Pathology 14 - MSK

Question 1

Trochanteric Bursitis - acute or degenerative

Answer 1

either

acute or cumulative trauma

Question 2

Trochanteric Bursitis - does the pathology involve the hip joint

Answer 2

no - does not include the actual joint

Question 3

Trochanteric Bursitis - where is the bursa located

Answer 3

between the greater trochanter, glute med ,a dn IT band

Question 4

Trochanteric Bursitis - acute trauma

Answer 4

contusion related to direct inpact during sport and falls (things like theses)

Question 5

Trochanteric Bursitis - cumulative trauma

Answer 5

running - produce rep friction between the bursa and the IT band

Question 6

Trochanteric Bursitis - factors that contribute to onset of presentation

Answer 6

true or functional leg length discrepancy

history of lateral hip surgery

sports with running or contact

Question 7

Trochanteric Bursitis - pop

Answer 7

women > men

active pt’s

sendentary patients - not sure why

Question 8

Trochanteric Bursitis - syms

Answer 8

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

Question 9

Trochanteric Bursitis - imaging

Answer 9

MRI or US - can be used to differciate between this and gluteus med tendinitis

Question 10

Trochanteric Bursitis - similar diagnoses

Answer 10

IT band syndrome

sciatic pain

AVN

Question 11

what are anesthetic agents

Answer 11

drugs that induce hypnosis, amnesia, muscle relaxation, or regional anesthesia,

given in local injections for trochanteric bursitis

Question 12

Trochanteric Bursitis - drugs

Answer 12

NSAIDS

anesthetic agents

Question 13

Trochanteric Bursitis - injection

Answer 13

many pt require mutliple injection of anesthetic agents

Question 14

Trochanteric Bursitis - PT intervention

Answer 14

TFL stretching

ER of the hip stretch

quads stretch

hamstring streatch

STM

Question 15

what are the ER of the hip

Answer 15

Gluteus Maximus
Piriformis
Quadratus Femoris
Obturator Externus
Obturator Internus
Gemellus Superior
Gemellus Inferior

Question 16

what is anerobic system used for

Answer 16

high intensity exercises

30-40 secs

sprint

Question 17

what aerobic system what is used for

Answer 17

low insensity exercises

marathon

Question 18

golgi tendon organs

Answer 18

rate of tension in the muscle

Question 19

muscle spindles

Answer 19

the length or the rate of chnage in length

Question 20

what is most common ligament injury in the thumb

Answer 20

UCL sprain

Question 21

UCL sprain - MOI

Answer 21

secondary to a traumatic event when a excessive valgus force is applied to the MCP joint

think game keeps thumb or skiers thumb

Question 22

UCL sprain - where is the ulnar collateral ligament thumb

Answer 22

on the pinky side of the thumb at the metacarpal-phalangeal joint

Question 23

UCL sprain - signs and sym

Answer 23

tenderness

ecchymosis

swelling

• near the thumbs MCP joint

Question 24

UCL sprain - imaging

Answer 24

xray - rule out fx

US or MRI - used to determine the presence of a ligamant tear

Question 25

UCL sprain - what is a indication of tear when moving the MCP joint

Answer 25

a movement greater 30-35 degrees

Question 26

non structural vs structural scoliosis

Answer 26

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

Question 27

what is the most common cuase of transfemoral amp

Answer 27

vascular disease

Question 28

where are contracures most often seen in amp

Answer 28

distal portion of amp

Question 29

what is the 2nd leading cause of transfemoral amp

Answer 29

osteoscracoma

Question 30

what hip approach is best for non complient pt's

Answer 30

direct lateral

Question 31

what does plasty mean

Answer 31

a surgical procedure for the repair, restoration, or replacement (as by a prosthesis) of a part of the body.