MSK II Flashcards
capsular pattern of teh shoulder:
ER> abd> flex > IR
SA nerve involvement indicated by..
unable to abd arm past 90 deg w pain -UTrap & SCM
the long thoracic nerve supplies..
serratus anterior
most GH disloc occur..
anteroinferiorly
pts who req surgery 2/2 shoulder instability will be in a sling for..
3-4 weeks
when can you resume more sport specific training after a surgical intervention for GH instability?
6 weeks (3-4 weeks of immobilization –> 3-4 months until full return)
a SLAP lesion is
superior labral anterior to posterior : tear of the rim above the middle of the socket that may also involve the biceps tendon
during the acute phase of healing of an AC r SC jt disorder, what motions shoudl be avoided?
shoulder elevation
what does the shear test tell you?
if there is an AC or SC jt disorder - shearing of clavicle (prox for SC distal for AC) v scapula
what bursa would be affected during Neer’s impingment test and the supraspinatus test?
subdeltoid/subacromial bursa
IF there is surgical repair of shoulder impingement, what motions should be avoided in teh acute stage?
shoulder elevation greater than 90 deg
what is the test for internal (posterior) impingment?
90 deg abd, full ER & 15-20 deg horiz add
what is a predisposing disease for adhesive capsilitis?
DM
what is done for a proximal humeral fx?
immobilization typically not req; acetominophen and NSAIDs plus EARLY PROM -for DISTAL humeral fx, often req ORIF
capsular pattern of the elbow?
flexion loss greater than extension
what ms is typically involved in lateral epicondylitis?
ECRB (not to be confused with RADIAL N ENTRAPMENT, which would p/w paresthesia over radial n distrib & pain over supinator along with TTP lateral epicondyle)
during the acute phase of lateral epicondylitis, what type of exercise is emphasized?
eccentric phase
what modalities are advisable for lateral epicondylitis?
TENS, cryotherapy, thermotherapy, sound agents, hydrotherapy
why are distal humeral fx so complicated/high risk?
can have complications such as loss of motion, myositis ossificans, malalignment, neurovascular compromise, ligamentous injury, and CRPS -there are a LARGE NUMBER of neurovascular structures that pass thru this region (esp when deal;ing with supracondylar fx) -high incidence of MALUNION
what is at risk of rupture with a complete elbow dislocation?
UCL
Colles’ fx involves:
FOOSH resulting in radial fx, distal aspect of radius displaced dorsally
what is a possible complication of Colles fx if there is excessive edema?
median nerve compression
what is a Smith’s fx?
distal aspect of radius displaced in volar direction
early PT after a Smith’s or Colles’ fx ?
emphasizing return to baseline FLEXIBILITY IS VITAL
what is a common complication of a scaphoid fx/
HIGH INCIDENCE of avascular necrosis of the prox fragment of the scaphoid 2/2 poor vascular supply
what is Dupuytren’s contracture?
banding on palm and digit flexion contractures - contracture of palmar fascia
Boutonniere deformity is the result of ..
rupture of central tendinous slip of extensor hood
-results in ext of MCP & DIP but flex of PIP
Swan neck deformity results from..
-compared to Mallet finger?
Swan neck is 2/2 contracture of intrinsic ms w dorsal subluxation of lateral extensor tendons
-flexion of MCP & DIP, ext of PIP
mallet finger: does not involve flexion of MCP, just flexion of DIP 2/2 rupture or avulsion of extensor tendon at its insertion into the distal phalanx
gamekeeper’s thumb is..
sprain/rupture of UCL of the MCP jt of 1st digit
Boxer’s fx is.. & how long is it immobilized?
fx of 5th metacarpal - casted for 2-4 weeks
