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OPP IV > MSK angland and ferrill > Flashcards

MSK angland and ferrill Flashcards

1
Q

what are some attachments from UE to spine?

A 
trap
rhomboids
clavicle
rotator cuff
serratus ant
triceps
lat dorsi
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2
Q

what are the points where median n can be compressed

A 
thoracic outlet (1st rib, clavicle, scalenes)
axilla
cubital area 
interosseus membrane 
carpal tunnel
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3
Q

what can compress median n in the cubital fossa

A
  • 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
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4
Q

Tx of carpal tunnel

A

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

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5
Q

anterior interosseous membrane syndrome Tx

A 
radial head
MFR for forearm and IOM
BLT for forearm and IOM
counterstrain to forearm
nn glide
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6
Q

pronator teres syndrome Tx

A 
ME
CS
MFR
olecranon articulatory technique 
BLT
radius Tx
nn glide
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7
Q

main median nn innervates what mm?

A

pronator teres
flexor carpi radialis
palmaris longus
flexor digitorum superficialis

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8
Q

ant interosseus brr of median nn innervates what mm?

A

flexor digitorum profundus
flexor pollicis longus
pronator quadratus

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9
Q

what mm does median nn innervate in the hand

A

1st and 2nd lumbricals
thenar mm
skin `

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10
Q

slipped capital femoral epiphysis

A

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

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11
Q

Tx of SCFE

A

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

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12
Q

OMT w/SCFE

A 
directed toward improving vascular and lymph circulation 
Tx: 
-psoas
-erector spinae
-abdominals
-innominates
-sacrum
-jnxs
-quads
-hams
-adductors
-adductors
-abductors
-knee
-ankle
-foot
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13
Q

causes of limp 4-10 w/trauma

A

physeal fracutre
puncture wound
sprain
contusion

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14
Q

causes of limp 4-10 w/infection

A

trasient/toxic synovitis
septic arthritis
osetomyelitis

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15
Q

causes of limp 4-10 w/osteochonroses

A

legg-calve-perthes disease

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16
Q

causes of limp 4-10 w/neoplasm

A

leukemia

17
Q

causes of limp 4-10 w/inflammation

A

JIA

18
Q

causes of limp 10-18 w/trauma

A

slipped capital femoral epiphysisi
fracutre
sprain
contusion

19
Q

causes of limp 10-18 w/neoplams

A

multiple

20
Q

causes of limp 10-18 w/infection

A

osteomyelitis
septic arthritis
lyme
gonococcal arthritis

21
Q

causes of limp 10-18 w/osteochondroses

A

multiple

22
Q

causes of limp 10-18 w/microtruama

A

stress fracture

23
Q

what type of fracture is seen is osgood schlatter?

A

avulsion

24
Q

OMT w/osgood schlater

A
  • check tibial rotation and hip restriction
  • rehab exercises to maintain balance btwn quads and hams
  • ME
  • innominates
  • hip rotators
  • piriformis
  • quads/hams
  • fibula
25
Q

metatarsus adductus

A

forefoot deviated medially

26
Q

SD of metatarsus adductus

A

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

27
Q

developmental dysplasia of hip

A

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

28
Q

leg-calve perthe disease

A 
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
29
Q

what happens to tibia when knee extends?

A

it rotates laterally

30
Q

hypertonic sartorius

A

causes tibia to externally rotate

31
Q

shortened biceps femoris

A

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

32
Q

osgood schlatter type I

A

soft tissue swelling only

33
Q

osgood schlatter type II

A

XR shows fragmentation

34
Q

functional pes planus

A

normal in child until 2-3 yrs

when great toe passively extended median arch lifts up

35
Q

rigid pes planus

A

never normal

when great toe is passively extended foot remains flat

OPP IV (5 decks)

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