Pathology 5 - MSK Flashcards by VB VB

meniscal tear - gradual or traumatic

normally traumatic

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meniscal tear - MOI

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

hyperflexion

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meniscal tear - no traumatic tear

due to degeneration

pivoting or squatting movement may be enough to cuase a tear

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meniscal tear - function of the men

absorb shock and distribute forces

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

medial - it is more firmly attached to the tibia

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meniscal tear - population

sports - cutting and pivot

older - degnerative tears

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meniscal tear - sym

pain and tenderness of joint line

swelling

loss of ROM

complaints of locking and catching

feeling of instability

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meniscal tear - lab test

MRI is the test of choices

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meniscal tear - special test

mcmurreys

apley - compression and distraction

thessely’s

ext and flexion overpressure

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meniscal tear - conservative treatment or surgery

age

previous activity level

location and extent of tear

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meniscal tear - tear of the out 1/3

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

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myositis ossificans - what is it

characterized by calcification of the muscle

bone growth in the mucles

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myositis ossificans - cause

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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myositis ossificans - often occur in what muscles

muscle prone to traumtic injury

leg and arm muscles

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myositis ossificans - primary imaging

xray

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Spondylolisthesis - what it is

anterior slip of a superior vert on the inferior vert

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Spondylolisthesis - is common what what spinal level

L4-L5

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Spondylolisthesis - sym

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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Spondylolisthesis - population

> 50 year of age

black women

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Spondylolisthesis - imaging

plain radiograph

MRI might be used to rule out other pathos

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what directional preference for disk herniation

extension extercises

what directional preference for spondy

flexion excercises

what is the difference between de quiverians and dupuytren’s

dup: finger, nana

de: inflammation of the FPL and EPB

what age do we normally see death with duchenes muscular dystrophy

30s recent

do girls or boys have higher incidence of JRA

girls diagnosed as a toddler

what are the basic clinical syms for JRA

joint swelling, pain, and stiffness

what muscle is most often inplicated with Lateral epi

ECRB

what is gerby's tubercle

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

wartenberg syndrome effects what nerve

superfical branch of the radial nerve is entrapped only has sensory presentations

does radial tunnel syndrome or PIN have pain vs muscle loss

raidal tunnel: pain PIN: muscle

wartenberg syndrome special test

tinel sign finklesteins test

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

bucket handle men tear often occur in an area of good blood supply

Horizontal (cleavage) men tears

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

Longitudinal (vertical) men tears

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

Complex men tears involve what

some combination of horizontal, longitudinal, or vertical tears

displaced men tears involve what

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

Developmental disabilities occur between the what ages

birth and 22

how do Acquired disabilities occur

an acute event or sudden injury stroke or spinal injury.

what is a Hill-Sachs lesion

characterized as an impaction fracture of the posterior superior humeral head frequently diagnosed in patients who have repeatedly sustained anterior glenohumeral dislocations

MCL resists what kind of movement

valgus forces at the knee ER if the tibia

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

meniscus

what does a springy end feel indicate

non capsular end feel loose cartilage, meniscal tissue within joints

Duchenne muscular dystrophy: proximal > distal or distal > proximal

muscular: proximal to distal GBS: distal to proximal (DPt)

Duchenne muscular dystrophy bladder function

Bladder and bowel function is typically spared.

what age does Duchenne muscular dystrophy show up

3-6 years of age

Legg-Calve-Perthes disease age ranges

as young as 2 or as old as 15

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

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

Legg-Calve-Perthes disease girls are boys more prevelent

boys

surgical recovery. time for the medial men

4-6 months

what is the gait abnormality normally associated with muscular dystrophy

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.