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MSK > MSK.LabFinal > Flashcards

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
Q

Extensor Zone TV

A

Thumb ELP at LIsters Tuberaclecle

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26
Q

Boutonneire deformity

A

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

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27
Q

Trigger finger

A

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
Q

Mallet finger:

A

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
Q

distal radius colles fx

A

dorsally displaced, FOOSH injury

30
Q

distal radius smith fracture

A

volary displaced ; oftne with styloid fracture

31
Q

Scaphoid fx

A

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
Q

metacarpal fx

A

5th metacarpal most commonly fractures; treatment is based on MC involved and rotational deformities

33
Q

CMC osteoarthritis

A

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
Q

skiers thumb

A

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
Q

shoulder fx 1-2 weeks

A

codman’s pendulum exercises

36
Q

shoulder fx 4 weeks

A

sub-max isometric flexion, abduction, and IR

37
Q

shoulder fx 8-12 weeks

A

no sling, isotonic strengthening

38
Q

shulder fx 6 weeks

A

wean swing, AROM first gravity lessened positions then against gravity

39
Q

shouler fx 12 weeks after

A

sports leisure works tasks

40
Q

TSA/rTSA 3-5 dyas

A

passive shoulder elvation.ER SUPINE

41
Q

shOULDER ARTHROPLASTY 1 WEEKS

A

CODMANS

42
Q

shoulder arthroplasty 3 weeks

A

submaximal isos

43
Q

shoulder arthroplasty 6 weeks

A

AROM

44
Q

Closed Reduction Humeral Shaft FX phase 1

A

thermoplastic brace, codmans, PROM, monitor radial nerve

45
Q

closed reduction humeral shaft fx phase 2

A

AAROM-AROM

46
Q

Closed reduction of humeral shaft fx phase 3

A

stretching and strengthening

47
Q

rotator cuff tear 6 weeks post op

A

AROM

48
Q

rotator cuff tear 10-12 weeks

A

strengthening for functional activities

49
Q

rotatr cuff tear 12 weeks

A

ight resistance occupation-based tasks nothing over 5 lbs
Educate the client

50
Q

adhesive capsultits stage 1-2

A

decrease pain + maintaining ROM: intervention – E-stim, pendulums progress to PROM in pain-free range; AROM once pain decreases

51
Q

adhesive capsulitis stage 2

A

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
Q

adhesive capsulitis stage 3

A

Stage 3 (thawing phase) =increase end ROM, stretching, strengthening
Educate the client!

53
Q

lateral/medial epicondylitis treatment

A

0 - 2 weeks: surgical protection, pain management, and wound healing
2 - 6 weeks: tissue length & strengthening
6 weeks+: return to activity

54
Q

Distal biceps and triceps tendon rupture
0-2 weeks

A

0 - 2 weeks: surgical protection, pain management, and wound healing

55
Q

Distal biceps and triceps tendon 2-12 weeks

A

2 - 12 weeks: tissue lengthening

56
Q

Distal biceps and triceps tendon rupture
12-16 weeks

A

12 - 16 weeks: strengthening (eccentric, isotonic, and activity specific)

57
Q

cubital tunnel sydrme treatment

A

Surgical protection, pain management, and wound healing
Tissue length & nerve glide
Sensory reintegration
Motor control & strengthening if necessary

58
Q

radial tunnel syndrome treatment

A

Radial tunnel syndrome
Usually improves within 6 weeks
activity modification, body mechanics, reduced nerve irritability, radial nerve glides

59
Q

UCL stages 0-2 weeks

A

0 - 2 weeks: wound healing, inflammation reduction, protection

60
Q

UCL 3-6 WEEKS

A

tissue lengthening

61
Q

UCL 6-12

A

strengthening

62
Q

UCL 12-16

A

return to activity

63
Q

LCL treatment

A

Surgical protection, pain management, and wound healing
Tissue lengthening
Strengthening & return to activity

64
Q

extensor tendon injuries

A

Extensor tendon injuries
Zone V: relative motion orthosis
Zone IV-VII: early protection
Thumb: immobilization; slow protective motion

65
Q
A

MSK (3 decks)

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