MSK Flashcards
MOI colles # and what S+S would you expect?
FOOSH (distal radius # distal displacement of distal fragment), dinner fork deformity, dorsal wrist pain and tenderness, swelling, median N compression (parasthesia and bruising), difficulty with lift/graps)
What would your treatment plan be for a colles fracture?
immobilization (thumb spica vs ORIF), mobilize, strengthening
What is a common complication of Colles #
CRPS, neuropathy, arthritis
What would a subjective assessment look like for someone coming in with suspected CRPS
When did the symptoms start, did you have a prior injury in the wrist area, pain (aggs, eases, SIN, type), do they notice discolouration when is that worse?
Clinical course of CRPS (stages)
Acute/reversible: begins several days post see pain, hyperhydrosis, warmth, rapid nail growth and edema
Dystrophic/vasocronstriction: 3-6 month, burning pain, sympathetic hyperactivity, cold sensitivity, mottling and coldness, brittle nails, osteoP
Atrophic: 6-1 yr, pain decreasing or worsening, severe osteoP, muscle wasting, and contractures
What does your tx look like colles?
education, early AROM/AARM, compressive loading, dsitraction, desensitization, edema control, modalities (US, TENS), mirror therapy, aerobic activity
Some complications that can happen from scaphoid #
avascular necrosis, non-union #, arthritis
what would you expect to see in your obj ax in a scaphoid #
TOP anatomical snuffbox, swelling, pain with long compression of thumb, weakness, wrist pain on radial side with AROM, PROM, strength
What special test would you use for dequervins tenosynovitis & what resisted tests would be painful
finklesteins, stretch or contractions of APL and EPB
What would you expect to see in ulnar tunnel syndrome and what is the name of the tunnel it passes through
Guyon’s tunnel (hook of hamate and pisiform), paraesthesia and pain in ulnar N distribution, weakness in grip strength and adductor pollicis/hypothenar muscles, claw hand, +ve tinnels over guyon;s tunnel, ULTT +ve,
What finger deformities do you see in RA?
trigger finger, swan neck,boutonnieres, ulnar drift)
