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Physiotherapy > Patho 2: Common Paths UL 1 > Flashcards

Patho 2: Common Paths UL 1 Flashcards

1
Q

Muscles of rotator cuff

A

Subscapularis
Supraspinatus
Infraspinatus
Teres minor

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2
Q

Rotator cuff related shoulder pain types

A

Sub acromial pain syndrome
RC tendinopathy
RC tear

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3
Q

Explanations for RCRSP

A

Tendon compression
Tendon over or under use
Genetics
Nutrition

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4
Q

Clinical presentation of RCRSP

A

Pain
Impairment
Influence of excessive or maladaptive load

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5
Q

Management of RCRSP

A

Surgery or physio
Exercise
Education
Load modification

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6
Q

Lateral epicondylitis (tennis elbow)

A

Forearm extensor muscles
Risk factors: smoking, obesity
Excessive and repetitive use

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7
Q

Clinical presentation of lateral epicondylitis

A

Intermittent/continuous pain around lateral epicondyle of elbow
Aggravated by resisted ext/sup/stretching

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8
Q

Medial epicondylitis (golfers elbow)

A

Affects common origin of flexors and pronators of forearm

Pronator teres and FCR

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9
Q

Clinical presentation of medial epicondylitis

A

Tender and pain
Aggravated by resisted flexion, pronation, valgus stress, stretching
Can involved ulnar nerve

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10
Q

De quervains tenosynovitis

A

Reactive thickening of tendon sheath around EPB and APL

Idiopathic or overuse of thumb

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11
Q

Pathophysiology of De quervains tenosynovitis

A

Inflammation of synovial sheaths of EPB and APL
Swelling——>thickening
Adhesions restrict normal tendon movement
Enclosed tendons restricted

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12
Q

Clinical presentation of De quervains tenosynovitis

A

Pain on radial side
Aggravated by resisted thumb ext/abd on stretching tendons
Pain on palpitations

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13
Q

Physiotherapy Management

A 
Splinting 
Load management 
Education 
Exercise
Taping/Bracing
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14
Q

Other/medical managements

A

NSAIDS
Shockwave therapy
Corticosteroid injections
Surgery

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15
Q

Strains

A

Muscle/tendon injury- over contracting/lengthening tears collagen
Grade 1,2,3
Common over two joint muscles
Common in eccentric phase
Common in muscles with more type 2 fibres

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16
Q

Strain management

A 
Police
Mobilisation
Strength/Loading
Proprioception 
Endurance training
Surgery
17
Q

Sprains

A

Stretch/tear of ligament
Joint forced outside normal ROM and inelastic fibres stretched too far
Grade 1,2,3

18
Q

Management of sprains

A 
Police
Early mobilisation
Weight bearing
Exercise
Education
Return to sport
Surgery
19
Q

Carpal tunnel (Peripheral nerve entrapment syndrome)

A

median nerve compressed

Contributions: oedema, tendon inflammation, hormonal changes, manual activity

20
Q

Carpal tunnel risk factors

A 
Diabetes 1,2
Menopause
Hypothyroidism 
Obesity
Arthritis
Pregnancy
21
Q

Carpal tunnel prognosis

A

Mild-moderate respond well to conservative treatment

Severe- require surgery

22
Q

Carpal tunnel syndrome

A 
Intermittent nocturnal parastheisa 
Loss of sensation
Weakness of muscles innervated by median nerve
Pain
Difficulty with fine motor tasks
23
Q

Carpal tunnel management

A 
Education
Load management
Splinting 
Exercise
Corticosteroid injections
Surgery

Physiotherapy (18 decks)

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