MSK 2 Flashcards

1
Q

how is scoliosis named

A

by is canvexity

what side the hump is towards

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2
Q

what is the cobb angle

A

looking at the apex of the tilted vert

generally we need a 10-deg deviation to define scoliosis

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3
Q

tural exam scoliosis

A

rib hump

unven skin folds

response of the rest of the body - uneven shoulders

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4
Q

why is scoliosis bad

A

compression of the organs

change in body mechanics

pain

reduced flexablity

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5
Q

what is the adams forward test

A

this is a clinical test used to ID scoliosis

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6
Q

infant scoliosis

A

resolves itself

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7
Q

juvenile scoliosis

A

3 and 9

result in a large deformity if it is not treated

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8
Q

teenage scoliosis

A

puberty onset

80%of idopathic causes

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9
Q

what are some causes of scoliosis

A

familial

insufficent costalvert ligament

asym weakness of the paraspinal muscluature

unequal distribution of the type 1 and type 2 muscle fibers

collagen abnormalities

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10
Q

failure of formation scoliosis

A

vert that did not form fully

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11
Q

failure of segmentation scoliosis

A

the segments are not seperated

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12
Q

what happens in the case of scoliosis caused by neuromuscular issues

A

muscle weakness and spascity results in muscle imbalance around the spine

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13
Q

at what deg can scoliosis be treated with conservative measures

A

less then 40 -deg

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14
Q

conservative tretament for scoliosis

A

this does not fix the issue this stops the progression

exercise does nothing

schorth method

orthopedic management

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15
Q

what is kyphosis

A

seen in the saggital plane

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16
Q

type one kyphosis

A

more common

involves the thoracic spine

17
Q

type two kyphosis

A

involves both the thorcic and the lumbar spine

lumbar spine intro brings a lot of new problems

18
Q

what is blouts disease

A

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

19
Q

what is the intervention for blouts disease

A

bracing -HKAFO

surgery - hemi (guided growth) or osteo

20
Q

what is the function of a HKAFO

A

this provides support and guides growth

21
Q

what is a osteotomy

A

surgical operation whereby a bone is cut to shorten or lengthen it or to change its alignment

22
Q

hemiepiphysiodesis

A

aims at altering or stopping the bone growth naturally occurring through the growth plate also known as the physeal plate

23
Q

growth plate injury - partial closure

A

damage section stops growing

undamaged section continues to grow

leading to bone asym

24
Q

growth plate injury - complete closure

A

no growth

causes aysm between the limbs

25
Q

salter harris - type 1

A

growing zone is not injured

26
Q

salter harris - type 2

A

minimal shortening - rare functional impairments

27
Q

salter harris - 3

A

chronic disbality

no sig deformity

surgery needed

28
Q

salter harris - 4

A

chronic disbality

cause deformity at the joint

surgery needed

29
Q

salter harris - 5

A

growth disturbances

poor functionla prognosis