Soft Tissue Disorders Flashcards
What % do the following make up of musculoskeletal problems
a) back pain
b) inflammatory disorders
c) soft tissue disorders
d) OA
a) 15
b) 1
c) 5
d) 5
4 possible sources of musculoskeletal pain
Soft tissue
Bone
Joint
Referred (central pain)
What red flags may be seen alongside musculoskeletal pain (6)
fever/ unexplained weight loss carcinoma history immuno-suppression ill health severe night pain mono-athritis
Define the term ‘yellow factor’
factors that increase pain and the risk of developing long term disability and work loss
Name 6 psychosocial yellow flags
History of numerous episodes Duration of symptoms Intensity of symptoms Anxiety/ depression Locus of control Catastrophising
Name 4 common causes of soft tissue pain in wrist and hand
- De Quervains tenosynovitis
- Trigger finger
- Carpal tunnel syndrome
- Duputrens contracture
3 s+s of De Quervains tenosynovitis
Pain on resisted movement
Crepitius
Finklestein test
What tendons are found in thumb
Extensor pollicis brevis
Extensor pollicis longus
Abductor pollicis longus
Whats the proper name for trigger finger
Flexor tendinosis
Whats the prevalence of carpal tunnel in wommen and men
3% in women
2% in men
Name 7 associations with carpal tunnel syndrome
Hypothyroidism Rheumatoid athritis Diabetes Pregnancy Amyloidosis Acromegaly Use of vibrating tools
Name 2 tests used to diagnose carpal tunnel
Phalens test
Tinels test
What is dupuytrens contracture
Fibrosis of palmar aponeurosis
What is dupuytrens contracture most common in
Men, heavy drivers, smokers, diabetics
3 categories of pain at the elbows
Referred pain
Peri-articular pain
Articular pain
Where can pain be referred from to the elbows
Neck
Shoulder
What are some causes of peri-articular pain
Epicondylitis
Bursitis
What are some causes of articular pain
Trauma
OA
What is the proper word for tennis elbow
Lateral epicondylitis
Signs and symptoms of tennis elbow
Local tenderness
Pain restricted wrist extension
Name 2 swellings/ rashes over the extensor surface of the elbow
- Olecranon bursitis
- Rheumatoid nodule
Name the 5 most common causes of pain in the shoulder
- Rotator cuff tendinitis
- Bicipital tendinitis
- Frozen shoulder
- Subacromial bursitis
- Degenerative arthritis
How is frozen shoulder treated
Analgesia
Injection
Physiotherapy
What are the clinical signs of rotator cuff tendinitis
Painful arc on active abduction
