Pathology 14 - MSK Flashcards
Trochanteric Bursitis - acute or degenerative
either
acute or cumulative trauma
Trochanteric Bursitis - does the pathology involve the hip joint
no - does not include the actual joint
Trochanteric Bursitis - where is the bursa located
between the greater trochanter, glute med ,a dn IT band
Trochanteric Bursitis - acute trauma
contusion related to direct inpact during sport and falls (things like theses)
Trochanteric Bursitis - cumulative trauma
running - produce rep friction between the bursa and the IT band
Trochanteric Bursitis - factors that contribute to onset of presentation
true or functional leg length discrepancy
history of lateral hip surgery
sports with running or contact
Trochanteric Bursitis - pop
women > men
active pt’s
sendentary patients - not sure why
Trochanteric Bursitis - syms
pain in the lateral hip that radiates to the lateral aspect of the thigh
point tenderness and replation of pain with palpation
passive : ER, abd
resisted: flex, abd
pain related weakness
Trochanteric Bursitis - imaging
MRI or US - can be used to differciate between this and gluteus med tendinitis
Trochanteric Bursitis - similar diagnoses
IT band syndrome
sciatic pain
AVN
what are anesthetic agents
drugs that induce hypnosis, amnesia, muscle relaxation, or regional anesthesia,
given in local injections for trochanteric bursitis
Trochanteric Bursitis - drugs
NSAIDS
anesthetic agents
Trochanteric Bursitis - injection
many pt require mutliple injection of anesthetic agents
Trochanteric Bursitis - PT intervention
TFL stretching
ER of the hip stretch
quads stretch
hamstring streatch
STM
what are the ER of the hip
Gluteus Maximus
Piriformis
Quadratus Femoris
Obturator Externus
Obturator Internus
Gemellus Superior
Gemellus Inferior
what is anerobic system used for
high intensity exercises
30-40 secs
sprint
what aerobic system what is used for
low insensity exercises
marathon
golgi tendon organs
rate of tension in the muscle
muscle spindles
the length or the rate of chnage in length
what is most common ligament injury in the thumb
UCL sprain
UCL sprain - MOI
secondary to a traumatic event when a excessive valgus force is applied to the MCP joint
think game keeps thumb or skiers thumb
UCL sprain - where is the ulnar collateral ligament thumb
on the pinky side of the thumb at the metacarpal-phalangeal joint
UCL sprain - signs and sym
tenderness
ecchymosis
swelling
- near the thumbs MCP joint
UCL sprain - imaging
xray - rule out fx
US or MRI - used to determine the presence of a ligamant tear
UCL sprain - what is a indication of tear when moving the MCP joint
a movement greater 30-35 degrees
non structural vs structural scoliosis
nonstructural scoliosis is when the spine appears to be curved, but this curve is most often due to postural problem - bend and curve goes away
structural: bend and curve is still there
what is the most common cuase of transfemoral amp
vascular disease
where are contracures most often seen in amp
distal portion of amp
what is the 2nd leading cause of transfemoral amp
osteoscracoma
what hip approach is best for non complient pt’s
direct lateral
what does plasty mean
a surgical procedure for the repair, restoration, or replacement (as by a prosthesis) of a part of the body.
