Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OPP IV > MSK ramey and ferrill > Flashcards

MSK ramey and ferrill Flashcards

1
Q

rotator cuff (RC) injuries

A
  • Dx specific to tendinous attachments of mm
  • usually d/t chronic repetitive microtrauma, acute macrotrauma, or combo
  • MC sports related injury
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

subscap

A

major inferior attachment of RC

internal rotation of humerus and downward rotation of head in GH joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

supraspinatus

A
  • superior attachment of RC
  • major mm affected in impingement syndrome bc under coracoacromial lig
  • elevation and abduction of humerus and upward traction of head in GH
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

infraspinatus

A

post-sup attachment of RC

external rotation of humerus and downward traction of head in GH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

teres minor

A

post inf attachment of RC

external rotation of humerus in concert w/infraspinatus and downward traction of head in GH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the major mm involved w/impingement syndrome?

A

supraspinatus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

impingement interval

A

space btwn undersurface of acromion and superior aspect of humeral head
maximally narrowed when arm ABducted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

primary impingment

A

most common
impingement of RC mm/tendons from anatomical restriction and repetitive motion (especially elevation and internal rotation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

secondary impingement

A
  • may result from pain which causes reflex inhibition and weakness of RC mm -> fail in fnx to center humeral head
  • subsequent superior translation adds to impingement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

symptoms of impingement syndrome

A
  • varies from minimal pain w/activity to marked tendinitis, significant pain and decreased ROM
  • if pain and decreased ROM severe think tear
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

PE impingement syndrome

A

-observe scapulothoracic motion while pt abducts shoulder
-firing of upper traps and weak scapula stabilizing mm -> slight winging
-painful at 90-120 degrees of abduction
+ neers and hawkins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

neers

A

internally rotate arm and passively bring into flexion -> pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

hawkins

A

arm and elbow flexed at 90 and passively internally rotated -> pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

x-ray for subacromial space

A

scapular Y view

AP view good for GH and sclerosis of greater tuberosity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are MRI and US good for

A

grade II lesions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

who needs surgery

A

younger pts w/full thickness tears

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

conservative therapy

A 
strengthening
Ice-after use
heat and massage- before use
meds-NSAIDs 
steroid injection 
rest
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

biceps tendinitis

A

inflammation of biceps tendon secondary to repetitive use or sudden violent extension of elbow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

biceps tendinitis PE

A

-tenderness on palpation of groove, sometimes crepitus or snapping w/flexion
+speeds test
+yergasons test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

yergasons test

A

pain w/elbow extension and internal rotation of shoulder

21
Q

Tx of biceps tendonitis

A 
limit activity 
NSAIDs, US, EMS, and ROM exercises
once pain free strength train
check for impingement syndrome 
corticosteroid injection is discouraged
22
Q

lateral epicondylitis

A

aka tennis elbow
pain and tenderness over lat epicondyle and extensor tendon
pain w/resistance to wrist and 3rd digit extension
grip strength test -> pain

23
Q

Tx of lat epicondylitis

A

PT mainstay

NSAIDs, steroid injection

24
Q

medial epicondylitis

A

aka golfer elbow
symtoms similar to flexor-pronator mm strain
tender to palpation
pain elicited with resisting pronation, wrist flexion and grip strength test

25
Q

Tx of medial epicondylitis

A

PT mainstay

NSAIDs, steroid injection

26
Q

tendonosis

A

chronic changes assocaited w/epicondylitis -> angiofibroblastic proliferation

27
Q

why is it important to Tx upper thoracics w/UE pain/SD

A

sympathetics innervating UE arise here and are interconnectd w/superior, middle, and inferior cervical ganglion
also need to Tx clavicle and upper ribs

28
Q

if pt is slow or unresponsive to Tx for UE issue should check for what

A

systemic disease like DM or hypothyroidism

29
Q

set up for chin pivot HVLA

A

used for T1-3
SB into barrier
R into EASE
thrust is ant, lat, and caudal

30
Q

supraspinatus TP

A

supraspinatus mm sup to spine of scap

31
Q

Tx of supraspinatus TP

A

supine

flexion, abduction to 45 degrees, external rot of humerus

32
Q

subscap TP

A

ant and lat surface of scap

33
Q

Tx of subscap TP

A

supine

extension, slight ABduction, internal rotation of humerus

34
Q

biceps brachii TP

A

long head of tendon in bicipital groove

35
Q

Tx of biceps brachii TP

A

supine or seated

flexion of elbow, minor flexion of arm, adduction, and internal rotation of arm

36
Q

radial head TP

A

lat surface of radial head

37
Q

Tx of radial head TP

A

supine or seated

full extension of elbow, supination of wrist and fine tune w/ab/adduction

38
Q

mm involved in Tx of radial head TP

A

supinator

39
Q

med epicondyle TP

A

medial epi at common flexor tendon and attachment of pronator teres

40
Q

Tx of med epicondyle TP

A

supine or seated

flex elbow to 90, pronate wrist, fine tune w/internal/external rotation

41
Q

mm involved in Tx of med epicondyle TP

A

forearm flexors

pronator teres

42
Q

spencers

A 
extension
flexion
compression w/circumduction
traction w/circumduction
adduction w/external rotation
abduction 
internal rotation 
traction w/inferior glide (joint pump)
43
Q

nursemaids elbow

A
  • subluxation of annular ligament d/t longitudinal traction of extended elbow
  • usually w/forearm pronation
  • annular lig is weak in kids and oval shape of radius allows for slippage
44
Q

nursemaids elbow PE

A
  • anxious child protective of arm
  • forearm is usually flexed 15-20 degrees partially pronated and supported w/other hand
  • signs of trauma absent
  • usually 2-3yrs, rare >7
45
Q

fat pad sign

A

on x-ray

indicated joint effusion and occult fracture

46
Q

neurovascular exam w/nursemaids elbow

A

must be assessed and documented before and after manipulation
status of brachial a, median, and ulnar nn

47
Q

closed reduction for nursemaids elbow

A
  • child seated in parents lap
  • place thumb over radial head and maximally supinate forearm
  • apply axial compression at wrist
  • forearm maximally flexed while supinated
48
Q

Humerus BLT

A

-seated w/hand of SD side on shoulder and w/Dr on side of SD
-reach around humerus as superior as possible
leverage placed w/humerus pulling lat
-pt moves uninvolved shoulder posterior, drawing hand with it to disengage involved humeral head
-BLT established w/internal/external rotation and slight sup motion

49
Q

scapulothoracic BLT

A
  • assesses position of scap on thorax -> hypertonic serratus ant will cause elevation and lat displacement of scap
  • stand on side of SD
  • place pad of thumb on ribs at MAL as sup as possible
  • slide thumb post along ribs until under scap
  • pt leans forward
  • other hand on top of scap
  • inf traction on scap
  • balance

OPP IV (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions