ortho 2 Flashcards

1
Q

3 components to every PT pt

A

mechanical (eval of joint, soft tissue, muscles, visceral which limit motion or function) (tx PNF tech)

neuromuscular (eval muscular ability to efficiently initiate and demonstrate proper strength and endurance for any given contraction) (tx manual facilitation tech and directed exercise)

motor control (utilize efficient mechanical and neuromuscular components to maintain posture)

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2
Q

what test can you do to rule out ankle sprain or fracture

A

Ottawa Ankle Test

Ottawa ankle rules- to discern if need xray or not. Palpate medial and lateral maleolus to see if pain. Palpate up tibia and fibula to see if pain. Push on navicular and 5th metatarsal head. Or if can’t put weight on it. If If tender on any of these then get x ray.

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3
Q

most common job related disability claim

A

low back pain

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4
Q

distal biceps

A
usually older men who are a little obese (weekend warrior)
hook test (lateral to medial)
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5
Q

dupuytren contracture

A

get thickening of the fibrous tissue layer under the skin which causes the finger to curl
affects the ring and pinky finger
common in northern Europeans
gold standard tx is surgery

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6
Q

most common finger for mallet and jersey finger

A

ring finger

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7
Q

most common bone tumor

A

osteochondroma

usually at knee or proximal humerus

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8
Q

osteoblatoma

A

same place as osteoma… these are just larger

lytic appearance on x ray

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9
Q

heterotrophic ossification

A

bone that forms around a joint after trauma or surged

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10
Q

myositis ossificans

A

bone that forms in muscle (don’t biopsy)

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11
Q

giant cell tumor of bone

A

lytic lesion

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12
Q

aneurysmal bone cyst

A

lytic lesion

usually around knee distal femur or proximal tibia

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13
Q

deep hematoma w/ no history of trauma

A

hemorrhagic sarcoma

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14
Q

most common benign soft tissue tumor

A

lipoma

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15
Q

most common places that metastasize to spine

A
breast
lung
kidney
prostate 
thyroid
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16
Q

most common metazoic spine tumor complaint

A

pain

17
Q

musculoskeletal malignancies

A

children- osteosarcoma, ewing sarcoma

adults- chrondrosarcoma, multiple myeloma, metastasis

18
Q

sunburst pattern

A

ostosarcoma

19
Q

onion skinning

A

ewing sarcoma

20
Q

problem w/ chrondrosarcoma

A

very slow growing so doesn’t respond to chemo or radiation

21
Q

most common primary malignancy of bone

A

multiple myeloma

22
Q

multiple myeloma

A
CRAB
calcium elevated
renal failure
anemia
bone lesions
23
Q

what is more common primary or metastasis in bones

A

metastasis