Musculoskeletal Part Eleven Flashcards
when does posterior GH dislocation occur
hor ADD
IR
for tendonosis, what diagnostic test is potentially used
MRI
four most common area for TOS entrapment
superior thoracic outlet
scalene triangle
between clavicle and first rib
between pec minor and thoracic wall
what is osteomalacia
decalcification of bones due to vitamin D deficiency
what is the gold standard for identifying labral tears
arthroscopic surgery
two types of CRPS and how are they different
CRPS 1: triggered by tissue injury.. no underlying nerve issue
CRPS 2: nerve injury
best medical intervention for myofascial pain syndrome
dry needling
injection of analgesic paired with corticosteroid
following surgical repair/chronic dislocation, what positions should be avoided
the apprehension position
(flexion 90
hor ADD 90
ER 80)
what does CRPS result in
pain
circulation
vasomotor disturbances
during the acute phase of healing for AC disorder, what motion should be avoided
shoulder elevation
two most common diagnostic tests for TOS
x-ray for abnormal bony anatomy
MRI abnormal soft tissue anatomy
when does anterior-inferior GH dislocation occur
ABD
ER
in the ACUTE PHASE following AC injury, what position should the arm be in
sling
what is Paget’s disease
metabolic bone disease involving abnormal osteoclastic and osteoblastic activity
what is myositis ossificans usually precipitated by
direct trauma resulting in hematoma and calcification
Aerobic training should be performed how many days per week
3-5
for anterior-inferior GH dislocation, what structures are affected
inferior GH ligament
anterior capsule
(sometimes glenoid labrum)
most GH dislocations occur in what direction
anterior-inferior (95%)
torticollis presentation
side bend towards
rotation away
for long thoracic nerve injury, when does scapular winging occur
90 flexion
Flexibility training should be performed how many days per week at minimum
2-3
what is a SLAP lesion
tearing of superior glenoid labrum from anterior to posterior
following dislocation fo GH, what nerve can be affected
axillary nerve
other than direct trauma, how can myositis ossificans be induced
early mobilization/stretching
aggressive PT following trauma to muscle
what is tendonosis/tendonopathy most likely caused by
degenerative collage changes within the tendon
best special test for AC dysfunction
shear test
what type of labral tear requires surgery
Bankart
signs of spinal accessory nerve involvement
inability to abduct arm over 90 degrees
pain with ABD
Paget’s Disease is AKA
osteitis deformans
what is osteomyelitis
inflammatory response within the bone caused by infection
Stretching should occur how many days per week
5-7
signs of suprascapular nerve inolvement
pain with shoulder flexion
pain with scap ABD
pain with rotation to opposite side
what is myositis ossificans
painful condition of abnormal calcification within a muscle belly
what other structure may be involved with a SLAP lesion
biceps tendon
what is a Hill-Sachs lesion
compression fracture of posterior humeral head
what is osteomyelitis caused by (usually)
staphylococcus aureus
watching an infant in sitting, PT notices compensation for poor head control.. what is the compensation
elevation of shoulders
hyperextension of neck
MOI for acromioclavicular injury
fall onto shoulder with UE ADD
collision during sporting event
two cardinal symptoms of bursitis
- pain with rest
2. PROM and AROM limited, but not in capsular pattern
when might surgery be warranted for osteomyelitis
if infection spreads to joints
what is Bankart’s lesion
avulsion of anteroinferior capsule and inferior glenohumeral ligament
most frequent locations for myositis ossificans
quadriceps
brachialis
biceps brachii
for muscle strain, what diagnostic test can be used
MRI
etiology of Paget’s disease
viral infection with environmental factors
long term changes for CRPS
muscle wasting
trophic skin changes
decreased bone density
decreased proprioception
loss of muscle strength
joint contractures
symptoms of osteomalacia
severe pain
fractures
weakness
deformities
signs of axillary nerve involvement
inability to abduct arm with neutral rotation
Stretching parameters
15-30 second hold
2-4 times
what drugs might be helpful for Paget’s disease and why
calcitonin and etidronate disodium
bc they limit osteoclast activity
tibial nerve damage.. what motion and sensation would be limited
PF
sensation on plantar surface of foot
someone with tibial nerve damage might have what type of gait pattern and why
double-step (weak PF = decreased push off)
foot drop is AKA what gait deviation
steppage gait
what is the compensation in steppage gait and what does it happen
excessive knee and hip flexion to compensate for weak DF
how to restore great toe extension (joint mobs)
glide proximal phalanx dorsally
