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UE-LE INJURIES (HARDER) Flashcards

1
Q

Direct Trauma: Shearing w/ twist, pivot, fall
Pain: groin
Clicking & catching
Hypermobility

A

LABRAL INJURIES

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2
Q 
Surg/Non: 6w
Athletes: 2-6mos
Hip arthroscopy
Surg recover: 4-6mos
Untreated = mech irritant
PT, NSAIDs, rest
A

LABRAL INJURIES

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3
Q

MOI: Trauma = stress by WEIGHT
Acute: hip, groin, thigh pain
Loss IR & obligatory ER

A

SLIPPED CAPITAL FEMORAL EPIPHYSIS

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4
Q 
Crutches: 6-8w
Follow-up: 3-4mos
Very Good
No weight bear (Protected WB after surg: 6-8w)
Surg: w/n 24-48hrs
NO CLOSED REDUCTION
A

SLIPPED CAPITAL FEMORAL EPIPHYSIS

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5
Q

Recov: 4-8w
VG
RICE

A

ITB SYNDROME

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6
Q 
2-8w
Stretching & strengthening
Good
Anti-inflam: a week
Goal: pain, inflam, mobility, prevent recurrence
Rest, splint, HOT & COLD
Advanced: NSAID, cortico inj, surg
A

TROCHANTERIC BURSITIS

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7
Q

Trauma, corticos, alcohol, SYSTEMIC dse
GROIN pain increased w/ wb
LOM: IR, F, ABD

A

AVASCULAR NECROSIS

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8
Q

Core decomp - crutches
Bone graft - conjunc w/ comp - LONGER
Osteotomies - few mos

A

AVASCULAR NECROSIS

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9
Q

Dep on stage; 50% - surg w/n 3yrs
Weight off, pain meds
Collapse: jt replace surg

A

AVASCULAR NECROSIS

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10
Q 
LOM: ABD & IR
Bilat: 10%
Orthosis vs Osteotomy
18-24mos
Revascularization & remodeling
Good outcomes: age <6 nonsurg: brace (Scottish Rite Orthosis)
Surg: Osteotomy
A

LEGG-CALVE-PERTHES DISEASE

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11
Q

Acute POST: pain & hold in F, IR, ADD

ANT (less common): E, ER, ABD

A

HIP DISLOCATION

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12
Q

2-3mos
Comps: Sciatic n injury, Posttrauma OA, Avas. Nec - 10%
Closed reduc under anesth
Non WB: 3-4w –> Protected: 3w

A

HIP DISLOCATION

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13
Q 
MOI: Heavy load on leg w/ knee partial bent 
4mos
Most: 6mos (or LONGER)
Most return to ax
Brace &amp; PT
Immob
Early repair: prevent scar &amp; tighten
A

QUADS STRAIN/RUPTURE

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14
Q

Traumatic: sudden, acute

Acute course dep on: type, severity, rehab, sports

A

KNEE LIG INJURIES (GEN.)

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15
Q

G1&2 MCL & LCL

A

2-4w

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16
Q

Other knee lig injuries duration

A

4-12mos

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17
Q 
Aggressive ice &amp; elevate
Immob: 1-2w - stab &amp; repair scar tiss.
Early Gentle knee F&amp;E: 1-2w
Gradual return to ax: 1-4w
RARELY req surgery
A

MCL INJURY

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18
Q

torn in multilig injuries
RICE, crutches, gradual walk w/ more weight
Brace, strengthen mms for more stab
Surg: REPLACE tiss rather than stitch - deceased donor or from back of thigh or heel

A

LCL INJURY

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19
Q

Med wall of lat condyle –> Ant spine of tibial plateau
Tears: dynamic stab
Contact/non-con injuries
MOI: Rotated/twisting on planted w/ knee F

A

ACL INJURY

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20
Q 
Aggressive I.C.E
Immob or crutches
Early Gentle knee F&amp;E
Quads inhib.
Straight leg raises in immob
LT treatment: desired ax lvl
Lig reconstruction: Young, sporty
Aggressive rehab: seden or straight ahead ax; when no instab
Wait 2-3w before recons.
A

ACL INJURY

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21
Q

Impossible return to sports w/ repeated episodes of instab
Acute: pain not prominent
Pain = assoc injury (i.e. bone contusion, med menis tear)

A

ACL INJURY

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22
Q

Pain w/ swelling (quickly); Limp
Isolated = less sig fxn limits.
Can return to FULL ax

A

PCL INJURY

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23
Q

I.E. Pain control, Early gentle ROM
Immob: 1-2w
Rare: surg recon (if unstable)

A

PCL INJURY

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24
Q 
Traumatic: Rotation/Twist w/ planted foot
Acute trauma or Gradual degen
Slow onset of Swelling
Pain w/ weight &amp; twist
Some clicking
A

MENISCAL INJURIES (GEN)

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25
I.E.NSAIDs, Bracing Arthroscopy Repair or debridement Vascular zone tears - younger; arthroscopic repair Older: 3-6w rest & rehab Arthroscopic repair: limited fxn, persistent mech, recurrent epis.
MENISCAL INJURIES (GEN)
26
I.C.NSAIDs Aspiration Recovery dep on: age, health, prev injury, severity Open injury = goes away own
PREPATELLAR BURSITIS
27
Traumatic or degen (most severe) Puncture, laceration, eversion sprains Diabetes, arthritis, obesity Tendon hypovascularity
POST TIBIALIS TENDINITIS
28
4 Types of PTT
1: Direct rupture 2: Systemic dse 3: idiopathic or degen 4: Fxnl; severe Pron or stretch
29
Acute: pain and swell Chronic: appearance - collapsed arch; too many toes Apropulsive gait No inversion
POST TIBIALIS TENDINITIS
30
Conservative mgt: older/sedentary; modalities 6-8 w Non-comp: double recovery time Flat feet
POST TIBIALIS TENDINITIS
31
Inversion injury Pain: tendons at diff areas Increased cutting/turning on ball of foot
PERONEAL TENDINITIS
32
``` Swelling Ice pops Deep transverse friction massage Eversion w/ R & TheraBand Tenosynovectomy Groove deepen 2-4w Takes time (dont rush to ax) ```
PERONEAL TENDINITIS
33
``` Overuse or poor foot biomech DF compensation Subtalar jt Varus deform. Rigid PF or Cavovarus Mid pain w/ fusiform swell ```
ACHILLES TENDINITIS
34
``` R.I.Anti-inflam. Night splint, DTFM, 1/4 in heel lift Shoes w/ lower heel DF stretch: 30s 10x 2x a day Weeks-mos Most: ~12mos ```
ACHILLES TENDINITIS
35
``` Poor biomechs Increased subtalar jt pron, pes planus, limited DF Pes cavus - rigid Tender med plantar aspect Discomfy: midcalcaneal ```
PLANTAR FASCIITIS
36
Conservative treatment ~6-8mos VG
PLANTAR FASCIITIS
37
MOI: INVERSION +PF | Diffuse pain & edema
ANKLE SPRAIN
38
``` RICE Surgery: rare; Grade 3 Mild: 1-3w Mod: 3-4w Severe: 3-6mos Grades 1-3 ```
ANKLE SPRAIN
39
Internal derangement Multiplanar loss: ER & ABD Progressive loss; diffuse pain
ADHESIVE CAPSULITIS
40
``` Pendulum exercises Jt immob - ultrasound Injection of anes & steroid Self-limiting: 1-3yrs 20-50% long-term ROM defs. Painful to treat Recovery: up to 2yrs ```
ADHESIVE CAPSULITIS
41
Trauma: sudden/repetitive Acute, reversible 2-3w Open surgery
GH JT INSTABILITY
42
Palpation & pain on resisted Sup w/ elbow F | Resistance w/ forward elbow F; E & Sup
BICIPITAL TENDINITIS | Yergason's & Speed's Test
43
Swollen tendon, Stenotic @transverse lig; freq hemorrhagic | Discomfort --> Painful snap
BICIPITAL TENDINITIS
44
Resolve: 3mos | Surgery > conservative treatment - Young
BICIPITAL TENDINITIS
45
``` Risk: Older people Traumatic or degen FOOSH; jerking Pain along tuberosity Painful arc Drop arm test ```
ROTATOR CUFF TENDONITIS/TEAR
46
4-6w Partial: debridement Complete: stitching
ROTATOR CUFF TENDONITIS/TEAR
47
MOI: Repetitive stress d/t overuse of Extensor FA mm's Localized tenderness over FA Extensor tendon Discomfy radiohumeral jt & annular lig
LAT EPICONDYLITIS
48
Pain: resisted wrist & mid finger E; Gripping Reversible Good
LAT EPICONDYLITIS
49
Overuse injuries - musculocutaneous strucs Flexor communis & Pron teres Localized pain w/ radiation
MED EPICONDYLITIS
50
Resisted F & Pron PASSIVE E & Sup Chronic: Soft tissue contractures + loss of full E & Sup REST b4 strengthen
MED EPICONDYLITIS
51
``` Acute: swell, NORMAL ROM, pain w/ passive F >90 Acute, reversible Good 3-6w Aspiration ```
OLECRANON BURSITIS
52
Multimodal Prolonged gripping (wide) Repetitive stress Occupational
TRIGGER FINGER
53
``` Acute, reversible Excellent - Cortisone injecs. 1st line: REST - 4-6w Splints: MCP @10deg w/ active IP motion Sx >6w: Steroid inj. @A1 Surgery: simple outpx ```
TRIGGER FINGER
54
Acute, reversible Excellent Curtailing ax - shear force Ice: 15mins every 6hrs Acute stage: Steroid inj - quiet tenosynovitis Refractory case: surg decompression - 90% cure
DE QUERVAIN SYNDROME
55
FOOSH + UD (Wrist E & Pron) Wrist edema, ecchymosis, restricted ROM Tenderness Common: frm Lig injury
SCAPHOLUNATE INSTAB.
56
8-12w Desk: 2-4w Phys work: 3mos Contact sports: 3-6mos
SCAPHOLUNATE INSTAB.
57
``` Progressive wrist arthrosis & SL collapse If tear = DO NOT HEAL ON OWN LT effect: ARTHRITIS - Surg Acute & Chron: Surg Partial wrist arthrodesis: chronic Proximal row carpectomy: advanced ```
SCAPHOLUNATE INSTAB.
58
Avascular: Central art disc Vascular: Dors & Palmar R-U ligs Primary stab of DISTA R-U JT. Acute, trauma: FOOSH or microtrauma
TFCC INJURIES
59
``` Radiocarpal jt +Ulnar variance = Increase load bearing Wrist catching/locking Tenderness & hollow bet FCU & ECU tendon Insidious or traumatic Young vs old ```
TFCC INJURIES
60
No surgery: 12w heal (3mos XD) After surg: 3mos Central art - Surg DEBRIDEMENT
TFCC INJURIES

OT 303 (3 decks)

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