Skelelal / soft tissue Conditions

Question 1

Osteoporosis: common sites of fracture

Answer 1

Thoracic and lumbar spine, femoral neck, proximal humerus, radius and tibia, pelvis

Question 2

Osteomalacia

Answer 2

Decalcification of bones due to vitamin D deficiency

Symptoms: severe pain, fracture, weakness, deformity

Question 3

Osteomyelitis

Answer 3

inflammation in the bone due to infection, usually staph aureus

Question 4

Myofascial pain syndrome

Answer 4

Trigger points within a muscle - referral patterns are typical. Caused from sudden overload, overstitching or sustained muscle activities.
Intervention: dry needling, flexibility, desensitization

Question 5

Tendonosis/ tendonopathy

Answer 5

No inflammation present

Intervention: flexibility, eccentric initially, manual therapy, thermal agents for pain

Question 6

Bursitis

Answer 6

Inflammation of bursa secondary to overuse, trauma, gout or infection
Symptoms: pain with rest, limited PROM and AROM to pain not in capsular pattern

Question 7

Myositis Ossificans

Answer 7

Painful abnormal calcification in the muscle belly
Etiology: usually from trauma, then hematoma and calcification
Most frequent locations: quadriceps, brachialis, biceps brachii
Surgery: indicated after trauma, and after maturation of 6-24 month or when lesions interfere with movement or nerves
Intervention: flexibility but not aggressive

Question 8

Complex regional pain syndrome

Answer 8

Type I: tissue trauma, no nerve injury

Type II: clearly associated with nerve injury

Question 9

Paget’s disease

Answer 9

Metabolic bone disease with abnormal osteoclast and osteoblast activity.
Etiology: unknown but thought to be linked to viral infection

Question 10

Torticollis

Answer 10

Tightness of the SCM muscle - SB toward and rotation away from affected side