Pathology 4 - MSK Flashcards
SAPS - cause
microtrauma from the UE performance above the horizontal plane
humeral head and the associated RC attachments mirgration proximally and becoming impinged on the under surface of the acromion and the corcacohumeral ligamant
SAPS - pop
throwing athletes
SAPS - signs and sym
pain with over head activites
pain in ant lateral shoulder
painful arc motion
pain over the greater tub and biccipetal groove
what are the tests for SAPS
hawkins kennedy
neers
apprehension test
painful arc
Juvenile RA - causes
unknown
thought that an infetion, virus, or trauma introduces autoimmune repsonse triggering JRA
Juvenile RA - signs and sym systemic RA
least common
acute onset
highfever
rash
enlargement of the spleen and the liver
inflammation of the lungs and heart
Juvenile RA - signs and sym of polyarticular JRA
more commmon
female
> 4 joints
sym joint involved
Juvenile RA - what is the most common
oligoarticular (pacuarticular)
what is RA
chronic autoimmune disease that causes inflammation in the joints and surrounding tissues
stiffness
period greater the six weeks
Juvenile RA - meds
immunosuppresents
NSAIDS
corticosteriods
antiheumatics
Juvenile RA - what age group
16 and younger
Juvenile RA - cause
when the immune system being to attack the joint and organs causing local and systemic effects throughout the body
Juvenile RA - oligoarticular (pacuarticular)
asymmetrical
<4 joints
Juvenile RA - lab tests
no single test
blood test
lateral epi - what is it
irration or inflammation of the common extensor tendon at there common orgin of the lateral epicondyle
lateral epi - pop
racquet sport individuals
throwing
lateral epi - cause
eccentrics loading of the wrist ext muscles - ECRB, resulting in mirco trauma
lateral epi - signs and sym
pain of the lateral epicondlye - with activtiy and at night
worsen with wrist flex and elb ext
worsen with resisted wrist ext
hard time holding and grasping objects
ROM remains normal
may have localized swelling
lateral epi - is also known as
tennis elbow
lateral epi - population
men
30-40
what is the test for lateral epi
cozens
mill’s test
lateral epi test
what is another name for medial epicondylatis
golfer’s elb
medial epi - cause
micro trauma of the ECR or the humeral head of the pronator teres
what is legge-calve-perthes disease
degeneration of the femoral head 2/2 a distrubance of the blood supply (AVN)
legge-calve-perthes disease - four stages
condensation
fragmnetation
re-ossification
remodeling
legge-calve-perthes disease - cause
trauma
genetics
synovitis
vascular abnormalities
postive trandelenburg sign
legge-calve-perthes disease - sign and sym
pain
decreased ROM
antalgic gait
positive trandelenburg gait
legge-calve-perthes disease - treatment
primary focus relieve pain
maintain femoral head in place
improve ROM
MCL sprain knee - lig run from where to where
medial epicondyle
to
medial aspect of the tibia
MCL sprain knee - cause
NC or C
valgus force to the knee
ER of the tibia
MCL sprain knee - signs and sym
knee pain and swelling - tender to palpation
antaglic gait
decreased ROM - unable to fully extend and flex knee
instability
MCL sprain knee - treatment
RICE
strengthening exercises
function of the MCL knee
resists
ER of the tibia
Valgus forces on the knee
what is the test for MCL sprain II
valgus stress test
tested at 0 and 30-deg of flexion
MCL sprain knee - imaging
MRI - used fro soft tissues structures
- expensive not used without other extenuating circumstances
what is the healing time for MCL injuries
4-8 weeks
what is more common MCL or lCL knee injuries
MCL
medial epi - causes
ligament s are fatigued and overwork - they become inflammed
can also be traumatic
medial epi - movement cuase
rep wrist or elb motions
gripping
medial epi - what tendon are most often affected
FCR
pronator teres
medial epi - patient has pain with what movements
resisted pronation and wrist flexion and gripping
there may also be weakness with these movements
medial epi - lab tests
imaging is not often used
what is cock up splint wrist
a splint designed to immobilize the hand in the position of function (dorsal extension) during healing (as of a fracture)
