Musculoskeletal PowerPoint Flashcards

1
Q

function of musciloskeletal

A

protecting vital organs, provie support, motion control, stores minerals and ca, source for red blood cell production

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2
Q

why do childrens bones break easier than adults

A

more porous and pliable
less dense

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3
Q

rapid bone growth facilitates

A

healing of fractures
growing pains (muscles are pulled)

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4
Q

ossifacation is nearly complete when born but end of long bones continue continues until

A

20

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5
Q

fractures are caused by

A

increase stress on the bone

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6
Q

fractures are more common in

A

children

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7
Q

treatment for closed fracture

A

castging

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8
Q

treatment for open fractures

A

surgery and casting

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9
Q

epiphysis

A

rounded end of a long bone at iste joint with adjacent bones

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10
Q

injuries to the epiphysis is classifed as

A

salter harris classification

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11
Q

SH fracture type 1

A

throgh the growth plate
- plate is undisturbed and heals with out disruption in growth
- straight across above growth plate

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12
Q

SH type 2

A

through the growth plate and metaphysis
- most common
- doseant affect growth plate
- no problem with growth
- stright across above growth plate until half way through then shoots up towards the shaft of the bone

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13
Q

what is mst common SH fracure

A

type 2

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14
Q

SH type 3

A

through the growth plate and epipysis
- less common
- serious threat to growth
- straight across the growth plate untl half way through then shoots down towards the end of the bone

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15
Q

SH type 4

A

crush injury of growth plate
- crush growth plate
- has cell death and growth can be arrested

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16
Q

what types of fractures are associated with abuse

A

spiral
- twisting
avulsion
- hit
impacted
- thrown

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17
Q

fractures associated wth abuse

A

postietiot rib fracture
skull fracture
any type of fracture in non ambulant child or a fracture that does not fit the story

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18
Q

5 P’s

A

pain and point of tenderness
pulse - distal to fracture site
pallor
parashesia - sesaion distal to the racture site
paralysis - movement distal to the fracture site

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19
Q

neurovasular assessment

A

cap refill
color
warmth
movement
sensation

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20
Q

reduction

A

realign misplaced bone

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21
Q

immobilization

A

allowing healing to occur

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22
Q

break the fall break

A

1 inch above wrist
ulna and radius

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23
Q

neonatla healing peroid

A

2-3 weeks

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24
Q

ealry childhood healing period

A

4 weeks

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25
Q

later childhood healing peroid

A

6-8 weeks

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26
Q

adolescence healing peroid

A

8-12 weeks

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27
Q

when is a plasd cast done

A

in ER

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28
Q

why is a plaster cast done in er

A

because its swollen leave on for 7-14 days to allow for swelling to go down

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29
Q

how long does a plaster cast take to dry and what do we educate about this

A

2 days
handle with palm of hand

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30
Q

should we have the extremity elevated or dependent

A

elevated

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31
Q

should you put anything in the cast

A

no

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32
Q

what to do if cast gets wet

A

use blow dryer on cool and low to dry ends
dont use heat
try to dry with towel first

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33
Q

complcaiton of casts

A

compartment syndroe

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34
Q

we shoud compare the injured area with

A

uninjured area

35
Q

what is developmental dysplasia of the hip

A

hip instability after birth

36
Q

who might have hip dysplasia

A

breach birth

37
Q

what dose a hip click mean

A

hip is weak, bone is present, but not developed

38
Q

what does a hip clunk mean

A

displacement

39
Q

what is the universal screening until wlaking

A

ortolani and barlow tests
- most common

40
Q

other s/s of hip dysplasia

A

limited hip abdution
shorteing of femur
ortolani click less than 4 weeks
gluteal folds
knee height

41
Q

what determines Pavlik harness or casting

A

ortho
click or clunk

42
Q

why must we have careful assessment of babies with hip dysplasia

A

they grow very quickly

43
Q

what position does the pavlik harness place them in

A

abducted

44
Q

what is metatarsus adductus (intoeing)

A

convexitey (curvature) of the lateral border of the foot

45
Q

metatarsus adductus (intoeing) is what type of defect

A

positional

46
Q

metatarsus adductus (intoeing) tx

A

stretching
shoes
cast

47
Q

metatarsus adductus (intoeing) cause

A

intrauterine positooning and genetic factors

48
Q

metatarsus adductus (intoeing) vs clubfoot

A

club foot cannot return to normal position

49
Q

clubfoot tx

A

surgery
serial casting
- start with little bit of stretch and keep going

50
Q

club foot involves

A

bone
muscle
ligmanet
tendon
nerve

51
Q

club foot may be delayed in

A

walking

52
Q

in club foot if the tendon is involved may need to stretch

A

entire leg

53
Q

scoliosis what is it

A

lateral S or C shapted

54
Q

scolisois degree

A

> 10

55
Q

what is the msot common spinal deformity

A

scoliosis

56
Q

s/s of scolosis

A

trunk asym
uneven shoulder and hip height
one sided rib hump
promient scapula’
Tshirt may sit on agnle

57
Q

when does scolosis becomes noticable

A

preadolsecent growth spurt

58
Q

3 composents when diagnosing scolosis

A

lateral curvature
axial rotation
skeletal maturity

59
Q

lateral curvature

A

sideways curve
Cobb angle

60
Q

Cobb angle

A

hip to spine angle

61
Q

Axial rotation

A

spine can rotate

62
Q

skeletal maturatiy

A

amount of calcification

63
Q

what are used to determine degree of curvature

A

standing radiographs

64
Q

more calcification =

A

more surival intervention rather than brace

65
Q

clues for early detection of scolosis

A

clothes that fit on angle

66
Q

mild scolosis (10-20%) treatment

A

strength
stretch
brace (maybe)

67
Q

moderate scolosis (20-40) treatment

A

require bracing

68
Q

severe scolosis (40-50) treament

A

necessitate surgery
spinal fusing
bracing

69
Q

post op scolosis fuse

A

pain control
prevent complications of immobiltyb

70
Q

osteomyletis

A

infection of the bone

71
Q

most common cause of osteomyletis

A

staph aureus

72
Q

s/s of osteomyletis

A

tenderness at site of infection
erythema
war,
edema
limp/refusal to bear weight
refusal to use extremity
fever
chills
vomiting

73
Q

osteomyletis tx

A

IV antibiotics

74
Q

what is slipped capital femoral epiphysis (SCFE)

A

head of the femur seperates from the epipysis and slips backwards with potential or complete dislocation

75
Q

SCFE msot common in

A

prepuberty boy
overweight or obese

76
Q

if SCFE is not treated this leads to

A

calfication

77
Q

SCFE S/S

A

acute or chronic hip, thigh, or knee pain, limited internal rotation and obligated external rotation of the hip, out-toe-ing (walking with the toes our)

78
Q

how will SCFE look like on x ray

A

ice cream slipping off a cone

79
Q

SCFE tx

A

potential traction, brace, surgical, screws or pins

80
Q

legg-calve-perthes what is it

A

childhood condition in which the proximal femoral epiphysis has a temporary interruption in blood supply leading to bone necrosis and subsequent repair

81
Q

legg-calve-perthes is it a self limiting issue

A

yes

82
Q

when does legg-calve-perthes get revascularized by

A

4 years

83
Q

legg-calve-perthes s/s

A

pain in hip and on affected side (may radiate to the knee) leg length discrepancy or limp, internal rotation and abduction of the affected limb are limited

84
Q

legg-calve-perthes tx

A

maintaining the femoral head and restoring ROM
- may need surgery to clean it out if caught late
- bracing to allow healing