Lecture 7: Approach to Joint Exam Flashcards
What is dislocation?
Complete lack of contact between 2 articular surfaces
What is subluxation?
Residual contact between 2 articular surfaces
What is valgus deformity?
Distal part of limb directed away from midline
“Knock Knees”
What is varus deformity?
Distal part of limb directed toward midline
Bowlegs
What is the most sensitive indicator of joint disease?
Check active vs passive ROM
Where should you always check pulses in joint exams?
Check pulses distal to injury
What does 0/5 in muscle strength mean?
No muscular contraction detected
What does 1/5 muscular strength mean?
Barely detectable flicker or trace of contraction
What does 2/5 muscular strength mean?
Active movement of body with gravity eliminated
What does 3/5 muscular strength mean?
Active momvement against gravity
What does 4/5 muscular strength mean?
Active movement against gravity and some resistance
What does 5/5 muscular strength mean?
Active movement against full resistance without evident fatigue
-Normal muscle strength
What are top causes of life threatening joint pain?
- Septic Arthritis
- Referred Pain from acute MI, hemorrhage, lung pathology
What is Colle’s Fracture?
Distal radius fracture
Usually results from FOOSH (Fall On OutStretched Hand)
-looks like a dinner fork
What is septic arthritis?
Painful infection of joints
