Musculoskeletal

Question 1

Shoulder injury

Answer 1

Bony injuries to shoulder should be referred to an orthopedist

Question 2

Should injury

Answer 2

Provided analgesia as needed.
Palpate the entire should girdle, including head of the humerous. Tenderness over the AC joint depending on injury
Obtain radiograph-AP, 10 degree caudal tilt, axillary views

Question 3

Shoulder injury

Answer 3

Type 1= AC ligament sprained but intact
Type II=AC ligaments are torn The coracoclavicular ligaments are sprained but intact, and the distal cliavicle is mobile in the axial plane with less than 50% subluxation.

Question 4

Type 1 and Type II injuries

Answer 4

Treated the same just differe in recovery time. Provide analgesics/sling/, then have client start ROM exercise quickly. 2-12 weeks.

Question 5

Type III

Answer 5

disruption of the acromioclavicular and oracoclavicular ligaments=unstable joints Refer

Question 6

Treatment of Type III is not in agreement

Answer 6

Some say conservative and others surgery

Question 7

Type IV, V, VI injuries require early orthopedic consultation

Answer 7

Type I, II, III arrange for reevaluation and PT within 7-10 days. No slings over a week.

Question 8

wrist injury

Answer 8

Apply cold pack
Look for snuffbox tenderness
If fx is supected, get x-ray splint for 2 weeks. Arrange f/u in 5-7 days,

Question 9

If no fx have them see orthopedist in 5-7 days.

Answer 9

Significant displacement, see ortho now

Question 10

FOOSH

Answer 10

Fell on an outstretched hand

Question 11

Knee injury

Answer 11

55 and older get radiography
isolated tenderness of patella
tenderness at head of the fibula
Inability to flex 90'
Inability to bear weight for 4 steps

Question 12

ACL tear

Answer 12

twisting and a pop- positive Lachman examination
With knew flexed 20-30 degrees one hand on proximal tibia and one hand on distal femur, heel on exam table. Pull anteriorly. ACL will have increased anterior translation at least 3mm greater than non inured side

Question 13

MCL tear

Answer 13

Valgus stress test Apply direct firm pressure in a medial direction from the lateral femoral condyle, Pain in the location of the MCL during valgus stressing, but no laxity is a grade 1 sprain.

Question 14

Meniscus injury

Answer 14

McMurray test. While supine, hold the knee anteriorly at the femoral condyle with one hand, fingers along the joint line.