Musculoskeletal 2

Question 1

What is septic arthritis?
Who is at risk?
What action is required?

Answer 1

Single joint, inflamed, severely painful

At risk: elderly, immunosuppressed, very young, existing arthritis, post-op

Action: med. emergency! Send to hosp

Question 2

What is septic arthritis?
Who is at risk?
What action is required?

Answer 2

Single joint, inflamed, severely painful

At risk: elderly, immunosuppressed, very young, existing arthritis, post-op

Action: med. emergency! Send to hosp

Question 3

What is lyme disease?

What are the rehab implications?

Answer 3

Disease transmitted by ticks that cause flu-like sx and multi joint pain

Implications: 
Joint mobility
Modalities for pain
Strengthening
Joint sparing strategies

Question 4

What is lyme disease?

What are the rehab implications?

Answer 4

Disease transmitted by ticks that cause flu-like sx and multi joint pain; arthritis can be long term result

Implications: 
Joint mobility
Modalities for pain
Strengthening
Joint sparing strategies

Question 5

What is lyme disease?

What are the rehab implications?

Answer 5

Disease transmitted by ticks that cause flu-like sx and multi joint pain; arthritis can be long term result

Implications: 
Joint mobility
Modalities for pain
Strengthening
Joint sparing strategies

Question 6

Gout

Tx?

Answer 6

Due to reduced processing of uric acid.
Uric acid builds up and forms crystals. Crystals cause joint pain and kidney stones which can result in join erosion

TX:
Acute - too painful to work with them in PT
Chronic - we can work with them

Question 7

Surgical options for arthritis (3)

Answer 7

Arthrodesis: joint fusion
Arthroplasty/Hemiarthroplasty: Joint replacement
Osteotomy: Realignment of joint

Question 8

Surgical options for arthritis (3)

Answer 8

Arthrodesis: joint fusion
Arthroplasty/Hemiarthroplasty: Joint replacement
Osteotomy: Realignment of joint

Question 9

Osteoporosis and osteopenia

Answer 9

Osteoporosis: Abnormal loss of bones mass
Osteopenia: Mild loss of bones mass (like pre-osteoporosis)

PT: No flexion ex, joint mobs, traction
Yes weight bearing activities to encourage bone growth

Question 10

Rickets vs Osteomalacia

Answer 10

Rickets: KIDS

• weakened bones due to childhood deficiency of vit D, Ca, and phosphate
• long bones will bend under pressure

Osteomalacia: Rickets for ADULTS
- bone softening (same deficiencies)

Question 11

Rickets vs Osteomalacia

Answer 11

Rickets: KIDS
- weakened bones due to childhood deficiency of vit D, Ca, and phosphate
- long bones will bend under pressure
PT: strength, mobility, posture training

Osteomalacia: Rickets for ADULTS
- bone softening (same deficiencies)

PT: strength, endurance