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Final OPP Exam > Musculoskeletal Cases - Ramey/Ferril > Flashcards

Musculoskeletal Cases - Ramey/Ferril Flashcards

1
Q

rotator cuff

A

supraspinatus
infraaspinatus
teres minor
subscapularis

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2
Q

subscapularis

A

internal rotation

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3
Q

supraspinatus

A

elevationand abduction - upward traction to GH joint

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4
Q

infraspinatus

A

external rotation and downward rotation

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5
Q

impingement

A

supraspinatus

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6
Q

teres minor

A

external rotation and downward traction

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7
Q

impingement interval

A

under surface of acromion and superior aspect of humeral head

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8
Q

primary impingement

A

anatomical restriction of subacromial space

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9
Q

secondary impingement

A

pain - inhibition and weakness of rotator cuff

fail to hold humeral head

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10
Q

MC impingement sx

A

pain, weakness, loss of motion

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11
Q

xray to view rotator cuff

A

scapular Y view

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12
Q

slight winging of scapula

A

impingement syndrome

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13
Q

neers and hawkins sign

A

for impingment

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14
Q

tx of rotator cuff

A

conservative if possible

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15
Q

surgery tx in impingement syndrome

A

if conservative fails

older pt - more primary - acromioplasty
younger pt - more secondary - physical therapy

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16
Q

reverse shoulder replacement surgery

A

with irreparable rotator cuff deficiency

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17
Q

biceps tendonitis

A

inflammation of biceps tendon

secondary to repetitive use or overuse

sudden violent extension of elbow

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18
Q

sx of biceps tendonitis

A

yergasons and speeds test

tender tenon in bicipital groove

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19
Q

corticosteroids in biceps tendonitis

A

no - can cause rupture

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20
Q

lateral epicondilytis

A

tennis elbow

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21
Q

medial epicondilytis

A

golfers elbow

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22
Q

tendinosis

A

chronic change

-angiofibroblastic degeneration

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23
Q

tx of lateral epicondylitis

A

physical therapy

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24
Q

lateral pivot shift test

A

for lateral epicondilytis

25
pain with resisted pronation, flexion, and grip strength
medial epicondylitis
26
tx of medial epicondylitis
physical therapy
27
tx of SD in thoracic, rib, and cervical when looking at upper extremity
reduce sympathetic tone
28
nursemaids elbow
subluxation of annular ligament from pull on arm
29
neurovasc status check with nursemaids
brachial a, median and ulnar nn vulnerable to entrapment during manipulation
30
closed reduction of nursemaids
supination and flexion with thumb on lateral elbow
31
OMT in nursemaids
myofascial strains - tend to recur
32
humerus BLT
watch for brachial plexus - no tingling leverage humerus toward chest reaches hand across chest - opposite clavicle move uninvolved shoulder posteriorly draws lower humerus across chest fulcrum - physician hand BLT established ext/int rotation
33
posterior radial head still
radial head - resist anterior motion and supination -ease - pronation forearm in pronation gentle axial force through distal radius to radial head maintain compression - forearm to supination
34
still technique
position of ease | -take through barrier with compressive/traction force
35
fat pad sign
only sign of occult fx in children indicate joint effusion
36
salter harris
``` 1 - fx at epiphysis 2 - fx metaphysis 3 - fx epiphysis 4 - fx metaphysis and epiphysis 5 - compression ```
37
jobes test
empty can test
38
arm drop test
abduct to 90 degrees -if unable to lower arm smoothly suprapsinatus tear
39
hawkins sign
flex arm to 90 - medial rotation for supraspinatus impingement
40
neers sign
max abduction with internal rotation pain - supraspinatus tendon
41
speeds test
arm flexed 90 - resist extension positive - tender bicipital groove biceps tendonitis
42
crossover test
abducting shoulder - superior shoulder pain - acromioclavicualr pathology (superior)
43
empty can test
abduct arm 90 degrees thumbs down downward pressure on arms positive - rotator cuff tear - supraspinatus
44
chin pivot HVLA
sidebending - toward barrier rotation - toward ease corrective force - anterior, lateral, caudal from left hand over left transverse process of thoracic do not thrust on head and scissor of neck
45
scapula
attached 19 muscles
46
spencers technique
``` 1 - extension 2 - flexion 3 - compression with circumduction 4 - traction with circumduction 5 - adduction and ext rotation 6 - abduction 7 - internal rotation 8 - traction with inferior glide -pump ```
47
B/L shoulder balancing
palms over AC joints motion all planes find equal tension - hold balanced position until release
48
biceps CS point
bicip groove brachialis and biceps brachii
49
supraspinatus CS point
above spine scapula
50
subscapularis CS point
anterior surface of scapula - lateral border and inferior
51
MET for radial head
supinate/pronate with force ant/posterior via thumb on radial head towards barrier
52
through physiologic motion
tension in ligament never changes
53
reciprocal tension
ligaments in joints with BLT tension remains constant
54
BLT treatment
point of balance - point in ROM where ligaments and membranes poised between normal tension present throughout free range of motion and increased tension preceding strain (beyond normal physiology)
55
ligaments for scapulothoracic BLT
serratus anterior, rhomboid, teres major
56
still technique
exaggerate position of ease vector of force (comp/tract) through its range of motion and through initial restriction vector released - tissue passively returned to neutral
57
sensing hand
on affected segment, joint, muscle, ligament in stills
58
operating hand
sets position and provides force vector in stills
59
force vector
in stills compressive or traction never more than 5 pounds

Final OPP Exam (9 decks)

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