Muskuloskeletal Flashcards
management of pyogenic tenosynovitis
w/in 48 hrs: ATBs and splinting
later, more severe: ATBs and surgical drainage
adolescent girl w/ anterior knee pain
patellofemoral pain syndrome
sxs of patellofemoral pain syndrome
pain up and down stairs
difficulty abducting hip
pain up and down stairs
difficulty abducting hip
patellofemoral pain syndrome
1st step in evaluating stress fracture
x ray
scaphoid fone fracture types and management
middle or distal 1/3: thumb spicca cast 10-12 weeks for union
proximal 1/3: send to ortho
only meds that prevent hip fracture
alendronate
risendronate
zoledronic acid
pain in lateral hip associated w/
tronchanteric bursitis
hip pain w/ FADIR (flexion, adduction, internal rotation)
femoroacetabular impingement
hip pain w/ FABER (flexion, abduction, external rotation)
osteoarthritis
imaging for septic arthritis
ultrasound (to detect effusion)
female athlete triad
amenorrhea
osteoporosis
disordered eating
best imaging for osteomyelitis
MRI
Ottawa ankle rules (when to order x rays)
maleolar pain
bone tenderness distal 6 cm of posterior edge or tip of med or lat malleolus
can’t bear wt for 4 steps immediately after or in ED
midfoot pain
bone tender 5th metatarsal or navicular
lab to determine vit D deficiency
25-OH vit D
absence of passive plantar flexion when calf squeezes
Achilles tendon rupture
osteoporosis med that decr risk of BRCA
raloxifene (SERM)
4th finger w/ pitting of skin and nodule
Dupuytren’s contracture
burning pain in shoulder (dx and workup)
brachial neuritis –> do EMG
frozen shoulder’s MCC risk factor
DM
osteoporosis screening
females at least 65
males at least 70
50+ w/ risk factors
disease that involves the medial part of the proximal tibia
Blount’s disease
blood lvl of 25-OH vitamin D that signals deficiency
limited internal rotation of flexed hip
SCFE
most important thing to test in pt with rheumatoid arthritis pre op
cervical spine imaging (for atlantoaxial subluxation)
overuse injuries cause
stress fractures
what calcium supplement is favored if pt on PPIs
calcium citrate (better than calcium carbonate)
shoulder pain and decr ROM
- differential
- management
adhesive capsulitis or degenerative rotator cuff tendinopathy
NSAIDs, subacromial cortisone injections, physical therapy
management of lateral epicondylitis
conservative management (resolves on own in 12-18 mod)
lateral epicondylitis from what muscle
extensor carpi radialis
flexed arm, then internally rotated shoulder
- test name
- dx
Hawkins impingement test
impingement / rotator cuff disorder
extension of knee causes patella to deviate laterally
- dx
- tx
patellofemoral stress syndrome
PT
Dupuytren’s contracture associated w/
diabetes mellitus
alcohol
smoking
when to do surgery for Dupuytren’s contracture
30 degrees or more
tx of volar angulation of 5th metacarpal
ulnar gutter splint
risk factors for nonunion of mid clavicle fracture
female fracture comminution or displacement clavicle shortening advanced age greater extent of initial trauma
tarsal tunnel syndrome entraps what nerve
posterior tibial
tx of plantar fasciitis
stretching exercises for Achilles tendon
differential for locking of knee
loose body
meniscal tear
tx of acute rupture of major tendon
surgical repair within 6 weeks
groin pain, limited hip flexion and internal rotation
stress fracture of femoral neck
stinging pain of lateral femoral epicondyle
iliotibial band syndrome
pain in ant pelvic area and tender symphysis pubis
osteitis pubis
med that reduces both hip and vertebral fracture risk
zoledronic acid
old pt with back pain that doesn’t radiate
- dx
- testing
- tx
osteoporotic vertebral compression fracture
plain x ray
SQ or intranasal calcitonin for pain relief
heel pain in older person that worsens as the day progresses
fat pad atrophy
