Musculoskeletal Part Sixteen

Question 1

for rotator cuff tears, is PROM affected

Answer 1

no

Question 2

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

Answer 2

psoas major weakness

causes psoatic limp

Question 3

what does osteogenesis imperfecta lead to

Answer 3

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

Question 4

when is conservative treatment of scoliosis of the spine warranted

Answer 4

degree of curvature less than 25

Question 5

what is spondylolysis

Answer 5

fracture of pars interarticularis

Question 6

who would be appropriate for noncemented THR

Answer 6

younger/more active indiciduals

Question 7

what is Legg-Calve Perthes disease

Answer 7

blood supply interrupted to the femoral head

Question 8

Sever’s Disease AKA

Answer 8

calcaneal apophysitis

Question 9

when does sever’s disease occur

Answer 9

before or during peak growth spurt

Question 10

who is affected by Panner’s Disease

Answer 10

kids 10 years and younger

Question 11

what type of instrument is used in scoliosis surgery

Answer 11

Harrington rod

Question 12

when is surgical intervention warranted for scioliosis

Answer 12

45 degrees

Question 13

what motions are common with movement for legg calve perthes

Answer 13

ER

flexion

ADD

Question 14

age on onset Legg-Calve Perthes

Answer 14

2-13 years

Question 15

following extensor tendon repairs, what happens to the DIP

Answer 15

DIP in neutral for 6-8 weeks

Question 16

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

Answer 16

6 weeks

PIP in neutral

Question 17

what shoe modification can be made for severs disease

Answer 17

heel lifts/heel cups

Question 18

when is bracing for scoliosis warranted

Answer 18

25-45 degrees

Question 19

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

Answer 19

hip

thigh

knee

Question 20

how to perform leg length test

Answer 20

patient supine

measure distance from ASIS to lateral mally/medial mally

Question 21

what is plagiocephaly

Answer 21

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

Question 22

best intervention strategy for Osgood-Schlatter disease

Answer 22

modify activities to prevent excessive stress

Question 23

what motions are limited for legg calve perthes

Answer 23

ABD

ext

Question 24

what is the most common hip disorder observed in adolescents

Answer 24

slipped capital femoral epiphysis

Question 25

cause of sever's disease

Answer 25

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

Question 26

what is osteochondritis dissecans

Answer 26

separation of articular cartilage from underlying bone

Question 27

following flexor tendon repairs, what happens in the first 3-4 weeks and what position of hand

Answer 27

distal extremity immobilized with protective splint wrist and digits flexed

Question 28

what does the leg length test determine

Answer 28

true or functional limb discrepancy

Question 29

what should someone with plagiocephaly use

Answer 29

a helmet

Question 30

what type of THR can bear weight IMMEDIATELY after surgery

Answer 30

cemented

Question 31

average onset years for slipped capital femoral epiphysis

Answer 31

11-13 years (males older)

Question 32

when is AROM tolerated following flexor tendon repairs

Answer 32

4 weeks

Question 33

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

Answer 33

wedge to prevent adduction

Question 34

what is osteogenesis imperfecta

Answer 34

abnormal collagen synthesis

Question 35

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

Answer 35

bone cancer

Question 36

what arch is lowered with pes planus

Answer 36

medial longitudinal arch

Question 37

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

Answer 37

resisted extension passive flexion

Question 38

diagnostic test for legg calve perthes

Answer 38

MRI (shows positive bony crescent sign)

Question 39

difference between structural and nonstructural scoliosis

Answer 39

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

Question 40

who would benefit from cemented THR

Answer 40

fragile bones those who will benefit immediately from weight bearing (dementia)

Question 41

gold standard for rotator cuff tears

Answer 41

arthrogram

Question 42

what is Panner's Disease

Answer 42

localized avascular necrosis of capitellum leading to loss of subchondral bone

Question 43

plagiocephaly AKA

Answer 43

flat head syndrome

Question 44

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

Answer 44

rubber band traction maintains IP joints in 30-50 passive flexion

Question 45

most common place for osteochondritis dissecans to occur

Answer 45

medial femoral condyle near intercondylar notch

Question 46

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

Answer 46

scotty dog

Question 47

observation of slipped capital femoral epiphysis

Answer 47

femoral head displaced posteriorly and interiorly

Question 48

osteogenesis imperfecta is transmitted via autosomal _____ gene

Answer 48

autosomal dominant

Question 49

chronic slipped capital femoral epiphysis can result in what gait deformity

Answer 49

Trendelenberg