Skeletal and ST Conditions Flashcards
Women:Men Osteoporosis
10:1
Common sites of fx with osteoporosis
Thoracic/Lumbar Spine Femoral Neck Proximal Humerus Proximal Tibia Pelvis Distal Radius
Cause of senile osteoporosis
Decreae in bone cell activity due to genetics or acquired abnormalities
Diagnositc test for Osteoporosis
CT Scan
Osteomalacia
Decalcification of bones ue to Vitamin D deficiency
What is calciferol
Vitamin D2 Injection for Osteomalacia
Osteomyelitis
Infection of bone due to Staphylococcus Aureus (usually)
Arthogryposis multiplex Congenita Causes….
Limitation in joint motion and sausage like appearance
IQ of children with Arthrogryposis Multiplex Congenita
Normal
Osteogenesis Imperfecta is caused by (genetically)
Autosomal dominant gene
Osteogenesis Imprefecta is caused by (in bone):
Abnormal collagen synthesis leading to imbalance between bone depositions and reabsorptions
What becomes thin in Osteogenesis Imprefecta?
Cortical and Cancellous bons
Diagnostic tests for Osteogenesis Imperfecta
Bone Scan and plain films show old fx
Serological testing
Osteochondritis Dissecans
Seperation of articular carilage from underlying bone
Where does osteochondritis dissecans usually happen?
Medial femoral condyle near intercondylar notch and humeral capitellum
Myofascial Pain Syndrome onset by:
Sudden overload, over stretching and/or repetitive/sustained muscle activities
Medical interventions of trigger points
Dry needling and/or injection of analgesic
Tendonosis/Tendonopathy Histological characteristics
Hypercellularity
Hypervascularity
No inflammation
Poor organization and loosening of collagen fibrils
Bursitis
Inflammation of bursa secondary to overuse, trauma, gout or infections
Sx of Bursitits
Pain at rest
Limited AROM and PROM not in normal capsular pattern
Muscle Strain
Inflmmatory response within a muscle following a traumatic event that caused microtearing of musculotendinous fibers
Myositis Ossificans is:
Abnormal calcification within muscle belly
What causes Myositis Ossificans?
Direct trauma or early mobilization/stretching following trauma to a muscle
Common locations for myositis ossificans
Quad, Brachilais, Biceps Brachii
When does myositits ossificans warrant sx?
Once lesion is mature (6-24 months and if interfering mechanically or impacting nerves
Special tx for myositis ossificans
Avoid aggressive ST massage and stretching
CRPS 1 vs CRPS 2
CRPS 1 has no known nerve damage
CRPS 2 has nerve damage
CRPS results in:
Dysfunction of sympathetic nervous system
Medical interventions for CRPS
Sympathetic nerve bloc
Surgical sympathectomy
SC stimulation
Interthecal drug pumps
Paget’s Disease (Osteitis Deformans) initially caused by:
Viral infection
What does the viral infection in Paget’s Disease cause?
Metabolic bone disease involving abnormal osteoclastic and osteoblastic activity
3 results of Paget’s Disease
Spinal stenosis
Facet arthropathy
Spinal Fx
Drugs for Paget’s Disease
Calcitonin and Etidronate Disodium limit osteoclast activity
Lab Tests for Paget’s Disease
Increased levels of serum alkaline phosphatase and urinary hydroxyproline
Which type of scoliosis is irreversible?
Structural
Which type of scoliosis does not have a rotational component?
Non-structural
What type of scoliosis straightens with flexion of spine?
Non-structural
Guidelines for tx of Scoliosis
Less than 25* = conservative
25-45* = Spinal Orthoses
>45 = Surgery
For plain films of scoliosis, what view do you use?
Cobb’s Method
Torticollis is side bending ______ and rotation _____
Sidebending towards
Rotation away
