NMS III Flashcards
What are three muscles to focus rehab on in a AC sprain?
Serratus Anterior, Deltoid, and Trapezius
Etiology of an AC sprain
trauma to posterolateral shoulder, FOOSH, distraction loading, insidious
What is the most common form of bicipital tendonitis? Describe it
Secondary: inflammation associated with shoulder pathology such as impingement syndrome or RCT
What muscle is commonly affected by calcific tendonitis?
supraspinatus
What bony landmark do the calcific deposits accumulate next to?
Greater tubercle
2 common etiology of calcific tendonitis?
Idiopathic (most cases) or metabolic
Risk factors of RCT include
obesity, smoking, CVD,
A rotator cuff tear can lead to BLANKK leading to BLANKK leading to BLANKKK
RCT–>INstability–>Impingement/bursitis–>Adhesive Capsulitis
Which is more effective at treatement of pain and function, surgery or PT?
surgery
WHich iis more common: Bicipital tendonopathy with inflammed tendon and NO shoulder pathology or inflammed tendon with impingement/shoulder pathology?
INFLAMMED TENDON WITH IMPINGEMENT IS MORE COMMON
systemic inflammatory conditions that affect the shoulder ? 3
RA, SLE, and INFECTION
Specific Risk Factors of Bicipital Tendonopathy
previous RCT, recurrent tendonitis, contralat biceps tendon rupture, RA, age over 40, poor conditioning
which of the following PT modalities is effeective for bicipital tnedonopatlhy?
US
What is the most common cause of shoulder pain?
Impingement
Is surgery or conservative non surgery more effective for shoulder impingement syndrome?
surgery is NO more effective than non surgery.
order of diagnositic triage when assessing a sports injury?
musculotendinous, skeletal, nervous, vascualr, then pathology
8 critical factors of RTP
age/maturation, general health, severity injury, time of healing, previous responses, demand of sport, availabilty of resources, patient understanding/risks
Which row of carpal bones are the most vulnerable to injury?
proximal row
extension with radial deviation=
extension with ulnar deviation+ what injury
E and RD=fracture
E and UD=sprain, dislocation, tfc tears
what is the most common MOI of the wrist injury?
hyperextension
Which direction does the proximal row travel in a FOOSH? what causes this? wrist
the proximal row travels anterior because during a foosh injury, typically you land on the distal row, pushing the proximal row anteriorly
Ulnar deviation etiology would injure what wreist ligament?
RCL
Radial deviation wrist etiology would injure what ligament?
UCL
hyperflexion wrist injury is COMMON OR RARE?
RARE, will damage the dorsal radiocarpal ligaments and lunotriquetral igaments
signs of wrist sprain
clicking/creptius with joint plays and pain
What is the most common form of instability
dorsal intercalted segemtnal instability
What causes a DISI? MOI
hyperextension
What bones become disassociated in a DISI?
lunate and triquetrum
which direction does the lunate get driven in a DISI injury?
anteriorly
What is it called when a hyperfelxion injury occurs and there is disassociation of the lunate and triquetrum
ventral intercalated segnmental instability
what is the most commonly dislocated carpal?
lunate, anteriorly
when the wrist is hyperextended what is the relationship b/t the scaphoid and lunate?
scaphoid and lunate move apart
what is the most commonly torn ligament in the wrist
scapholunate ligament
When considering swelling, how do wrist injury compare to finger injuruies?
less swelling in wrist compared to the finger sprain
definition of dequervaines
tenosynovitis of the APL and EPB along the lateral wrist and base of thumb
what tendons involved with dequervaines
Abductor pollicis longus and extensor pollicis brevis
How would you load these tendons?
muscle test, stretch them through flexion, ulnar deviation
squeaky thumb associated w/
dequervaines: thumb tendson feel bowstringed
what ortho can be used to ddx this?
finklesteins
how does intersection syndrome differ from dequervaines?
same presentation but PT has lateral wrist pain
what tendons are involved?
ECRB and ECRL repetitievely injured
