Learning guide definitions Flashcards
Adhesive capsulitis
“frozen shoulder”
middle age and elderly
3 phases - pain, stiff, thaw
Anatomical snuffbox
Area on radial side of wrist
tip of radial styloid and tendons of EPL and AP
closest to scaphoid - pain can be scaphoid fracture
Ankylosing spondylitis
Chronic, inflammatory arthritis and autoimmune disease
Joints in spine and sacroilium
eventual fusion of spine
spondyloarthropathies - strong genetic link
Antalgic gait
limp to avoid pain on weight bearing structures eg knee, hip, ankle
short stance phase on injured side
Apraxic gait
Loss of ability to carry out familiar, purposeful movements in absence of paralysis or motor/sensory impairment
Arthroplasty
replacement of a joint
Hemi-arthroplasty
only one side of joint resurfaced
Ataxic gait
unsteady un co-ordinated walk with wide base of support and feet outward
cerebellar lesion?
AVN
bony blood supply disrupted following trauma
displaced fractures - femur, scaphoid, talus
Barton’s fracture
intra-articular fracture of distal radius with dislocation of radiocarpal joint
fall on extended and pronated wrist
Bennet’s fracture
oblique fracture of base of thumb metacarpal
Bow legs
also called genu varum
legs curve out to leave a gap between the knees after infancy passed
cadence
rate at which a person walks
steps per minute
Callus formation
second stage of fracture healing
periosteal cells proximal to fracture develop into chondroblasts which form hyaline cartilage
distal to fracture = osteobalsts –> woven bone
Carpal tunnel syndrome
entrapment of median nerve as it passes through carpal tunnel
tingling, pain, numb over median nerve distribution
Cauda equina syndrome
medical emergency due to compressing nerve roots below conus medularis
central disc prolapse
Charcot’s arthropathy
progressive disease of weight bearing joints
foot and ankle
destruction of bone and soft tissue - joint dislocation, fractures and deformities
DIABETES
Clubfoot
congenital talipes equinovarus
inversion at subtalar joint
adduction at talonavicular
breech position
Colle’s fracture
distal fracture of radius
“dinner fork” deformity
dorsal displacement and angulation
falling on outstretched hand
Compartment syndrome
muscle swells within restrained fascial compartment
neuro-vascular damage
De Quervain’s tenovaginitis
inflammation of the tendon sheath that surrounds EPB and APL
ulnar adduction painful
Finklestein’s test
Delayed union
prolongation of time to fracture healing
infection, inadequate blood supply or incorrect splintage
Dislocation
bones in a joint displaced or misalligned
subluxation is partial dislocation
shoulder
drop foot
deep fibular nerve damage
unable to dorsiflex foot
Dupuytren’s contracture
thickening and shortening of longitudinal fibres of palmar and digit fascia
draws fingers down to palm
Enteropathic spondyloarthropathies
arthritis associated with IBD
epicondylitis
lateral - tennis elbow. forearm extensor origin
medial - golfers. Forearm flexor origin
Gangion
cystic swelling on or around joints and tendons in hand and foot
scapho-lunate joint
Greenstick fracture
incompletely fractured with portion of cortex and periosteum intact on compression side
children