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Basecamp: MSK > Pathology 10 - MSK > Flashcards

Pathology 10 - MSK Flashcards

1
Q

Rotator Cuff Tendonitis - what produces symptoms

A

rep overhead activities - impig of the supraspinatus

therefore the supra is not able to depress the humeral head

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2
Q

Rotator Cuff Tendonitis - primary impig 2/2

A

intrinsic or extrinsic factors within the subacromial space

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3
Q

Rotator Cuff Tendonitis - secondary impig 2/2

A

poor mechanics or insatbility at the GH

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4
Q

Rotator Cuff Tendonitis - what tendon is most commonly involved

A

supraspinatus tendon

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5
Q

Rotator Cuff Tendonitis - where does the supraspinatus insert

A

greater tubercle of the humerus

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6
Q

Rotator Cuff Tendonitis - pop

A

overhead activities - swimming, tennis, baseball, painting

25-40

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7
Q

Rotator Cuff Tendonitis - clinical presentation

A

difficulty with overhead activties

dull ache after period of inactivity

weak and pain with arc- 60-120-deg

pain at insertion of involved muscle

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8
Q

Rotator Cuff Tendonitis - night

A

pain is normally increased at night - decreasing sleep time

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9
Q

Rotator Cuff Tendonitis - what activties do patient have a hard time with

A

dressing

repative shoulder motions - lifting, throwing, swinging

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10
Q

Rotator Cuff Tendonitis - imaging

A

MRI - not often used 2/2 high cost

X-ray - laterally rotated shoulder can be used to ID Ca depoists

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11
Q

Rotator Cuff Tendonitis - special test

A

yergason’s

speeds

empty can (jobes)

hakins and kennedy

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12
Q

what muscle are involved with Rotator Cuff Tendonitis

A

supraspinatus

long head of the biceps

subacromial bursa

glenoid labrum

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13
Q

what are analgesics

A

medications that relieve pain by either reducing inflammation or changing the way the brain perceives pain.

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14
Q

what is the difference between Acetaminophen and Nonsteroidal anti-inflammatory drugs (NSAIDs)

A

Acetaminophen: raising your pain threshold—it will take a greater amount of pain for you to feel it.

NSAIDS: reduce inflammation. (ibuphrophen)

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15
Q

RC tear full and partial tear population

A

partial tear - younger pop

full tear - older pop

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16
Q

Scoliosis - what is the direction of the curve

A

lateral

can be associated with lordosis or kyphosis

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17
Q

Scoliosis - what zones of the back is the curve seen most often

A

thoracic or lumbar

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18
Q

Scoliosis - rot of the SP

A

rotated towards the concave side

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19
Q

Scoliosis - rid on the concave side

A

laterally and anteriorly

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20
Q

Scoliosis - rib on the vex side

A

pushed anterior and the thorcic cage narrowed

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21
Q

Scoliosis - vert body

A

towards vex side

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22
Q

Scoliosis - vert canal changes

A

narrowed on the convex side

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23
Q

Scoliosis - majority of cases present as what

A

idopathic - unknown cause

24
Q

Scoliosis - subset classificatiosn

A

0-3: infantile

4 - puberty: juvenille

12 G, 14 B: adolesent

skeletal maturation: adult

25
Q

Scoliosis - what is nonstructural scoli

A

reversible curve that can change with reposisitoning

non-progressive

26
Q

Scoliosis - what is nonstructural scoli normally caused by

A

leg length discrepancy

poor posture

27
Q

Scoliosis - what is structural scoli

A

cannot be corrected with movement and can be caused by congenital MSK and neuro reasons

28
Q

Scoliosis - contributing factors to a structural scoli

A

development of the spine in utero

associate neuro disease - cerebral palsy, muscular dystrophy, congenitial defect of the vert

inheritance of a auto dominent trait

29
Q

cerebral palsy what is it

A

a group of disorders that affect a person’s ability to move, balance, and maintain posture.

It’s caused by damage or abnormal development in the brain that occurs before, during, or after birth.

30
Q

scoliosis - asymetries in the body

A

asym: shoulders, scpaula, pelvis, and skin folds

31
Q

scoliosis - juvenile idopathic scoli presentation

A

4 - puberty

thoracic curve with vex towards the right

progression: rib hump post over the thoracic region on the vex side of the curve

no pain until curve has progressed

32
Q

scoliosis - adolescent socli of greater the 30 deg is more common in what pop

A

women

33
Q

scoliosis - do curves of <20 deg cause impairment

A

rarely

34
Q

scoliosis - imaging

A

anterior and lateral view x-rays

with patient standing and bending

mRI - can be used to rule out other conditions

35
Q

scoliosis - what method is used to determine the angle of the curvature

A

Cobb method

36
Q

what conditions do we want to rule out in the presents of scoliosis

A

spondy

infection

neoplasm

disk herniation

compression fx

37
Q

scoliosis - postural abnormality

A

increase in space between the trunk and the elbs during standing

leg length

uneven shoulders and hips

promience of one side of the pelvis

38
Q

scoliosis - what does curve >60-deg lead to if untreated

A

pulmonary insufficiecy

pain

impact lung capcity

arthy

disc patho

39
Q

scoliosis - estim used for

A

pain

biofeedback for proper posture

40
Q

scoliosis - curve less then 25 exercises and intervention

A

should be monitored every 3 months

breathing exercises and stregthening

41
Q

scoliosis - curve 25 - 40 exercises and intervention

A

spinal orthesis

PT for posture, strehtening, and breathing

42
Q

scoliosis - curve >40-deg exercises and intervention

A

surgical spinal stablization

43
Q

scoliosis - surgical methods to correct

A

posterior spinal fusion

spalization with a harrington rod

44
Q

scoliosis - what does prognosis depend on

A

age of onset

severity of the curve

45
Q

scoliosis - what results in the best outcome

A

early inntervention

46
Q

scoliosis - when does the curve stop progressing

A

skeletal maturity

47
Q

scoliosis - curve progression <40-deg at skeletal maturity

A

scoli does not progress sig

48
Q

scoliosis - curve progression >50-deg at skeletal maturity

A

ongoing progression of the curve each year of life

49
Q

scoliosis - neuromuscular scoli

A

development patho that result in alteration of the structure of the spine

EX: cerbral plasy, marfans

50
Q

scoliosis - degenerative

A

normal aging progress

51
Q

scoliosis - what type of scoli do we treat

A

structural - this does not chnage with lateral bending

52
Q

scoliosis - is most common between what ages

A

10-13

53
Q

scoliosis - more common in girls or boys

A

either - 10< curve

girls: curve >30

54
Q

scoliosis - pain

A

no normally a result of the spinal curve but the abnormal forces placed on other tissued of the body because fo the curve

55
Q

scoliosis - when is surgery indicated

A

> 40-deg curve

56
Q
A

Basecamp: MSK (30 decks)

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