Page: 3/5 (Scoliosis & Avascular Necrosis) Flashcards
What is the most common gender and age for scoliosis?
female, 13-19
-named for the side of major conVexity
The spinous processes deviate to the CONCAVITY side with this type of scoliosis?
a. ) Simple scoliosis
b. ) Rotatory scoliosis
b.) Rotatory scoliosis
The spinous processes deviate to the CONVEXITY side with this type of scoliosis?
a. ) Simple scoliosis
b. ) Rotatory scoliosis
a.) Simple scoliosis
What lines of mensuration are used to analysis scoliosis?
Cobb’s
Risser Ferguson’s
What is the management for scoliosis under 20 degrees?
a. ) send to orthopedist for bracing
b. ) adjust and monitor
c. ) surgical consultation
d. ) none of the above
b.) adjust and monitor
What is the management for scoliosis over 40 degrees?
a. ) send to orthopedist for bracing
b. ) adjust and monitor
c. ) surgical consultation
d. ) none of the above
c.) surgical consultation
What is the management for a scoliosis between 21-40 degrees?
a. ) send to orthopedist for bracing
b. ) adjust and monitor
c. ) surgical consultation
d. ) none of the above
a.) send to orthopedist for bracing
What signs/symptoms are associated with a scoliosis over 50 degrees?
Cardio-pulmonary compromise and DJD
When monitoring scoliosis what 3 things should you always check for?
Risser’s sign
Left wrist films (Best outta the 3)
Tanner’s evaluation
The major cause of AVN is _____.
trauma
What lab tests are used for AVN’s?
none, there are no labs for AVN
All AVN’s are self-limiting but it takes _____?
8 months to 2 years
- Scaphoid fractures are primarily not self-limiting and need surgery! Proximal pole of scaphoid is the MC location for necrosis!
All AVN’s can lead to _____?
DJD
What special diagnostic tests are used to analyze AVN’s?
MRI and Bone scan
AVN of the Carpal Scaphoid is refereed to as?
a. ) Freiburg’s
b. ) Keinboch’s
c. ) Preiser’s
d. ) Panner’s
c.) Preiser’s
AVN of the Capitellum is refereed to as?
a. ) Freiburg’s
b. ) Keinboch’s
c. ) Preiser’s
d. ) Panner’s
d.) Panner’s
AVN of the Lunate is refereed to as?
a. ) Freiburg’s
b. ) Keinboch’s
c. ) Preiser’s
d. ) Panner’s
b.) Keinboch’s
AVN of the 2nd or 3rd Metatarsal Head is refereed to as?
a. ) Sever’s
b. ) Kohler’s
c. ) Freiburg’s
d. ) Blount’s
c.) Freiburg’s
AVN of the Tarsal Navicular is refereed to as?
a. ) Sever’s
b. ) Kohler’s
c. ) Freiburg’s
d. ) Blount’s
b.) Kohler’s
AVN of the Calcaneus is refereed to as?
a. ) Sever’s
b. ) Kohler’s
c. ) Freiburg’s
d. ) Blount’s
a.) Sever’s
AVN of the Medial Tibial Condyle is refereed to as?
a. ) Legg Calve Perthes
b. ) Osteochondritis Dessicans
c. ) Scheurmann’s
d. ) Blount’s
d.) Blount’s
AVN of the articular surface of the Medial Femoral Condyle is refereed to as?
a. ) Legg Calve Perthes
b. ) Osteochondritis Dessicans
c. ) Scheurmann’s
d. ) Blount’s
b.) Osteochondritis Dessicans
AVN of the Femoral Epiphysis is refereed to as?
a. ) Legg Calve Perthes
b. ) Osteochondritis Dessicans
c. ) Scheurmann’s
d. ) Blount’s
a.) Legg Calve Perthes
AVN of the Vertebral End Plate Epiphysis is refereed to as?
a. ) Legg Calve Perthes
b. ) Osteochondritis Dessicans
c. ) Scheurmann’s
d. ) Blount’s
c.) Scheurmann’s
What radiographic view is Osteochondritis Dessicans best seen on?
Tunnel view
What orthopedic sign is associated with Osteochondritis Dessicans?
Wilson’s sign
What type of brace is used to treat a 21-40 degrees scoliosis?
Milwaukee brace
What is the case management for a patient with Scheuermann’s Disease?
- stop physical activity
- brace thoracolumbar spine
- swimming/strengthen erector spinae
- kinesiotape
- adjust P-A in supine position
- stretch the pecs
- self-resolving
What are the radiographic features seen on x-ray in a patient with Scheuermann’s Disease?
- endplate irregularities
- anterior body scalloping
- hyperkyphosis
What clinical findings seen in a patient with Scheuermann’s Disease?
- intermittent pain
- hyperkyphosis of lumbar spine
- muscle stiffness and fatigue
If left untreated what will happen in a patient with Scheuermann’s Disease?
- patient will obtain DJD
