MSK Pathology 4 Flashcards
Scoliosis: types
- functional
- neuromuscular
- degenerative
Scoliosis: functional
Think leg length discrepancy, mm imbalance, poor posture
NONstructural
Scoliosis: neuromuscular
Results from developmental pathology
I.e. Marfan’s syndrome
Scoliosis: degenerative
Normal aging process: osteophyte formation, bone demineralization, disk herniation
Types of structural scoliosis
Neuromuscular
Degenerative
Do not reduce with lateral bending
Scoliosis: etiology
- idiopathic: diagnosed between 10-13
- girls have higher risk of developing scoliosis over 30˚
Scoliosis: s/s
shoulder level asymmetry with or without rib hump
Talipes equinovarus: aka
Clubfot
Talipes equinovarus: what does it look like
Heel points down
Forefoot turns in
Talipes equinovarus: etiology
cause unknown, but may be due to
- familial tendency
- positioning in utero
- defect in the ovum
Talipes equinovarus: often accompanies these conditions
- spina birdie
- arthrogryposis
*may result from lack of movement in utero
Talipes equinovarus: s/s
- forefoot adduction
- varus hindfoot
- equinus at ankle
Talipes equinovarus: treatment
- splinting and serial casting
- restore proper positioning of the foot and ankle
THA approaches
- anterolateral
- direct lateral
- posterolateral
Hip precautions: anterolateral approach
Avoid:
- flexion past 90˚
- hip extension
- ER
- adduction