MSK 2 Flashcards
how is scoliosis named
by is canvexity
what side the hump is towards
what is the cobb angle
looking at the apex of the tilted vert
generally we need a 10-deg deviation to define scoliosis
tural exam scoliosis
rib hump
unven skin folds
response of the rest of the body - uneven shoulders
why is scoliosis bad
compression of the organs
change in body mechanics
pain
reduced flexablity
what is the adams forward test
this is a clinical test used to ID scoliosis
infant scoliosis
resolves itself
juvenile scoliosis
3 and 9
result in a large deformity if it is not treated
teenage scoliosis
puberty onset
80%of idopathic causes
what are some causes of scoliosis
familial
insufficent costalvert ligament
asym weakness of the paraspinal muscluature
unequal distribution of the type 1 and type 2 muscle fibers
collagen abnormalities
failure of formation scoliosis
vert that did not form fully
failure of segmentation scoliosis
the segments are not seperated
what happens in the case of scoliosis caused by neuromuscular issues
muscle weakness and spascity results in muscle imbalance around the spine
at what deg can scoliosis be treated with conservative measures
less then 40 -deg
conservative tretament for scoliosis
this does not fix the issue this stops the progression
exercise does nothing
schorth method
orthopedic management
what is kyphosis
seen in the saggital plane
type one kyphosis
more common
involves the thoracic spine
type two kyphosis
involves both the thorcic and the lumbar spine
lumbar spine intro brings a lot of new problems
what is blouts disease
disorder of the proximal epip plate of the tibia
medial growth of the epip stop while the lateral growth continues
this results in a deformity
what is the intervention for blouts disease
bracing -HKAFO
surgery - hemi (guided growth) or osteo
what is the function of a HKAFO
this provides support and guides growth
what is a osteotomy
surgical operation whereby a bone is cut to shorten or lengthen it or to change its alignment
hemiepiphysiodesis
aims at altering or stopping the bone growth naturally occurring through the growth plate also known as the physeal plate
growth plate injury - partial closure
damage section stops growing
undamaged section continues to grow
leading to bone asym
growth plate injury - complete closure
no growth
causes aysm between the limbs
salter harris - type 1
growing zone is not injured
salter harris - type 2
minimal shortening - rare functional impairments
salter harris - 3
chronic disbality
no sig deformity
surgery needed
salter harris - 4
chronic disbality
cause deformity at the joint
surgery needed
salter harris - 5
growth disturbances
poor functionla prognosis
