrome
anterior compartment of leg
extensor muscles of the toes, tibia, tibial artery, deep peroneal n
acute compartment syndrome
medical emergency
long bone fx
soft tissue injury
burns, vascular disruption
chronic compartment syndrome
exercise induced
symptoms leave once activity is stopped
evaluation of compartment syndrome
0-8mmhg normal
>30mmhg needs fasciotomy
creatine phosphokinase may suggest muscle breakdown
treatment of compartment syndrome
fasciotomy
rest
modify activity
alter training
deep tissue massage
cupping
taping
femoral n entrapement
inguinal ligament
pain in inguinal region
L4 dermatome changes from saphenous nerve
obturator entrapment causes
causes:
trauma
vaginal birth
pelvic tumor
hip replacement
tight adductor magnus
tibial nerve entrapment site and symptoms
at tarsal tunnel: flat feet, inflammation, arthritis, ankle sprain
sharp pain into foot and ankle
common peroneal entrapment site and symptoms
innervates short head of biceps
entrapment at fibular head:
eversion ankle sprain
total knee replacement
bakers cyst
deep peroneal entrapment site and symptoms
anterior compartment entrapment due to:
burns, casts, tight boots
hemophelia, fx, overuse
foot drop symptoms
superficial peroneal n entrapment site and symptoms
lateral compartment due to:
fx
soft tissue injury
overuse
duchennes test- loss of eversion of the ankle
saphenous nerve
sensory only
terminal branch of femoral nerve and follows L4 dermatome
entrapment at adductor canal (hunters canal)
