Musculoskeletal Part Sixteen Flashcards

1
Q

for rotator cuff tears, is PROM affected

A

no

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2
Q

what muscle is weak with legg calve perthes and what does this cause

A

psoas major weakness

causes psoatic limp

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3
Q

what does osteogenesis imperfecta lead to

A

imbalance between bone deposition and reabsorption (fractures and deformities of weight bearing bones)

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4
Q

when is conservative treatment of scoliosis of the spine warranted

A

degree of curvature less than 25

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5
Q

what is spondylolysis

A

fracture of pars interarticularis

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6
Q

who would be appropriate for noncemented THR

A

younger/more active indiciduals

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7
Q

what is Legg-Calve Perthes disease

A

blood supply interrupted to the femoral head

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8
Q

Sever’s Disease AKA

A

calcaneal apophysitis

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9
Q

when does sever’s disease occur

A

before or during peak growth spurt

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10
Q

who is affected by Panner’s Disease

A

kids 10 years and younger

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11
Q

what type of instrument is used in scoliosis surgery

A

Harrington rod

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12
Q

when is surgical intervention warranted for scioliosis

A

45 degrees

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13
Q

what motions are common with movement for legg calve perthes

A

ER

flexion

ADD

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14
Q

age on onset Legg-Calve Perthes

A

2-13 years

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15
Q

following extensor tendon repairs, what happens to the DIP

A

DIP in neutral for 6-8 weeks

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16
Q

following extensor tendon repairs, when can AROM initiate and under what condition

A

6 weeks

PIP in neutral

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17
Q

what shoe modification can be made for severs disease

A

heel lifts/heel cups

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18
Q

when is bracing for scoliosis warranted

A

25-45 degrees

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19
Q

besides the hip, where else would someone with legg calve perthes disease hurt

A

hip

thigh

knee

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20
Q

how to perform leg length test

A

patient supine

measure distance from ASIS to lateral mally/medial mally

21
Q

what is plagiocephaly

A

development of flat spot on back or side of head as the skull is soft and malleable

22
Q

best intervention strategy for Osgood-Schlatter disease

A

modify activities to prevent excessive stress

23
Q

what motions are limited for legg calve perthes

A

ABD

ext

24
Q

what is the most common hip disorder observed in adolescents

A

slipped capital femoral epiphysis

25
Q

cause of sever’s disease

A

repetitive microtrauma due to increased traction by Achilles tendon on its insertion site

26
Q

what is osteochondritis dissecans

A

separation of articular cartilage from underlying bone

27
Q

following flexor tendon repairs, what happens in the first 3-4 weeks

and what position of hand

A

distal extremity immobilized with protective splint

wrist and digits flexed

28
Q

what does the leg length test determine

A

true or functional limb discrepancy

29
Q

what should someone with plagiocephaly use

A

a helmet

30
Q

what type of THR can bear weight IMMEDIATELY after surgery

A

cemented

31
Q

average onset years for slipped capital femoral epiphysis

A

11-13 years (males older)

32
Q

when is AROM tolerated following flexor tendon repairs

A

4 weeks

33
Q

for bed positioning following THR, what should be included and why

A

wedge to prevent adduction

34
Q

what is osteogenesis imperfecta

A

abnormal collagen synthesis

35
Q

what kind of disease can lead to a leg-length discrepancy

A

bone cancer

36
Q

what arch is lowered with pes planus

A

medial longitudinal arch

37
Q

following flexor tendon repair, what can the patient perform within the constraints of the splint

A

resisted extension

passive flexion

38
Q

diagnostic test for legg calve perthes

A

MRI (shows positive bony crescent sign)

39
Q

difference between structural and nonstructural scoliosis

A

structural - irreversible lateral curvature of the spine with a rotational component

nonstructural - reversible lateral curvature of spine without a rotational component which straightens as individual FLEXES the spine

40
Q

who would benefit from cemented THR

A

fragile bones

those who will benefit immediately from weight bearing (dementia)

41
Q

gold standard for rotator cuff tears

A

arthrogram

42
Q

what is Panner’s Disease

A

localized avascular necrosis of capitellum leading to loss of subchondral bone

43
Q

plagiocephaly AKA

A

flat head syndrome

44
Q

following flexor tendon repairs, what is applied to the IP joints and what position

A

rubber band traction

maintains IP joints in 30-50 passive flexion

45
Q

most common place for osteochondritis dissecans to occur

A

medial femoral condyle near intercondylar notch

46
Q

spondyloysis will have a positive ___ on oblique radiographic view of spine

A

scotty dog

47
Q

observation of slipped capital femoral epiphysis

A

femoral head displaced posteriorly and interiorly

48
Q

osteogenesis imperfecta is transmitted via autosomal _____ gene

A

autosomal dominant

49
Q

chronic slipped capital femoral epiphysis can result in what gait deformity

A

Trendelenberg