MSK tx Flashcards
tx for gout (acute and chronic)
acute- NSAIDs, prednisone, colchicine
Chronic- Allopurinol, colchicine
(loop and thiazide diuretics can trigger)
what tx is contraindicated in patellar tendonitis
cortisone injections
(due to risk of patellar tendon rupture)
at what level is cauda equina at
L4-L5
MC site of radial nerve injury
humerus fx
posterior fat pad/sail sign
humerus fx
MC pediatric elbow fx
(anterior fat pad)
supracondylar
what nerve and artery are injured in supracondylar fx
median nerve/ brachial artery injury
tx for humerus fx
sugar tong splint
tx for supracondylar fx
long arm posterior splint followed by long arm casting
(ORIF for displaced)
tx of radial head fx/dislocation
sling, long arm splint at 90 degrees, ORIF
tx for Monteggia vs galeazzia fx
Monteggia- ORIF
Galeazzia- ORIF, long arm splint
Tx for Colles fx
sugar tong splint/cast
tx for smith fracture
reduction/surgery or casting, PT for ROM and strengthening
tx for scaphoid fracture
thumb spica splint x10-12wks
tx for boxers fracture (5th/4th metacarpal)
ulnar gutter splint with joints at 60-degree flexions
Tx for clavicle fx
Simple arm sling or figure-of-eight sling: 4-6 weeks in adults, ortho consult if proximal 1/3
Begin PT after 4 weeks with light strengthening after 6 weeks
tx for hip fx
ORIF; hip arthroplasty, DVT prophylaxis until ambulatory
tx for talus fx
non-displaced: non-weight bearing cast
Displaced: surgery
what food should people increase if they have gout
increase protein
what 2 meds should be avoided in gout
thiazides and aspirin
what is the drug of choice for acute gout
Indomethacin
(can also do colchicine)
tx for pseudogout
acute- NSAIDs
prophylaxis- colchicine
Tx for septic arthritis
Staph aureus = Vanco/nafcillin (Vanco or Clindamycin if PCN allergic)
Gonorrhea = ceftriaxone
IVDU = Cipro/Levaquin
Tx for DeQuervain’s Synovitis
thumb spica splint x 3 weeks
NSAIDs 10-14 days
steroid injections
PT
Tx for Skiers injury
thumb spica splint 4-6 weeks
