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
do girls or boys have higher incidence of JRA
girls diagnosed as a toddler
26
what are the basic clinical syms for JRA
joint swelling, pain, and stiffness
27
what muscle is most often inplicated with Lateral epi
ECRB
28
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
29
wartenberg syndrome effects what nerve
superfical branch of the radial nerve is entrapped only has sensory presentations
30
does radial tunnel syndrome or PIN have pain vs muscle loss
raidal tunnel: pain PIN: muscle
31
wartenberg syndrome special test
tinel sign finklesteins test
32
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
33
Horizontal (cleavage) men tears
run parallel to the tibial plateau through the mid-substance of the meniscus
34
Longitudinal (vertical) men tears
run perpendicular to the tibial plateau and parallel to the long axis of the meniscus
35
Complex men tears involve what
some combination of horizontal, longitudinal, or vertical tears
36
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
37
Developmental disabilities occur between the what ages
birth and 22
38
how do Acquired disabilities occur
an acute event or sudden injury stroke or spinal injury.
39
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
40
MCL resists what kind of movement
valgus forces at the knee ER if the tibia
41
Clicking or catching in knee range of motion may be indicative of pathology of the:
meniscus
42
what does a springy end feel indicate
non capsular end feel loose cartilage, meniscal tissue within joints
43
Duchenne muscular dystrophy: proximal > distal or distal > proximal
muscular: proximal to distal GBS: distal to proximal (DPt)
44
Duchenne muscular dystrophy bladder function
Bladder and bowel function is typically spared.
45
what age does Duchenne muscular dystrophy show up
3-6 years of age
46
Legg-Calve-Perthes disease age ranges
as young as 2 or as old as 15
47
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.
48
Legg-Calve-Perthes disease girls are boys more prevelent
boys
49
surgical recovery. time for the medial men
4-6 months
50
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.