MSK Patho Flashcards
Hypotonia characteristics include what?
Decreased muscle stiffness/muscle activation, lax ligaments, increased ROM, decreased proprioception, slower reaction times
Colles Fx MOI & Tx
FOSH; Tx=casting, early AROM and PROM, progressive strengthening
OA Signs and Sx’s
Unilateral mostly, non systemic disease, morning stiffness < 60 minutes, movement helps decrease stiffness
Tx: NSAIDS, functional training, ROM, strength
Fibromyalgia S/Sx’s
affects W > M of 29-35 y/o; 11/18 tender points, fatigue/weakness for 1+ week, no other explanation of Sx’s
Tx: aquatics, warm pool, otherwise normal strength/aerobics
Gout
From issue with purine metabolism; build up of uric acid–>uric crystals
most common in 1st big toe, metabolic disease
Myositis ossificans
from trauma to muscle that may ossify
Tx: conservative, gentle/pain free ROM (not passive/manual stretching)
Osteochondritis dissecans
separation of articular cartilage from bone (normally in medial femoral condyle)
Osteomalacia
Decalcification of bones due to vitamin D deficiency
Osteoporosis
T score < -2.5, F > M
Pagets disease
long bones form incorrectly, new bone is fragile & weak
Scleroderma
fibrosis and change in internal organs and skin; Sx’s=CREST
Tx=maintain ROM, meds, strengthening
RA S/Sx’s
bilateral systemic disease; most common in hands/fingers; F > M; peak onset 30-40 y/o, AM stiffness 60+ minutes
Scoliosis
muscles are stretched on convex side & shortened on concave, surgery if 40+ deg
Lupus S/Sx’x
butterfly rash!, inflammatory disorder of connective tissue
Sx’s=malaise, fatigue, fever, skin rash (butterfly rash), kidney involvement
Tx=topical corticosteroids for skin, energy conservation, nutrition, ROM
TMJ Synovitis & capsulitis vs hypermobility vs DDWR or DDw/o R
Synovitis/capsulitis–>pain near ear, unable to fully close back teeth, opening < 40 mm
hyper=jaw feeling like out of place, jaw catching if fully opened, depression 40+ mm & deviates to contralateral side
DDWR=pop/click with opening & closing (reciprocal clikc)
DDw/oR=intermittent locking + joint noises, opening of jaw <20-25 mm with deflection to INVOLVED side
