MSK.LabFinal Flashcards

1
Q

OA/RA interventions acute

A

inflammation;focus on gentle PROM/AROM to poinf pain, no stretch

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2
Q

Subacute interventions OA/RA

A

PROM/ARON gentle stretch, graded isometric/iostonic, limits stress on joints

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3
Q

CHRONIC ACTIVE OR INACTIVE Interventions

A

stretch at end range, resisitive isometric exercises

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4
Q

bicipital tendonitis

A

long head biceps tendon; pain above 90 degrees flexion; tendon sheath thickens → tendon itself thickens; occasionally the damage leads to a tendon tear; usually occurs comorbidity with other conditions

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5
Q

Distal biceps tendonitis

A

pain at the palpable distal biceps tendon; pain with resisted elbow flexion & supination; common in laborers, gymnasts, and weight lifters; can lead to a tendon tear

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6
Q

distal triceps tendonitis

A

pain at the palpable distal triceps tendon; pain with resisted elbow extension; common in laborers, weight-lifters, throwers
(tendons); can lead to a tendon tear

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7
Q

cubital tunnel syndrome can cause

A

Chronic cubital tunnel syndrome can lead to muscle atrophy and significant hand dysfunction: claw hand, Wartenberg sign, froment sign

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8
Q

radial tunnel syndrome

A

entrapment of the PIN branch of the radial nerve in the radial tunnel; rate condition; difficult to distinguish from lateral epicondylitis;

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9
Q

radial tunnel syndrome symptoms

A

insidious onset, described as a deep ache in the proximal forearm, pain is worse with forearm rotation & lifting activities (e.g. turning a screwdriver, twisting ties), weakness is from pain not muscle paralysis, no sensory disturbances

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10
Q

Ligament instability: the ulnar collateral ligament

A

excessive valgus stress leads to tearing of the ligaments, and chronic cases will increase valgus carrying angle; symptoms = pain at the medial aspect of the elbow, pain with overhead activities or weight bearing, pain with throwing, can have associated ulnar nerve issues and paraesthesias

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11
Q

Ligament instability: lateral collateral ligament

A

can lead to excessive varus “gunstock deformity;” symptoms: pain at the lateral aspect of the elbow

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12
Q

flexor tendon einjury to zone 1

A

Zone 1: jersey finger

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13
Q

Zone II Flexor

A

“No man’s land” high rate of adhesions due to FDS and FDP in the same tendon sheath

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14
Q

Flexor Zone III

A

higher risk of neurovascular injury, higher complication rate

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15
Q

flexor zoNE iv

A

higher adhesions due to tight quarters in carpal tunnel

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16
Q

Flexor Zone V

A

multiple tendon injuries – spaghetti wrist

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17
Q

Flexor Zone T1,T2

A

THUMB

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18
Q

EXTENSOR TENDON injuries

A

outcomes are more favorable than flexor tendon injuries, tendon adhesions will lead to loss of finger flexion, treatment is based on zone of injury

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19
Q

Extensor Zone I AND II

A

mallet finger

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20
Q

Extensor zone III and IV

A

boutonneire

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21
Q

Extensor ZOne V

A

sagittal band injury & fight bite injury

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22
Q

EXTENSOR ZONE vi

A

NERVE INVOLVEMENT LIKELY

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23
Q

Extensor Zone VII

A

inviolves extensor tendon sheaths

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24
Q

Zone VIII Extensor

A

muscle belly involvement

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25
Extensor Zone TV
Thumb ELP at LIsters Tuberaclecle
26
Boutonneire deformity
zone 3 extensor tendon injury; disruption of the central slip causes the lateral bands to attenuate to the sides of the PIP joint; this causes the extensor mechanisms to act as flexors on the PIP joint
27
Trigger finger
restriction of the smooth gliding on the flexor tendons through the A1 pulley; can also affect the thumb; symptoms: locking or catching of the digit into flexion
28
Mallet finger:
zone 1 extensor tendon injury; disruption of the terminal extensor tendon (soft-tissue mallet finger & bony mallet finger – fracture); symptoms: inability to extend the distal phalanx of the finger, chronic mallet fingers can lead to awn neck deformities
29
distal radius colles fx
dorsally displaced, FOOSH injury
30
distal radius smith fracture
volary displaced ; oftne with styloid fracture
31
Scaphoid fx
most commonly fractured carpal bone; due to decreased blood flow in the proximal pole, can lead to non-union or necrosis (greater chances if the fracture is in the proximal pole); can lead to SNAC wrist, presents as tenderness to palpation in an anatomical snuff box
32
metacarpal fx
5th metacarpal most commonly fractures; treatment is based on MC involved and rotational deformities
33
CMC osteoarthritis
aka “basilar joint arthritis;” most common in women than men, 2nd most common hand arthritis (DIP joint is 1st); symptoms: pain at the base of the 1st CMC joint, pain with gripping, pain with lateral/key pinch
34
skiers thumb
acute or chronic stress on the UCL of the MP joint of the thumb; instability of the joint + decreased pinching ability; symptoms: pain at the ulnar side of the MP joint, decreased pinch strength
35
shoulder fx 1-2 weeks
codman’s pendulum exercises
36
shoulder fx 4 weeks
sub-max isometric flexion, abduction, and IR
37
shoulder fx 8-12 weeks
no sling, isotonic strengthening
38
shulder fx 6 weeks
wean swing, AROM first gravity lessened positions then against gravity
39
shouler fx 12 weeks after
sports leisure works tasks
40
TSA/rTSA 3-5 dyas
passive shoulder elvation.ER SUPINE
41
shOULDER ARTHROPLASTY 1 WEEKS
CODMANS
42
shoulder arthroplasty 3 weeks
submaximal isos
43
shoulder arthroplasty 6 weeks
AROM
44
Closed Reduction Humeral Shaft FX phase 1
thermoplastic brace, codmans, PROM, monitor radial nerve
45
closed reduction humeral shaft fx phase 2
AAROM-AROM
46
Closed reduction of humeral shaft fx phase 3
stretching and strengthening
47
rotator cuff tear 6 weeks post op
AROM
48
rotator cuff tear 10-12 weeks
strengthening for functional activities
49
rotatr cuff tear 12 weeks
ight resistance occupation-based tasks nothing over 5 lbs Educate the client
50
adhesive capsultits stage 1-2
decrease pain + maintaining ROM: intervention – E-stim, pendulums progress to PROM in pain-free range; AROM once pain decreases
51
adhesive capsulitis stage 2
Stage 2 (frozen/stiff stage) = increase ROM: interventions – heat modalities, heat + stretch, manual interventions, continue PROM to AROM, teach self-mobility, low load, prolonged stretch/stress
52
adhesive capsulitis stage 3
Stage 3 (thawing phase) =increase end ROM, stretching, strengthening Educate the client!
53
lateral/medial epicondylitis treatment
0 - 2 weeks: surgical protection, pain management, and wound healing 2 - 6 weeks: tissue length & strengthening 6 weeks+: return to activity
54
Distal biceps and triceps tendon rupture 0-2 weeks
0 - 2 weeks: surgical protection, pain management, and wound healing
55
Distal biceps and triceps tendon 2-12 weeks
2 - 12 weeks: tissue lengthening
56
Distal biceps and triceps tendon rupture 12-16 weeks
12 - 16 weeks: strengthening (eccentric, isotonic, and activity specific)
57
cubital tunnel sydrme treatment
Surgical protection, pain management, and wound healing Tissue length & nerve glide Sensory reintegration Motor control & strengthening if necessary
58
radial tunnel syndrome treatment
Radial tunnel syndrome Usually improves within 6 weeks activity modification, body mechanics, reduced nerve irritability, radial nerve glides
59
UCL stages 0-2 weeks
0 - 2 weeks: wound healing, inflammation reduction, protection
60
UCL 3-6 WEEKS
tissue lengthening
61
UCL 6-12
strengthening
62
UCL 12-16
return to activity
63
LCL treatment
Surgical protection, pain management, and wound healing Tissue lengthening Strengthening & return to activity
64
extensor tendon injuries
Extensor tendon injuries Zone V: relative motion orthosis Zone IV-VII: early protection Thumb: immobilization; slow protective motion
65