Musculoskeletal Dysfunction Flashcards

(56 cards)

1
Q

what age groups are fractures rare in

A

infancy - warrant CPS investigation

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2
Q

which fractures indicate abuse or sports participation

A

spiral fractures

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3
Q

plaster advantages

A

molded close to body, easy to write on, cheap

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4
Q

plaster disadvantages

A

long time to dry, not water resistant, heavy

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5
Q

synthetic advantages

A

light weight, fast drying, water resistant, many colors

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6
Q

synthetic disadvantages

A

cant be molded close to body, hard to write on, expensive

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7
Q

buck extension is

A

skin extension

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8
Q

buck extension is short/long term

A

short term

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9
Q

byrant traction is

A

skin extension

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10
Q

osteomyelitis

A

infection within the bone - usually s/ aureus

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11
Q

ostemyelitis RF

A

<10 year old boys

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12
Q

osteomyelitis s/s

A

pain, fever, erythema, edema, warmth

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13
Q

osteymyelitis

A

labs/cultures, XR, bone scan, CT/MRI, bone biopsy

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14
Q

Legg calve perthes patho

A

avascular necrosis of the femoral head

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15
Q

LCP RF

A

kids 2-12, specifically boys 4-8

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16
Q

LCP assessment

A

limp after activity, pain, joint stiffness

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17
Q

LCP Dx

A

XR/MRI

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18
Q

treatment of LCP

A

limited or NWB with braces to surgery in severe cases. usually self-limiting

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19
Q

complicaitons of LCp

A

osteoarthritis

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20
Q

scoliosis patho

A

abnormal lateral curvature of the spine 10+ degrees

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21
Q

scoliosis RF

A

adolescent girls

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22
Q

what score on the scoliometer requires parental notification

A

7 degrees

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23
Q

mild scoliosis curve

24
Q

mild scoliosis treatment

A

observation and HCP eval every 3-6 months

25
moderate scoliosis curve
25-45
26
moderate scoliosis treatment
bracing 16-23 hours a day
27
boston brace
curves in the lumbar or thoracic area that is low profile and has plastic components
28
milwaukee brace
older and bulkier version for high thoracic or cervical spine fractures
29
severe scoliosis curve
over 45
30
severe scoliosis treatment
surgery
31
scoliosis surgery
growing rods
32
DDH patho
head of femur is seated improperly in the acetabulum
33
DDH RF
first borns, females, famil hx, breech, Large BW and oligohydraminos
34
DDH s/s newborn to 8-12 weeks
positive barlow and ortolani test
35
DDH s/s infants
limited abduciton of hips, asymmetry of gluteal and thigh folds, positive allis sign
36
DDh s/s older infants and kids
positive tredelenburg sign, leg length issues, telescoping mobility
37
DDH dx
PE, XR, ultrasound
38
DDH interventions birth to 6 months
pavlik harness
39
how long is the pavlik harness work
6-12 weeks
40
DDH interventions intants 6-24 months
bryant traction, surgery, spica cast or flexion abduction brace
41
DDH interventions for 24+
open reduction, spica cast or flexion/abduction brace
42
Clubfoot patho
complex deformity of the ankle and foot that might be unilateral or bilateral
43
positional club foot
due to position in utero
44
treatment of positional clubfoot
simple or casting or may correct spontaneously
45
syndromic club foot
associated with other deformities
46
which club foot is most resistant to tx
syndromic
47
congenital club foot
idiopathic aka true club foot
48
club foot s/s
pointed downard and inward, smaller and shorter foot, thinner calf, empty heel pad with a deep crease on bottom of foot
49
club foot intervention stages
correction, maintenance, follow-up
50
nonsurgical correction for club foot
ponsetti method
51
ponsetti method
serial casting for 6-10 weeks with weekly gentle manipulation. achilles tenotomy at conclusion final cast is on for 3 weeks followed by removable boots and bar
52
arthritis patho
autoimmune inflammatory disease affecting the joints and other tissues such as articular cartilage
53
arthritis RF
girls
54
arthritis s/s
swelling, stuffness, pain, ltd ROM and **uveitis*
55
uveitis
eye inflammation potentially leading to blindness
56
arthritis dx
onset before 16 with continuous arthritic pain in 1+ joints for 6+ months repetitive high fevers, rash on extremities and trunk, elevated ESR XR shows soft tissue edema and joint space widening