Musculoskeletal Part Sixteen Flashcards
for rotator cuff tears, is PROM affected
no
what muscle is weak with legg calve perthes and what does this cause
psoas major weakness
causes psoatic limp
what does osteogenesis imperfecta lead to
imbalance between bone deposition and reabsorption (fractures and deformities of weight bearing bones)
when is conservative treatment of scoliosis of the spine warranted
degree of curvature less than 25
what is spondylolysis
fracture of pars interarticularis
who would be appropriate for noncemented THR
younger/more active indiciduals
what is Legg-Calve Perthes disease
blood supply interrupted to the femoral head
Sever’s Disease AKA
calcaneal apophysitis
when does sever’s disease occur
before or during peak growth spurt
who is affected by Panner’s Disease
kids 10 years and younger
what type of instrument is used in scoliosis surgery
Harrington rod
when is surgical intervention warranted for scioliosis
45 degrees
what motions are common with movement for legg calve perthes
ER
flexion
ADD
age on onset Legg-Calve Perthes
2-13 years
following extensor tendon repairs, what happens to the DIP
DIP in neutral for 6-8 weeks
following extensor tendon repairs, when can AROM initiate and under what condition
6 weeks
PIP in neutral
what shoe modification can be made for severs disease
heel lifts/heel cups
when is bracing for scoliosis warranted
25-45 degrees
besides the hip, where else would someone with legg calve perthes disease hurt
hip
thigh
knee
how to perform leg length test
patient supine
measure distance from ASIS to lateral mally/medial mally
what is plagiocephaly
development of flat spot on back or side of head as the skull is soft and malleable
best intervention strategy for Osgood-Schlatter disease
modify activities to prevent excessive stress
what motions are limited for legg calve perthes
ABD
ext
what is the most common hip disorder observed in adolescents
slipped capital femoral epiphysis
cause of sever’s disease
repetitive microtrauma due to increased traction by Achilles tendon on its insertion site
what is osteochondritis dissecans
separation of articular cartilage from underlying bone
following flexor tendon repairs, what happens in the first 3-4 weeks
and what position of hand
distal extremity immobilized with protective splint
wrist and digits flexed
what does the leg length test determine
true or functional limb discrepancy
what should someone with plagiocephaly use
a helmet
what type of THR can bear weight IMMEDIATELY after surgery
cemented
average onset years for slipped capital femoral epiphysis
11-13 years (males older)
when is AROM tolerated following flexor tendon repairs
4 weeks
for bed positioning following THR, what should be included and why
wedge to prevent adduction
what is osteogenesis imperfecta
abnormal collagen synthesis
what kind of disease can lead to a leg-length discrepancy
bone cancer
what arch is lowered with pes planus
medial longitudinal arch
following flexor tendon repair, what can the patient perform within the constraints of the splint
resisted extension
passive flexion
diagnostic test for legg calve perthes
MRI (shows positive bony crescent sign)
difference between structural and nonstructural scoliosis
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
who would benefit from cemented THR
fragile bones
those who will benefit immediately from weight bearing (dementia)
gold standard for rotator cuff tears
arthrogram
what is Panner’s Disease
localized avascular necrosis of capitellum leading to loss of subchondral bone
plagiocephaly AKA
flat head syndrome
following flexor tendon repairs, what is applied to the IP joints and what position
rubber band traction
maintains IP joints in 30-50 passive flexion
most common place for osteochondritis dissecans to occur
medial femoral condyle near intercondylar notch
spondyloysis will have a positive ___ on oblique radiographic view of spine
scotty dog
observation of slipped capital femoral epiphysis
femoral head displaced posteriorly and interiorly
osteogenesis imperfecta is transmitted via autosomal _____ gene
autosomal dominant
chronic slipped capital femoral epiphysis can result in what gait deformity
Trendelenberg
