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Basecamp: MSK > Pathology I - MSK > Flashcards

Pathology I - MSK Flashcards

1
Q

where does achilles tendon rupture normally occur

A

2-3 above the insertional point

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2
Q

what is the normal MOI for achilles tendon rupture

A

WB pushing off with an extended knee

sports- wift quick change for foot work

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3
Q

what age group is at risk for achilles tendon rupture

A

30 - 50 who do not have istory of calf or heel pain and participate in recreational sports

secondary to decreased blood flow to this area

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4
Q

what is the clinical presentation of someone with a achilles tendons rupture

A

swelling over the distal tendon

palpable defect - tendon above or the calcaneus

pain and weakness with PF

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5
Q

testing achilles tendon rupture -deficits

A

cannot stand on toes

negative thomphson test

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6
Q

imaging for achilles tendon rupture - xray

A

xray to rule out avulsion Fx or boney injury

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7
Q

imagaing for achilles tendon rupture - MRI

A

used to rule in the presense and severity of the tendon or rupture

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8
Q

when does PT start for achilles tendon rupture

A

once the patient is out of the cast

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9
Q

do conservative for non-conservative patient have a high occurence of re-rupture for achilles tendon rupture

A

conservative have a high occurance (40%)

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10
Q

what is achilles tendonitis 2/2

A

repetitive mircotrauma to the tendon

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11
Q

how does achilles tendonitis present

A

swelling and discomfort in the area

aching sensation followinf activity

pain with walking

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12
Q

acute stage of achilles tendonitis

A

rest 2-3 weeks

use a heel lift

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13
Q

what is the avascular zone of the achilles tendon

A

two - six cm above the insertional point

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14
Q

what foot disformity leads to an increased risk of achilles tendonitis

A

pes cavus or pronated foor

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15
Q

achilles tendo increase the risk of what injury later in life

A

achilles tendon rupture

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16
Q

if someone has achilles tedonitis should she have complete rest

A

no

use pain scale rating

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17
Q

adhesive capsulitis - physiologcally what is happening

A

thickened and inflammation of the anterior joint capsule of the shoulder

inflammed capsule become adherent to the humeral head and becomes contracured

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18
Q

what is primary vs secondary adhesive capsulitis

A

primary - occur sponsaeously

secondary - resultant of an underlying condition, trauma, immoblization, ext.

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19
Q

adhesive capsulitis population

A

middle ages

female> males

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20
Q

adhesive capsulitis - characterization

A

resctricted AROM and PROM

pains

21
Q

adhesive capsulitis - acute phase

A

pain is the main component
- radiates below the elb. and can awaken the patient at night

PROM lmiited 2/2 pain and gaurding

22
Q

adhesive capsulitis - chronic phase

A

pain in localized to the lateral brachial region - the pt is not awakened by pain

PROM is limited 2/2 capsular weakness

23
Q

adhesive capsulitis - arthogram

A

this can detect adhesive capsulitis by shwing decreased fluid volume of the joint

24
Q

what part of the capsule will we see tightness

A

anteriorinferior capsule

25
Q

adhesive capsulitis and gait

A

loss of arm swing 2/2 disuse atrophy

26
Q

how long does sponateous recovery take

A

12-25 months

27
Q

how is acute bursitis characterized

A

pain that instense and sometime throbbing over the lateral brachial area

active and passive ROM is limited in all plains

28
Q

how long does acute bursitis normally last for

A

a couple of day s

29
Q

what are the ligaments are normally affected with a lateral ankle sprain

A

anterior talofibular lig

CFL

30
Q

what is the cause of a lateral ankle sprain

A

secondary to a inversion stress of the ankle

31
Q

what is the clinical presentation of lateral ankle sprain

A

bruise

swelling

painful and limited with PF and inversion

32
Q

what is the strongest ankle ligaments

A

deltoid ligamant

33
Q

valgus and varus stress in the ankle

A

deltoid - valgus stress

lateral ankle ligamant - varus stress

34
Q

what does the ATFL resist

A

inversion

anterior talus movement on the tib

35
Q

what si the strongest of the lateral ligamant

A

PTFL

36
Q

which lateral ligament is most likely to substain tear/ sprain

A

ATFL

37
Q

do people with just an lateral ankle sprain get an MRI

A

nope

38
Q

what are the special test for lateral ankle sprain

A

anterior drawer - general instability

talar tilt

39
Q

what is proprioception

A

ense of body position and movement that allows you to know where your body is in space without looking at it

40
Q

what is a grade 1 sprains

A

A mild sprain that involves slight stretching and some damage to the ligament fibers

41
Q

what is a grade 2 sprains

A

A moderate sprain that involves partial tearing of the ligament

42
Q

what is a grade 3 sprains

A

severe sprain that involves complete tearing of the ligament

43
Q

what is the most prominent injury for ACL injury

A

planted foot and twist

twisting on a planted foot

44
Q

A child with right torticollis would most likely present with plagiocephaly in the area of?

A

left occipitoparietal bone

45
Q

The majority of congenital limb deficiencies are caused by

A

genetics

46
Q

what is another name for Congenital torticollis

A

wry neck

47
Q

other than rotation deficits what do we see with Congenital torticollis

A

facial asym

48
Q

what is Ludington’s test

A

that assesses for a biceps tendon rupture or a tendon pathology

Basecamp: MSK (23 decks)

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