MSK Flashcards
Shoulder Abductor Muscle Substitution
- Scapular Stabilizers
- Reverse Scapulothoracic Rhythm
Hip Flexors Muscle Substitution
- Lower Abdominals
- Lwer Obliques
- Hip Adductors
- Latissimus Dorsi
Salter-Harris Fracture Classification
II
- Entire Epiphysis and Portion of Metaphysis
- Caused by shear or avulsion w/ angular force
- Most common type
Common Sites of Fractures
- Thoracic/Lumbar Spine
- Femoral Neck
- Proximal Humerus
- Proximal Tibia
- Pevis
- Distal Radius
Visceral Referral Pain from Esophagus
Midback
Common Areas of TOS
- Superior thoracic outlet
- Scalene triangle
- Between clavicle and first rub
- Between pectoralis minor and thoracic wall
Medial Collateral Ligament
- Posterior fibers blend w/ capsule
- Taut in extension
- Slackened in flexion
- Prevents ER
- Runs in same direction as ACL
Scoliosis Treatment
Conservative
Curvature >25
Visceral Referral Pain from Midthoracic Spine Pain
Esophageal Pain
Bankart’s Lesion
Avulsion of anteroinferior capsule
and ligaments associated w/ glenoid rim
Typical Coupling Patterns
Femur
- Femur ER and Tibia ER
Visceral Referral Pain from Colon, Appendix, or Pelvic Viscera
Pelvis, Low Back, or Sacrum
Scoliosis Treatment
Surgery
Curvature >45
Visceral Referral Pain from Liver, Diaphragm, or Pericardium
Shoulder
Hill-Sachs Lesion
Compression fracture of posterior humeral head
Internal (Posterior) Impingment
Irritation between rotator cuff
and greater tuberosity or posterior glenoid and labrum
Visceral Referral Pain from Gallbladder, Stomach, Pancreas, Small Intestine
Midback/Scapular Regions
Pectoralis Major Muscle Substitution
- Long Head of Biceps
- Coracobracialis
- Anterior Deltoid
Typical Coupling Patterns
Lumbar Spine
- Lumbar Flexion and Ilial Posterior Rotation
- Lumbar Extension and Ilial Anterior Rotation
Salter-Harris Fracture Classification
III
- Portion of Epiphysis
- Occurs when growth plate is partially fused
- Rare, most common in distal tibia of adolescents
Scoliosis Treatment
Bracing
Curvature 25-45
Anterior Cruciate Ligament
- Attaches to anterior intercondylar fossa of tibia to medial aspect of lateral condyle of femur
- Limits forward gliding of tibia on femur
- IR of tibia during flexion
Typical Coupling Patterns
Fibula
- Supination of Foot and Cranial/Anterior Glide of Fibular Head
Typical Coupling Patterns
Tibia
- Tibial ER and Upward glide of talus/Supination of foot