MSK Flashcards
investigations for achilles tendonitis
ultrasound
MRI
management of achilles tendonitis
rest
physio
heel raise
start up pain in foot after rest, pain worse after exercise, tenderness, pain relieved when walking on toes
plantar fasciitis
management of plantar fasciitis
rest
ice
analgesia
physio
steroid injection
surgery
medial elbow pain, pain is made worse by wrist flexion and by making a fist
golfers elbow
investigation for golfers elbow
clinical
ultrasound/MRI
management of golfers elbow
rest
NSAIDs
physio
pain radiating down forearm, pain on elevated middle finger, tenderness on lateral palpation
tennis elbow
management of tennis elbow
rest
physio
NSAIDs
what nerve is compressed in carpal tunnel
median nerve
tingling in thumb, worse at night better when dropped over bed, loss of sensation, weakness over the thumb, muscle wasting in thenar emenance
carpal tunnel
management of carpal tunnel
wrist splint
corticosteroid injection
decompresion
radial sided wrist pain, pain aggrevated by gripping and raising objects, makes a fist over thumb and extends it forward ilicits the pain
de quervains tenosynovitis
= swelling of tendons that run along the thumb
investigation for de quervains tenosynovitis
ultrasound
Xray
management of de quervains tenosynovitis
rest
NSAIDs
thumb splint
steroid injection
palmar nodule thickened
thickening and tethering of the skin
contracture of the long fingers
cannot lay palm flat on the table
dupuytrens contracture
management of dupuytrens
physio
surgery
audible pop
rapid knee swelling
sensation of knee instability
high rotational force
ACL rupture
management of ACL rupture
MRI
XRay
physio
conservation
surgery
knee clinic
shoulder stiffness
decreased range of movement
shoulder pain
adhesive capulitis = frozen shoulder
investigation for frozen shoulder
clinical
Xray
ultrasound
MRI
management of frozen shoulder
self limiting
physio
NSAIDs
surgery
painful arc between 60-90 of abduction
hawkin kennedy test positve
impingement syndrome
investigation for impingement syndrome
Xray
ultrasound
management of impingement syndrome
NSAIDs
physio
steroid injection
surgery
what type of shoulder dislocation when a patient falls onto their back
anterior shoulder dislocation
patient has an epileptic fit or is electrocuted what type of shoudler discloation
posterior
investigations for rotator cuff tear
MRI
ultrasound
management of rotator cuff tear
physio
corticosteroid injection
surgery
bilateral leg pain
saddle anaesthesia
bowel/bladder dysfunction
faecal incontinence
cauda equina
investigation for cauda equina
PR
urgent MRI
management of cauda equina
dissectomy
someone is trying to lift something up and all of a sudden gets bad back pain
numbness
muscle spasm
slipped disc
investigation for slipped disc
MRI
management of slipped disc
rest
analgesia
physio
surgery
burning/tingling down a leg
straight leg raise ilicits pain
sciatica
investigation for sciatica
MRI
management of sciatica
physio
amitriptyline
surgery
pain in legs while walking
burning pain
pain is not severe when walking uphill
peripheral pulses normal
spinal stenosis
= narrowing of the spinal canal resulting in compression of the spinal cord
investigation for spinal stenosis
MRI
management of spinal stenosis
exercise
weight loss
analgesia
physiotherapy
