MSK angland and ferrill

Question 1

what are some attachments from UE to spine?

Answer 1

trap
rhomboids
clavicle
rotator cuff
serratus ant
triceps
lat dorsi

Question 2

what are the points where median n can be compressed

Answer 2

thoracic outlet (1st rib, clavicle, scalenes)
axilla
cubital area 
interosseus membrane 
carpal tunnel

Question 3

what can compress median n in the cubital fossa

Answer 3

• pronator teres
• btwn distal humerus and ligament of struthers
• proximal elbow by thickened biceps aponeurosis
• proximal forearm by thickened proximal edge of flexor digitorum superficialis

Question 4

Tx of carpal tunnel

Answer 4

intercarpal articulatory technique
carpal tunnel myofascial relsease
lymphatic Tx
nerve glide (fascia Tx)

Question 5

anterior interosseous membrane syndrome Tx

Answer 5

radial head
MFR for forearm and IOM
BLT for forearm and IOM
counterstrain to forearm
nn glide

Question 6

pronator teres syndrome Tx

Answer 6

ME
CS
MFR
olecranon articulatory technique 
BLT
radius Tx
nn glide

Question 7

main median nn innervates what mm?

Answer 7

pronator teres
flexor carpi radialis
palmaris longus
flexor digitorum superficialis

Question 8

ant interosseus brr of median nn innervates what mm?

Answer 8

flexor digitorum profundus
flexor pollicis longus
pronator quadratus

Question 9

what mm does median nn innervate in the hand

Answer 9

1st and 2nd lumbricals
thenar mm
skin `

Question 10

slipped capital femoral epiphysis

Answer 10

noninflammatory condition
overweight boys
endocrine disorders
acute or chronic onset of pain

Question 11

Tx of SCFE

Answer 11

stabilization of femoral a to prevent vascular damage
surgical fix w/screw
usually good Px
at risk for avascular necrosis -> close follow up care

Question 12

OMT w/SCFE

Answer 12

directed toward improving vascular and lymph circulation 
Tx: 
-psoas
-erector spinae
-abdominals
-innominates
-sacrum
-jnxs
-quads
-hams
-adductors
-adductors
-abductors
-knee
-ankle
-foot

Question 13

causes of limp 4-10 w/trauma

Answer 13

physeal fracutre
puncture wound
sprain
contusion

Question 14

causes of limp 4-10 w/infection

Answer 14

trasient/toxic synovitis
septic arthritis
osetomyelitis

Question 15

causes of limp 4-10 w/osteochonroses

Answer 15

legg-calve-perthes disease

Question 16

causes of limp 4-10 w/neoplasm

Answer 16

leukemia

Question 17

causes of limp 4-10 w/inflammation

Answer 17

JIA

Question 18

causes of limp 10-18 w/trauma

Answer 18

slipped capital femoral epiphysisi
fracutre
sprain
contusion

Question 19

causes of limp 10-18 w/neoplams

Answer 19

multiple

Question 20

causes of limp 10-18 w/infection

Answer 20

osteomyelitis
septic arthritis
lyme
gonococcal arthritis

Question 21

causes of limp 10-18 w/osteochondroses

Answer 21

multiple

Question 22

causes of limp 10-18 w/microtruama

Answer 22

stress fracture

Question 23

what type of fracture is seen is osgood schlatter?

Answer 23

avulsion

Question 24

OMT w/osgood schlater

Answer 24

• check tibial rotation and hip restriction
• rehab exercises to maintain balance btwn quads and hams
• ME
• innominates
• hip rotators
• piriformis
• quads/hams
• fibula

Question 25

metatarsus adductus

Answer 25

forefoot deviated medially

Question 26

SD of metatarsus adductus

Answer 26

tight medial fascia and adductors of foot torsion of 1st and 2nd metatarsals and inversion rotation of first cuneiform everted calcaneus lat longitudinal arch flat post fibular head

Question 27

developmental dysplasia of hip

Answer 27

usually asymptomatic w/decreased ROM in hip, sometimes apparent during diaper change best Px if detected

Question 28

leg-calve perthe disease

Answer 28

``` form of aspectic necrosis of femoral head 2-12, usually 4-8 B>G aching groin worse at end of day antalgic gait x-ray narrowed and irregular epiphysis ```

Question 29

what happens to tibia when knee extends?

Answer 29

it rotates laterally

Question 30

hypertonic sartorius

Answer 30

causes tibia to externally rotate

Question 31

shortened biceps femoris

Answer 31

medially can limit ex rotation of tibia during knee extension laterally can limit internal rotation of tibia during knee flexion

Question 32

osgood schlatter type I

Answer 32

soft tissue swelling only

Question 33

osgood schlatter type II

Answer 33

XR shows fragmentation

Question 34

functional pes planus

Answer 34

normal in child until 2-3 yrs | when great toe passively extended median arch lifts up

Question 35

rigid pes planus

Answer 35

never normal | when great toe is passively extended foot remains flat