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Basecamp: MSK > Pathology 8 - MSK > Flashcards

Pathology 8 - MSK Flashcards

1
Q

PCL - where does the lig run

A

runs from the posterior intercondylar area of the tibia to the medial femoral condyle

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2
Q

PCL - what movement does it prevent

A

postier tib on femur movement

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3
Q

PCL - causes of injury

A

landing on the PCL on a fixed knee

hitting a dash board in a MVA with a flexed knee

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4
Q

PCL - are isloated PCL common

A

no

often seen with ACL, MCL, LCL, and men injuries

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5
Q

PCL - signs and sym

A

audible pop

the femur sliding off the tibia

swelling and mild pain

pain and instability with walking

pt is often asymptomatic

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6
Q

PCL - special tests

A

posterior drawer

posterior sag sign

quadriceps active drawer test

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7
Q

PCL - treatment

A

rice

strengthening and functional progressing

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8
Q

PCL - normal post op procedure (hamstrings)

A

isloated hamstring exercises are often avoided for a min of 6 weeks

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9
Q

what is more injured more ACL or PCL

A

ACL

PCL - stronger of the two ligaments

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10
Q

PCL - imaging

A

MRI - used to eval the extent and local of the sprain

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11
Q

what is an arthrometer

A

medical device that measures joint motion and laxity

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12
Q

PCL - what is the treatment normall used (conservative or non-conservative)

A

-conservative

icing, resting, bracing, NSAIDs, and PT

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13
Q

why are hamstring exercises avoid with PCL injuries

A

open chain hamstring exercises

aviod 2/2 posterior shear force they place on the knee

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14
Q

PCL - functional bracing

A

may be needed if the patient want to return to sports related activities

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15
Q

PCL - men injuries with aging

A

those who have had a PCL injiry are more likely to have a men injury in the years following their injury

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16
Q

RA - what kind of disorder

A

systemic autoimmune disorder of unknown etiology

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17
Q

RA - etiology

A

presents with a chronic inflammatory reaction in the synovial tissues of a joint

results in the erosion of cart and supporting structures within the capsule

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18
Q

RA - common joints

A

small joint of the hand, foot, wrist, and ankle

19
Q

RA - on and off

A

the disease has periods of exacerbation and remission

20
Q

RA - diagnosis

A

based on clinical presentation of the involved joint

the presence of blood rheumatoid factor

radiographic changes

21
Q

RA - what is the cause

A

unknown

22
Q

RA - POP

A

women more the men (x3)

40-60

23
Q

RA - signs and symptoms

A

sym involvement - gradual or immediate

pain and tenderness of affected joint

morning stiffness

warm joints

decrease in appetite

malaise and fatigue

24
Q

RA - what deformity are often seen

A

swan neck deformity

boutonnière deformity

25
Q

what is malaise

A

A general sense of being unwell

26
Q

what is a swan neck deformity

A

DIP flexion

PIP extension

27
Q

what is boutonnière deformity

A

DIP extension

PIP flexion

28
Q

RA - what is the goal of treatment

A

reduced joint inflammation and pain

promote joint function

prevent joint destruction and deformity

29
Q

RA - pharm

A

NSAID - reduce inflammation

corticosteroid - for flare up or when NSAIDs are not working

diseae modifying antiheumatics

30
Q

what is the function of corticosteroids

A

reduce inflammation and treat a variety of conditions

31
Q

disease modifying antiheumatics - who long to they take to act

A

slow acting

can take weeks to months to become effective

32
Q

what are disease modifying antiheumatics

A

slow the progression of joint destruction and deformity

33
Q

RA - PT interventions

A

passice and active ROM

heating and cooling agents

splinting

pt edu

energy conservation

body mechanics

joint protection techniques

34
Q

is RA limited to small joints

A

no it normally starts in smaller joints but all connective tissue can be involved

35
Q

what are the extra-articular finding of RA

A

pericarditis

anemia

tearing of tendons and muscles

osteoporosis

36
Q

what is an example of disease modifying antiheumatic

A

methotrexate - decreases inflammation in the body

37
Q

treatment during acute stage or exacerbation of RA

A

resistive exercises

deep heating modalities

active stretching

these will exacerbate syms of RA

38
Q

what is an example of a deep heating modality

A

ultra sound

39
Q

RA - should aggressive stretching be performed

A

nope

can do regular stretching to maintain ROM

40
Q

RA - what level of exercise

A

low level

with adequate time for rest

41
Q

does RA have a known cure

A

nope

42
Q

OA vs RA

A

OA - unilateral, no palpable warmth, overuse of joint, progressive

RA - bilateral, warmth, immune system attacks the joint, sym flare and ease

43
Q
A

Basecamp: MSK (30 decks)

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