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TherapyEd > Musculoskeletal Part Eleven > Flashcards

Musculoskeletal Part Eleven Flashcards

1
Q

when does posterior GH dislocation occur

A

hor ADD

IR

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2
Q

for tendonosis, what diagnostic test is potentially used

A

MRI

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3
Q

four most common area for TOS entrapment

A

superior thoracic outlet

scalene triangle

between clavicle and first rib

between pec minor and thoracic wall

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4
Q

what is osteomalacia

A

decalcification of bones due to vitamin D deficiency

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5
Q

what is the gold standard for identifying labral tears

A

arthroscopic surgery

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6
Q

two types of CRPS and how are they different

A

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

CRPS 2: nerve injury

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7
Q

best medical intervention for myofascial pain syndrome

A

dry needling

injection of analgesic paired with corticosteroid

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8
Q

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

A

the apprehension position

(flexion 90
hor ADD 90
ER 80)

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9
Q

what does CRPS result in

A

pain

circulation

vasomotor disturbances

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10
Q

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

A

shoulder elevation

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11
Q

two most common diagnostic tests for TOS

A

x-ray for abnormal bony anatomy

MRI abnormal soft tissue anatomy

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12
Q

when does anterior-inferior GH dislocation occur

A

ABD

ER

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13
Q

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

A

sling

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14
Q

what is Paget’s disease

A

metabolic bone disease involving abnormal osteoclastic and osteoblastic activity

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15
Q

what is myositis ossificans usually precipitated by

A

direct trauma resulting in hematoma and calcification

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16
Q

Aerobic training should be performed how many days per week

A

3-5

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17
Q

for anterior-inferior GH dislocation, what structures are affected

A

inferior GH ligament

anterior capsule

(sometimes glenoid labrum)

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18
Q

most GH dislocations occur in what direction

A

anterior-inferior (95%)

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19
Q

torticollis presentation

A

side bend towards

rotation away

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20
Q

for long thoracic nerve injury, when does scapular winging occur

A

90 flexion

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21
Q

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

A

2-3

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22
Q

what is a SLAP lesion

A

tearing of superior glenoid labrum from anterior to posterior

23
Q

following dislocation fo GH, what nerve can be affected

A

axillary nerve

24
Q

other than direct trauma, how can myositis ossificans be induced

A

early mobilization/stretching

aggressive PT following trauma to muscle

25
Q

what is tendonosis/tendonopathy most likely caused by

A

degenerative collage changes within the tendon

26
Q

best special test for AC dysfunction

A

shear test

27
Q

what type of labral tear requires surgery

A

Bankart

28
Q

signs of spinal accessory nerve involvement

A

inability to abduct arm over 90 degrees

pain with ABD

29
Q

Paget’s Disease is AKA

A

osteitis deformans

30
Q

what is osteomyelitis

A

inflammatory response within the bone caused by infection

31
Q

Stretching should occur how many days per week

A

5-7

32
Q

signs of suprascapular nerve inolvement

A

pain with shoulder flexion

pain with scap ABD

pain with rotation to opposite side

33
Q

what is myositis ossificans

A

painful condition of abnormal calcification within a muscle belly

34
Q

what other structure may be involved with a SLAP lesion

A

biceps tendon

35
Q

what is a Hill-Sachs lesion

A

compression fracture of posterior humeral head

36
Q

what is osteomyelitis caused by (usually)

A

staphylococcus aureus

37
Q

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

A

elevation of shoulders

hyperextension of neck

38
Q

MOI for acromioclavicular injury

A

fall onto shoulder with UE ADD

collision during sporting event

39
Q

two cardinal symptoms of bursitis

A
  1. pain with rest

2. PROM and AROM limited, but not in capsular pattern

40
Q

when might surgery be warranted for osteomyelitis

A

if infection spreads to joints

41
Q

what is Bankart’s lesion

A

avulsion of anteroinferior capsule and inferior glenohumeral ligament

42
Q

most frequent locations for myositis ossificans

A

quadriceps

brachialis

biceps brachii

43
Q

for muscle strain, what diagnostic test can be used

A

MRI

44
Q

etiology of Paget’s disease

A

viral infection with environmental factors

45
Q

long term changes for CRPS

A

muscle wasting

trophic skin changes

decreased bone density

decreased proprioception

loss of muscle strength

joint contractures

46
Q

symptoms of osteomalacia

A

severe pain

fractures

weakness

deformities

47
Q

signs of axillary nerve involvement

A

inability to abduct arm with neutral rotation

48
Q

Stretching parameters

A

15-30 second hold

2-4 times

49
Q

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

A

calcitonin and etidronate disodium

bc they limit osteoclast activity

50
Q

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

A

PF

sensation on plantar surface of foot

51
Q

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

A

double-step (weak PF = decreased push off)

52
Q

foot drop is AKA what gait deviation

A

steppage gait

53
Q

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

A

excessive knee and hip flexion to compensate for weak DF

54
Q

how to restore great toe extension (joint mobs)

A

glide proximal phalanx dorsally

TherapyEd (81 decks)

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