Skeletal and ST Conditions Flashcards

1
Q

Women:Men Osteoporosis

A

10:1

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2
Q

Common sites of fx with osteoporosis

A
Thoracic/Lumbar Spine
Femoral Neck
Proximal Humerus
Proximal Tibia
Pelvis
Distal Radius
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3
Q

Cause of senile osteoporosis

A

Decreae in bone cell activity due to genetics or acquired abnormalities

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4
Q

Diagnositc test for Osteoporosis

A

CT Scan

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5
Q

Osteomalacia

A

Decalcification of bones ue to Vitamin D deficiency

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6
Q

What is calciferol

A

Vitamin D2 Injection for Osteomalacia

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7
Q

Osteomyelitis

A

Infection of bone due to Staphylococcus Aureus (usually)

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8
Q

Arthogryposis multiplex Congenita Causes….

A

Limitation in joint motion and sausage like appearance

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9
Q

IQ of children with Arthrogryposis Multiplex Congenita

A

Normal

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10
Q

Osteogenesis Imperfecta is caused by (genetically)

A

Autosomal dominant gene

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11
Q

Osteogenesis Imprefecta is caused by (in bone):

A

Abnormal collagen synthesis leading to imbalance between bone depositions and reabsorptions

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12
Q

What becomes thin in Osteogenesis Imprefecta?

A

Cortical and Cancellous bons

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13
Q

Diagnostic tests for Osteogenesis Imperfecta

A

Bone Scan and plain films show old fx

Serological testing

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14
Q

Osteochondritis Dissecans

A

Seperation of articular carilage from underlying bone

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15
Q

Where does osteochondritis dissecans usually happen?

A

Medial femoral condyle near intercondylar notch and humeral capitellum

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16
Q

Myofascial Pain Syndrome onset by:

A

Sudden overload, over stretching and/or repetitive/sustained muscle activities

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17
Q

Medical interventions of trigger points

A

Dry needling and/or injection of analgesic

18
Q

Tendonosis/Tendonopathy Histological characteristics

A

Hypercellularity
Hypervascularity
No inflammation
Poor organization and loosening of collagen fibrils

19
Q

Bursitis

A

Inflammation of bursa secondary to overuse, trauma, gout or infections

20
Q

Sx of Bursitits

A

Pain at rest

Limited AROM and PROM not in normal capsular pattern

21
Q

Muscle Strain

A

Inflmmatory response within a muscle following a traumatic event that caused microtearing of musculotendinous fibers

22
Q

Myositis Ossificans is:

A

Abnormal calcification within muscle belly

23
Q

What causes Myositis Ossificans?

A

Direct trauma or early mobilization/stretching following trauma to a muscle

24
Q

Common locations for myositis ossificans

A

Quad, Brachilais, Biceps Brachii

25
Q

When does myositits ossificans warrant sx?

A

Once lesion is mature (6-24 months and if interfering mechanically or impacting nerves

26
Q

Special tx for myositis ossificans

A

Avoid aggressive ST massage and stretching

27
Q

CRPS 1 vs CRPS 2

A

CRPS 1 has no known nerve damage

CRPS 2 has nerve damage

28
Q

CRPS results in:

A

Dysfunction of sympathetic nervous system

29
Q

Medical interventions for CRPS

A

Sympathetic nerve bloc
Surgical sympathectomy
SC stimulation
Interthecal drug pumps

30
Q

Paget’s Disease (Osteitis Deformans) initially caused by:

A

Viral infection

31
Q

What does the viral infection in Paget’s Disease cause?

A

Metabolic bone disease involving abnormal osteoclastic and osteoblastic activity

32
Q

3 results of Paget’s Disease

A

Spinal stenosis
Facet arthropathy
Spinal Fx

33
Q

Drugs for Paget’s Disease

A

Calcitonin and Etidronate Disodium limit osteoclast activity

34
Q

Lab Tests for Paget’s Disease

A

Increased levels of serum alkaline phosphatase and urinary hydroxyproline

35
Q

Which type of scoliosis is irreversible?

A

Structural

36
Q

Which type of scoliosis does not have a rotational component?

A

Non-structural

37
Q

What type of scoliosis straightens with flexion of spine?

A

Non-structural

38
Q

Guidelines for tx of Scoliosis

A

Less than 25* = conservative
25-45* = Spinal Orthoses
>45 = Surgery

39
Q

For plain films of scoliosis, what view do you use?

A

Cobb’s Method

40
Q

Torticollis is side bending ______ and rotation _____

A

Sidebending towards

Rotation away