Musculoskeletal Part Eleven

Question 1

when does posterior GH dislocation occur

Answer 1

hor ADD

IR

Question 2

for tendonosis, what diagnostic test is potentially used

Answer 2

MRI

Question 3

four most common area for TOS entrapment

Answer 3

superior thoracic outlet

scalene triangle

between clavicle and first rib

between pec minor and thoracic wall

Question 4

what is osteomalacia

Answer 4

decalcification of bones due to vitamin D deficiency

Question 5

what is the gold standard for identifying labral tears

Answer 5

arthroscopic surgery

Question 6

two types of CRPS and how are they different

Answer 6

CRPS 1: triggered by tissue injury.. no underlying nerve issue

CRPS 2: nerve injury

Question 7

best medical intervention for myofascial pain syndrome

Answer 7

dry needling

injection of analgesic paired with corticosteroid

Question 8

following surgical repair/chronic dislocation, what positions should be avoided

Answer 8

the apprehension position

(flexion 90
hor ADD 90
ER 80)

Question 9

what does CRPS result in

Answer 9

pain

circulation

vasomotor disturbances

Question 10

during the acute phase of healing for AC disorder, what motion should be avoided

Answer 10

shoulder elevation

Question 11

two most common diagnostic tests for TOS

Answer 11

x-ray for abnormal bony anatomy

MRI abnormal soft tissue anatomy

Question 12

when does anterior-inferior GH dislocation occur

Answer 12

ABD

ER

Question 13

in the ACUTE PHASE following AC injury, what position should the arm be in

Answer 13

sling

Question 14

what is Paget’s disease

Answer 14

metabolic bone disease involving abnormal osteoclastic and osteoblastic activity

Question 15

what is myositis ossificans usually precipitated by

Answer 15

direct trauma resulting in hematoma and calcification

Question 16

Aerobic training should be performed how many days per week

Answer 16

3-5

Question 17

for anterior-inferior GH dislocation, what structures are affected

Answer 17

inferior GH ligament

anterior capsule

(sometimes glenoid labrum)

Question 18

most GH dislocations occur in what direction

Answer 18

anterior-inferior (95%)

Question 19

torticollis presentation

Answer 19

side bend towards

rotation away

Question 20

for long thoracic nerve injury, when does scapular winging occur

Answer 20

90 flexion

Question 21

Flexibility training should be performed how many days per week at minimum

Answer 21

2-3

Question 22

what is a SLAP lesion

Answer 22

tearing of superior glenoid labrum from anterior to posterior

Question 23

following dislocation fo GH, what nerve can be affected

Answer 23

axillary nerve

Question 24

other than direct trauma, how can myositis ossificans be induced

Answer 24

early mobilization/stretching

aggressive PT following trauma to muscle

Question 25

what is tendonosis/tendonopathy most likely caused by

Answer 25

degenerative collage changes within the tendon

Question 26

best special test for AC dysfunction

Answer 26

shear test

Question 27

what type of labral tear requires surgery

Answer 27

Bankart

Question 28

signs of spinal accessory nerve involvement

Answer 28

inability to abduct arm over 90 degrees pain with ABD

Question 29

Paget's Disease is AKA

Answer 29

osteitis deformans

Question 30

what is osteomyelitis

Answer 30

inflammatory response within the bone caused by infection

Question 31

Stretching should occur how many days per week

Answer 31

5-7

Question 32

signs of suprascapular nerve inolvement

Answer 32

pain with shoulder flexion pain with scap ABD pain with rotation to opposite side

Question 33

what is myositis ossificans

Answer 33

painful condition of abnormal calcification within a muscle belly

Question 34

what other structure may be involved with a SLAP lesion

Answer 34

biceps tendon

Question 35

what is a Hill-Sachs lesion

Answer 35

compression fracture of posterior humeral head

Question 36

what is osteomyelitis caused by (usually)

Answer 36

staphylococcus aureus

Question 37

watching an infant in sitting, PT notices compensation for poor head control.. what is the compensation

Answer 37

elevation of shoulders hyperextension of neck

Question 38

MOI for acromioclavicular injury

Answer 38

fall onto shoulder with UE ADD collision during sporting event

Question 39

two cardinal symptoms of bursitis

Answer 39

1. pain with rest | 2. PROM and AROM limited, but not in capsular pattern

Question 40

when might surgery be warranted for osteomyelitis

Answer 40

if infection spreads to joints

Question 41

what is Bankart's lesion

Answer 41

avulsion of anteroinferior capsule and inferior glenohumeral ligament

Question 42

most frequent locations for myositis ossificans

Answer 42

quadriceps brachialis biceps brachii

Question 43

for muscle strain, what diagnostic test can be used

Answer 43

MRI

Question 44

etiology of Paget's disease

Answer 44

viral infection with environmental factors

Question 45

long term changes for CRPS

Answer 45

muscle wasting trophic skin changes decreased bone density decreased proprioception loss of muscle strength joint contractures

Question 46

symptoms of osteomalacia

Answer 46

severe pain fractures weakness deformities

Question 47

signs of axillary nerve involvement

Answer 47

inability to abduct arm with neutral rotation

Question 48

Stretching parameters

Answer 48

15-30 second hold 2-4 times

Question 49

what drugs might be helpful for Paget's disease and why

Answer 49

calcitonin and etidronate disodium bc they limit osteoclast activity

Question 50

tibial nerve damage.. what motion and sensation would be limited

Answer 50

PF sensation on plantar surface of foot

Question 51

someone with tibial nerve damage might have what type of gait pattern and why

Answer 51

double-step (weak PF = decreased push off)

Question 52

foot drop is AKA what gait deviation

Answer 52

steppage gait

Question 53

what is the compensation in steppage gait and what does it happen

Answer 53

excessive knee and hip flexion to compensate for weak DF

Question 54

how to restore great toe extension (joint mobs)

Answer 54

glide proximal phalanx dorsally