MSK 2 Flashcards
Characteristics of Complex Regional Pain Syndrome
Complex Regional Pain Syndrome:
usually precipitated by a noxious event (trauma, surgery)
pain/weakness
autonomic dysregulation (temp changes, increased sweating)
decreased hair or nail growth
Polymyalgia Rheumatica:
signs and symptoms
lab findings
Polymyalgia Rheumatica
pain and stiffness in the shoulder or pelvic girdle muscles (problems getting up from a chair)
weight loss, fever, malaise
increased ESR associated with Anemia
polymyositis
polymyositis=
proximal muscle weakness
autoimmune
progressive
What is the appropriate treatment for subacromial bursitis if rest, activity modification, NSAIDs, and physical therapy don’t work?
Sub-acromial corticosteroid injection
subacromial bursitis presents with vague shoulder pain, weakness doing overhead activities (brushing hair) and may awaken the patient at night.
What nerve innervates the hamstring muscles?
The hamstring is innervated by the common peroneal and tibial branch of the sciatic nerve.
Its made up of the biceps femoris, semi-membranosus, and semi-tendinosus. (L5-S3)
It causes hip extension and knee flexion
The short head of the biceps femoris is innervated by the common peroneal nerve (L5-S2)
What are the muscles of the rotator cuff?
rotator cuff
- supraspinatus
- infraspinatus
- teres minor
- subscapularis
Which muscles are responsible for external irotation of the shoulder?
external rotation
infraspinatus
and
teres minor
What is the function of the teres major?
The teres major assists in adduction and internal rotation of the humerus.
it supports the latissimus dorsi in stabilizing the humoral head
what is the most sensitive test for an ACL injury?
the Lachmann test is the most sensitive test for an ACL injury
ACL injuries are common in “cutting” sports: non-contact twisting motions. The tibia is pointed outward with a valgus force applied to the knee.
What are the associated Motor, Reflex, and Sensory defects associated with injury to
L4
L4
- Motor: foot dorsiflexion, knee extension,
- patellar DTR
- sensory: medial aspect of the lower leg
What are the associated Motor, Reflex, and Sensory defects associated with injury to
S1
injury to S1 (herniated disk between L5-S1)
- plantar flexion (can’t walk on toes)
- achilles DTR
- sensory: lateral aspects of the foot and little toe
anteromedial knee pain associated with high agility sports?
pes anserine bursitis
the pes anserine is where 3 tendons come together (gracilis, sartorius, semitendinosus).
patients present with pain in lateral movements
Treatment: PT, weight loss, NSAIDs, and hamstring flexibility
What are common findings of Lumbar Spondylolysis?
Lumbar Spondyolysis is a fracture of the pars interarticularis.
Spondylolysis is commonly found in athletes, dancers, and gymnasts.
Pain is increased with extension of the back
