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Basecamp: MSK > Pathology 5 - MSK > Flashcards

Pathology 5 - MSK Flashcards

1
Q

meniscal tear - gradual or traumatic

A

normally traumatic

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2
Q

meniscal tear - MOI

A

twisting of the the knee when it is a semi-flexed position with the foot planted on the ground

hyperflexion

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3
Q

meniscal tear - no traumatic tear

A

due to degeneration

pivoting or squatting movement may be enough to cuase a tear

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4
Q

meniscal tear - function of the men

A

absorb shock and distribute forces

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5
Q

meniscal tear - is the medial or the lateral normally effected more

A

medial - it is more firmly attached to the tibia

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6
Q

meniscal tear - population

A

sports - cutting and pivot

older - degnerative tears

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7
Q

meniscal tear - sym

A

pain and tenderness of joint line

swelling

loss of ROM

complaints of locking and catching

feeling of instability

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8
Q

meniscal tear - lab test

A

MRI is the test of choices

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9
Q

meniscal tear - special test

A

mcmurreys

apley - compression and distraction

thessely’s

ext and flexion overpressure

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10
Q

meniscal tear - conservative treatment or surgery

A

age

previous activity level

location and extent of tear

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11
Q

meniscal tear - tear of the out 1/3

A

more likely to heal compared in inner tear becasue of blood supply

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12
Q

myositis ossificans - what is it

A

characterized by calcification of the muscle

bone growth in the mucles

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13
Q

myositis ossificans - cause

A

improper treatment of of a muscle strain of contusion

fail to apply cold or heat after injury

intense massage too soon after injury

  • factors that distrub normal healing
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14
Q

myositis ossificans - often occur in what muscles

A

muscle prone to traumtic injury

  • leg and arm muscles
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15
Q

myositis ossificans - primary imaging

A

xray

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16
Q

Spondylolisthesis - what it is

A

anterior slip of a superior vert on the inferior vert

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17
Q

Spondylolisthesis - is common what what spinal level

A

L4-L5

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18
Q

Spondylolisthesis - sym

A

Back pain - spinal stenosis, cauda equina syms

back pain increases - over head lifting , prolonged standing, getting in or out of the car, walking on stairs or incline

radiating pain

motor or sensory loss

no sig neuro deficits

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19
Q

Spondylolisthesis - population

A

> 50 year of age

black women

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20
Q

Spondylolisthesis - imaging

A

plain radiograph

MRI might be used to rule out other pathos

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21
Q

what directional preference for disk herniation

A

extension extercises

22
Q

what directional preference for spondy

A

flexion excercises

23
Q

what is the difference between de quiverians and dupuytren’s

A

dup: finger, nana

de: inflammation of the FPL and EPB

24
Q

what age do we normally see death with duchenes muscular dystrophy

A

30s recent

25
Q

do girls or boys have higher incidence of JRA

A

girls

diagnosed as a toddler

26
Q

what are the basic clinical syms for JRA

A

joint swelling, pain, and stiffness

27
Q

what muscle is most often inplicated with Lateral epi

A

ECRB

28
Q

what is gerby’s tubercle

A

facet on the lateral aspect of the upper part of the tibia, just below the knee joint and adjacent to the proximal tibio-fibular joint,

where the iliotibial tract interts

29
Q

wartenberg syndrome effects what nerve

A

superfical branch of the radial nerve is entrapped

only has sensory presentations

30
Q

does radial tunnel syndrome or PIN have pain vs muscle loss

A

raidal tunnel: pain

PIN: muscle

31
Q

wartenberg syndrome special test

A

tinel sign

finklesteins test

32
Q

What type of meniscal tear is described as a vertical longitudinal tear displaced into the intercondylar notch?

A

bucket handle men tear

often occur in an area of good blood supply

33
Q

Horizontal (cleavage) men tears

A

run parallel to the tibial plateau through the mid-substance of the meniscus

34
Q

Longitudinal (vertical) men tears

A

run perpendicular to the tibial plateau and parallel to the long axis of the meniscus

35
Q

Complex men tears involve what

A

some combination of horizontal, longitudinal, or vertical tears

36
Q

displaced men tears involve what

A

either complete detachment of a piece of meniscus or flipping of a piece of the meniscus that is still attached to the rest of the meniscal body

37
Q

Developmental disabilities occur between the what ages

A

birth and 22

38
Q

how do Acquired disabilities occur

A

an acute event or sudden injury

stroke or spinal injury.

39
Q

what is a Hill-Sachs lesion

A

characterized as an impaction fracture of the posterior superior humeral head

frequently diagnosed in patients who have repeatedly sustained anterior glenohumeral dislocations

40
Q

MCL resists what kind of movement

A

valgus forces at the knee

ER if the tibia

41
Q

Clicking or catching in knee range of motion may be indicative of pathology of the:

A

meniscus

42
Q

what does a springy end feel indicate

A

non capsular end feel

loose cartilage, meniscal tissue within joints

43
Q

Duchenne muscular dystrophy:
proximal > distal
or
distal > proximal

A

muscular: proximal to distal

GBS: distal to proximal (DPt)

44
Q

Duchenne muscular dystrophy bladder function

A

Bladder and bowel function is typically spared.

45
Q

what age does Duchenne muscular dystrophy show up

A

3-6 years of age

46
Q

Legg-Calve-Perthes disease age ranges

A

as young as 2 or as old as 15

47
Q

Which tendon of the shoulder is most commonly associated with impingement?

A

supraspinatus tendon

attaches on the superior facet of the greater tubercle placing it in close proximity to the acromion process.

48
Q

Legg-Calve-Perthes disease is seen between what ages

A

five and seven years of age

49
Q

Legg-Calve-Perthes disease girls are boys more prevelent

A

boys

50
Q

surgical recovery. time for the medial men

A

4-6 months

51
Q

what is the gait abnormality normally associated with muscular dystrophy

A

waddling gait

lumbar lordosis and proturuding abd

The muscles of the pelvic girdle deteriorate, which causes the patient to use circumduction to compensate for gluteal weakness.

Basecamp: MSK (23 decks)

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