MSK, ankle, foot, knee, hand, dequervains Flashcards
ankle sprain
grade 1
grade 2
grade 3
grade 1- stretching small tears
grade 2- larger incomplete tear
grade 3- complete tear
ankle sprain tx
grade 1 and 2
grade 3
protection (24hrs no weight) , rest, ice, compression, elevation, rehab/nsaids
same tx over 6 weeks, if no improvement=surgery
plantar fascitis point tenderness
at heel
Plantar fascitis risk factors
overuse of plantar fascia, ^activities, weight, age
plantar fascitis sx
heel (calcaneous) pain worse w first steps or after sitting, decreases w activity
^pain w dorsiflexion of toes; tight achilles tendon
plantar fasciitis mgmt
shock absorbing shoes, nsaids, ice, steroid inj, no flat shoes, vWeight, splints, short leg cast
(knee pain) what is the cause of a meniscal tear?
tx?
rice, nsaids, if joint not locked = peripheral tear/can spontaneously heal
what is mcmurrays test
pt supine w knee flexed, extend and turn calf out to test medial menisci, in to test lateral
positive mcmurrays test-
crepitus and pain= tear
cause of torn ligament?
impact while stretched
posterior drawer test
+=
tests anterior talofibular ligament (ankle twist)
bakers cyst
joint lubricating fluid dills bursa behind knee, needs steroid injection, drained, or compression
deQuervains
first dorsal compartment- inflammation, stenosing, degeneration of tendon sheath (painters,hammer,wringing clothes)
Dequervains tx
thumb spica splint 3-4 weeks, nsaids, steroid inj if nsaid doesnt work
>3mo=surgery-incision to free the tendons
Tinels test
phalens test
tinels test- tapping over carpal tunnel = numbness
phalens-hold back of hands together facing down 60 sec
(middle of ring finger-thumb numb)
