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Clinical Pathology > NMS III > Flashcards

NMS III Flashcards

1
Q

What are three muscles to focus rehab on in a AC sprain?

A

Serratus Anterior, Deltoid, and Trapezius

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2
Q

Etiology of an AC sprain

A

trauma to posterolateral shoulder, FOOSH, distraction loading, insidious

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3
Q

What is the most common form of bicipital tendonitis? Describe it

A

Secondary: inflammation associated with shoulder pathology such as impingement syndrome or RCT

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4
Q

What muscle is commonly affected by calcific tendonitis?

A

supraspinatus

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5
Q

What bony landmark do the calcific deposits accumulate next to?

A

Greater tubercle

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6
Q

2 common etiology of calcific tendonitis?

A

Idiopathic (most cases) or metabolic

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7
Q

Risk factors of RCT include

A

obesity, smoking, CVD,

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8
Q

A rotator cuff tear can lead to BLANKK leading to BLANKK leading to BLANKKK

A

RCT–>INstability–>Impingement/bursitis–>Adhesive Capsulitis

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9
Q

Which is more effective at treatement of pain and function, surgery or PT?

A

surgery

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10
Q

WHich iis more common: Bicipital tendonopathy with inflammed tendon and NO shoulder pathology or inflammed tendon with impingement/shoulder pathology?

A

INFLAMMED TENDON WITH IMPINGEMENT IS MORE COMMON

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11
Q

systemic inflammatory conditions that affect the shoulder ? 3

A

RA, SLE, and INFECTION

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12
Q

Specific Risk Factors of Bicipital Tendonopathy

A

previous RCT, recurrent tendonitis, contralat biceps tendon rupture, RA, age over 40, poor conditioning

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13
Q

which of the following PT modalities is effeective for bicipital tnedonopatlhy?

A

US

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14
Q

What is the most common cause of shoulder pain?

A

Impingement

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15
Q

Is surgery or conservative non surgery more effective for shoulder impingement syndrome?

A

surgery is NO more effective than non surgery.

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16
Q

order of diagnositic triage when assessing a sports injury?

A

musculotendinous, skeletal, nervous, vascualr, then pathology

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17
Q

8 critical factors of RTP

A

age/maturation, general health, severity injury, time of healing, previous responses, demand of sport, availabilty of resources, patient understanding/risks

18
Q

Which row of carpal bones are the most vulnerable to injury?

A

proximal row

19
Q

extension with radial deviation=

extension with ulnar deviation+ what injury

A

E and RD=fracture

E and UD=sprain, dislocation, tfc tears

20
Q

what is the most common MOI of the wrist injury?

A

hyperextension

21
Q

Which direction does the proximal row travel in a FOOSH? what causes this? wrist

A

the proximal row travels anterior because during a foosh injury, typically you land on the distal row, pushing the proximal row anteriorly

22
Q

Ulnar deviation etiology would injure what wreist ligament?

A

RCL

23
Q

Radial deviation wrist etiology would injure what ligament?

A

UCL

24
Q

hyperflexion wrist injury is COMMON OR RARE?

A

RARE, will damage the dorsal radiocarpal ligaments and lunotriquetral igaments

25
Q

signs of wrist sprain

A

clicking/creptius with joint plays and pain

26
Q

What is the most common form of instability

A

dorsal intercalted segemtnal instability

27
Q

What causes a DISI? MOI

A

hyperextension

28
Q

What bones become disassociated in a DISI?

A

lunate and triquetrum

29
Q

which direction does the lunate get driven in a DISI injury?

A

anteriorly

30
Q

What is it called when a hyperfelxion injury occurs and there is disassociation of the lunate and triquetrum

A

ventral intercalated segnmental instability

31
Q

what is the most commonly dislocated carpal?

A

lunate, anteriorly

32
Q

when the wrist is hyperextended what is the relationship b/t the scaphoid and lunate?

A

scaphoid and lunate move apart

33
Q

what is the most commonly torn ligament in the wrist

A

scapholunate ligament

34
Q

When considering swelling, how do wrist injury compare to finger injuruies?

A

less swelling in wrist compared to the finger sprain

35
Q

definition of dequervaines

A

tenosynovitis of the APL and EPB along the lateral wrist and base of thumb

36
Q

what tendons involved with dequervaines

A

Abductor pollicis longus and extensor pollicis brevis

37
Q

How would you load these tendons?

A

muscle test, stretch them through flexion, ulnar deviation

38
Q

squeaky thumb associated w/

A

dequervaines: thumb tendson feel bowstringed

39
Q

what ortho can be used to ddx this?

A

finklesteins

40
Q

how does intersection syndrome differ from dequervaines?

A

same presentation but PT has lateral wrist pain

41
Q

what tendons are involved?

A

ECRB and ECRL repetitievely injured

Clinical Pathology (10 decks)

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