Pathology I - MSK

Question 1

where does achilles tendon rupture normally occur

Answer 1

2-3 above the insertional point

Question 2

what is the normal MOI for achilles tendon rupture

Answer 2

WB pushing off with an extended knee

sports- wift quick change for foot work

Question 3

what age group is at risk for achilles tendon rupture

Answer 3

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

Question 4

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

Answer 4

swelling over the distal tendon

palpable defect - tendon above or the calcaneus

pain and weakness with PF

Question 5

testing achilles tendon rupture -deficits

Answer 5

cannot stand on toes

negative thomphson test

Question 6

imaging for achilles tendon rupture - xray

Answer 6

xray to rule out avulsion Fx or boney injury

Question 7

imagaing for achilles tendon rupture - MRI

Answer 7

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

Question 8

when does PT start for achilles tendon rupture

Answer 8

once the patient is out of the cast

Question 9

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

Answer 9

conservative have a high occurance (40%)

Question 10

what is achilles tendonitis 2/2

Answer 10

repetitive mircotrauma to the tendon

Question 11

how does achilles tendonitis present

Answer 11

swelling and discomfort in the area

aching sensation followinf activity

pain with walking

Question 12

acute stage of achilles tendonitis

Answer 12

rest 2-3 weeks

use a heel lift

Question 13

what is the avascular zone of the achilles tendon

Answer 13

two - six cm above the insertional point

Question 14

what foot disformity leads to an increased risk of achilles tendonitis

Answer 14

pes cavus or pronated foor

Question 15

achilles tendo increase the risk of what injury later in life

Answer 15

achilles tendon rupture

Question 16

if someone has achilles tedonitis should she have complete rest

Answer 16

no

use pain scale rating

Question 17

adhesive capsulitis - physiologcally what is happening

Answer 17

thickened and inflammation of the anterior joint capsule of the shoulder

inflammed capsule become adherent to the humeral head and becomes contracured

Question 18

what is primary vs secondary adhesive capsulitis

Answer 18

primary - occur sponsaeously

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

Question 19

adhesive capsulitis population

Answer 19

middle ages

female> males

Question 20

adhesive capsulitis - characterization

Answer 20

resctricted AROM and PROM

pains

Question 21

adhesive capsulitis - acute phase

Answer 21

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

PROM lmiited 2/2 pain and gaurding

Question 22

adhesive capsulitis - chronic phase

Answer 22

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

PROM is limited 2/2 capsular weakness

Question 23

adhesive capsulitis - arthogram

Answer 23

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

Question 24

what part of the capsule will we see tightness

Answer 24

anteriorinferior capsule

Question 25

adhesive capsulitis and gait

Answer 25

loss of arm swing 2/2 disuse atrophy

Question 26

how long does sponateous recovery take

Answer 26

12-25 months

Question 27

how is acute bursitis characterized

Answer 27

pain that instense and sometime throbbing over the lateral brachial area active and passive ROM is limited in all plains

Question 28

how long does acute bursitis normally last for

Answer 28

a couple of day s

Question 29

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

Answer 29

anterior talofibular lig CFL

Question 30

what is the cause of a lateral ankle sprain

Answer 30

secondary to a inversion stress of the ankle

Question 31

what is the clinical presentation of lateral ankle sprain

Answer 31

bruise swelling painful and limited with PF and inversion

Question 32

what is the strongest ankle ligaments

Answer 32

deltoid ligamant

Question 33

valgus and varus stress in the ankle

Answer 33

deltoid - valgus stress lateral ankle ligamant - varus stress

Question 34

what does the ATFL resist

Answer 34

inversion anterior talus movement on the tib

Question 35

what si the strongest of the lateral ligamant

Answer 35

PTFL

Question 36

which lateral ligament is most likely to substain tear/ sprain

Answer 36

ATFL

Question 37

do people with just an lateral ankle sprain get an MRI

Answer 37

nope

Question 38

what are the special test for lateral ankle sprain

Answer 38

anterior drawer - general instability talar tilt

Question 39

what is proprioception

Answer 39

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

Question 40

what is a grade 1 sprains

Answer 40

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

Question 41

what is a grade 2 sprains

Answer 41

A moderate sprain that involves partial tearing of the ligament

Question 42

what is a grade 3 sprains

Answer 42

severe sprain that involves complete tearing of the ligament

Question 43

what is the most prominent injury for ACL injury

Answer 43

planted foot and twist twisting on a planted foot

Question 44

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

Answer 44

left occipitoparietal bone

Question 45

The majority of congenital limb deficiencies are caused by

Answer 45

genetics

Question 46

what is another name for Congenital torticollis

Answer 46

wry neck

Question 47

other than rotation deficits what do we see with Congenital torticollis

Answer 47

facial asym

Question 48

what is Ludington’s test

Answer 48

that assesses for a biceps tendon rupture or a tendon pathology