Pathology I - MSK Flashcards
where does achilles tendon rupture normally occur
2-3 above the insertional point
what is the normal MOI for achilles tendon rupture
WB pushing off with an extended knee
sports- wift quick change for foot work
what age group is at risk for achilles tendon rupture
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
what is the clinical presentation of someone with a achilles tendons rupture
swelling over the distal tendon
palpable defect - tendon above or the calcaneus
pain and weakness with PF
testing achilles tendon rupture -deficits
cannot stand on toes
negative thomphson test
imaging for achilles tendon rupture - xray
xray to rule out avulsion Fx or boney injury
imagaing for achilles tendon rupture - MRI
used to rule in the presense and severity of the tendon or rupture
when does PT start for achilles tendon rupture
once the patient is out of the cast
do conservative for non-conservative patient have a high occurence of re-rupture for achilles tendon rupture
conservative have a high occurance (40%)
what is achilles tendonitis 2/2
repetitive mircotrauma to the tendon
how does achilles tendonitis present
swelling and discomfort in the area
aching sensation followinf activity
pain with walking
acute stage of achilles tendonitis
rest 2-3 weeks
use a heel lift
what is the avascular zone of the achilles tendon
two - six cm above the insertional point
what foot disformity leads to an increased risk of achilles tendonitis
pes cavus or pronated foor
achilles tendo increase the risk of what injury later in life
achilles tendon rupture
if someone has achilles tedonitis should she have complete rest
no
use pain scale rating
adhesive capsulitis - physiologcally what is happening
thickened and inflammation of the anterior joint capsule of the shoulder
inflammed capsule become adherent to the humeral head and becomes contracured
what is primary vs secondary adhesive capsulitis
primary - occur sponsaeously
secondary - resultant of an underlying condition, trauma, immoblization, ext.
adhesive capsulitis population
middle ages
female> males
adhesive capsulitis - characterization
resctricted AROM and PROM
pains
adhesive capsulitis - acute phase
pain is the main component
- radiates below the elb. and can awaken the patient at night
PROM lmiited 2/2 pain and gaurding
adhesive capsulitis - chronic phase
pain in localized to the lateral brachial region - the pt is not awakened by pain
PROM is limited 2/2 capsular weakness
adhesive capsulitis - arthogram
this can detect adhesive capsulitis by shwing decreased fluid volume of the joint
what part of the capsule will we see tightness
anteriorinferior capsule
adhesive capsulitis and gait
loss of arm swing 2/2 disuse atrophy
how long does sponateous recovery take
12-25 months
how is acute bursitis characterized
pain that instense and sometime throbbing over the lateral brachial area
active and passive ROM is limited in all plains
how long does acute bursitis normally last for
a couple of day s
what are the ligaments are normally affected with a lateral ankle sprain
anterior talofibular lig
CFL
what is the cause of a lateral ankle sprain
secondary to a inversion stress of the ankle
what is the clinical presentation of lateral ankle sprain
bruise
swelling
painful and limited with PF and inversion
what is the strongest ankle ligaments
deltoid ligamant
valgus and varus stress in the ankle
deltoid - valgus stress
lateral ankle ligamant - varus stress
what does the ATFL resist
inversion
anterior talus movement on the tib
what si the strongest of the lateral ligamant
PTFL
which lateral ligament is most likely to substain tear/ sprain
ATFL
do people with just an lateral ankle sprain get an MRI
nope
what are the special test for lateral ankle sprain
anterior drawer - general instability
talar tilt
what is proprioception
ense of body position and movement that allows you to know where your body is in space without looking at it
what is a grade 1 sprains
A mild sprain that involves slight stretching and some damage to the ligament fibers
what is a grade 2 sprains
A moderate sprain that involves partial tearing of the ligament
what is a grade 3 sprains
severe sprain that involves complete tearing of the ligament
what is the most prominent injury for ACL injury
planted foot and twist
twisting on a planted foot
A child with right torticollis would most likely present with plagiocephaly in the area of?
left occipitoparietal bone
The majority of congenital limb deficiencies are caused by
genetics
what is another name for Congenital torticollis
wry neck
other than rotation deficits what do we see with Congenital torticollis
facial asym
what is Ludington’s test
that assesses for a biceps tendon rupture or a tendon pathology
