Orthopedics - Acute Musculoskeletal Complaints Flashcards
What are the three types of impingement syndrome?
- External
- Internal
- Secondary
What is the most common form of impingement syndrome?
External impingement
What are the signs and symptoms of subacromial impingement?
- Dull shoulder pain of insidious onset over weeks to months
- Pain is aggravated at night, by sleeping with the arm overhead or lying on the involved shoulder
- Pain is typically localized to the anterolateral acromion and radiates to the lateral deltoid
- Overhead activities, throwing motions, and activities in which the humerus is flexed with an inward rotation exacerbate symptoms
What muscles make up the rotator cuff complex?
- Subscapularis
- Supraspinatus
- Infraspinatus
- Teres minor
What are the signs and symptoms of biceps tendonitis?
- Pain in the bicipital groove at the anterior aspect of the shoulder
- May be an audible or palpable “snap” at the bicipital groove during the arc of motion if instability is present
What are the signs and symptoms of DeQuervain Tenosynovitis?
- Difficulty gripping items
- Often rub the area over the radial styloid
- Pain is located on the radial side of the wrist and thumb, and occasionally radiates proximally
- Tenderness to palpation just distal to the radial styloid
What is the diagnostic test to assess for DeQuervain Tenosynovitis?
- Finkelstein test
What is the most common cause of heel pain in adults?
Plantar fasciitis
What are the signs and symptoms for plantar fasciitis?
- Insidious onset of pain on the plantar surface of the heel
- Pain is the worst with the first steps in the AM or when standing after a prolonged period of rest
- Running, hill climbing, and sprinting exacerbate the pain
- Pain is bilateral in 1/3 of cases
- Tenderness along the anteromedial aspect of the calcaneus which intensifies by passive dorsiflexion of the toes
What is Legg-Calve-Perthes disease?
Idiopathic osteonecrosis and collapse of the femoral head
Who is commonly affected by Legg-Calve-Perthes disease?
Most cases occur between 4-8 y/o
- Boys more commonly affected
What is SCFE?
- Slipped capital femoral epiphysis
- A disorder of the growth and development of the proximal femur resulting from excessive stress to the proximal femoral epiphysis
Who commonly gets SCFE?
- Peak incidence at early adolescence
- Male predominence
What are the signs and symptoms of both SCFE and LCP disease?
- Aching pain in the groin, medial thigh, or knee
- Pain is often accompanied by an altered gait or limp, and is usually worsened by activity
- Pain at the extremes of motion, particularly in hip abduction and internal rotation
In addition to the signs and symptoms shared with LCP disease, what are separate manifestations of SCFE?
- May present as exclusively knee pain
- Restricted internal rotation
