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OT 303 > UE-LE INJURIES (HARDER) > Flashcards

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
Q

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.

A

MENISCAL INJURIES (GEN)

26
Q

I.C.NSAIDs
Aspiration
Recovery dep on: age, health, prev injury, severity
Open injury = goes away own

A

PREPATELLAR BURSITIS

27
Q

Traumatic or degen (most severe)
Puncture, laceration, eversion sprains
Diabetes, arthritis, obesity
Tendon hypovascularity

A

POST TIBIALIS TENDINITIS

28
Q

4 Types of PTT

A

1: Direct rupture
2: Systemic dse
3: idiopathic or degen
4: Fxnl; severe Pron or stretch

29
Q

Acute: pain and swell
Chronic: appearance - collapsed arch; too many toes
Apropulsive gait
No inversion

A

POST TIBIALIS TENDINITIS

30
Q

Conservative mgt: older/sedentary; modalities
6-8 w
Non-comp: double recovery time
Flat feet

A

POST TIBIALIS TENDINITIS

31
Q

Inversion injury
Pain: tendons at diff areas
Increased cutting/turning on ball of foot

A

PERONEAL TENDINITIS

32
Q 
Swelling
Ice pops
Deep transverse friction massage
Eversion w/ R &amp; TheraBand
Tenosynovectomy
Groove deepen
2-4w
Takes time (dont rush to ax)
A

PERONEAL TENDINITIS

33
Q 
Overuse or poor foot biomech
DF compensation
Subtalar jt
Varus deform.
Rigid PF or Cavovarus
Mid pain w/ fusiform swell
A

ACHILLES TENDINITIS

34
Q 
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
A

ACHILLES TENDINITIS

35
Q 
Poor biomechs
Increased subtalar jt pron, pes planus, limited DF
Pes cavus - rigid
Tender med plantar aspect
Discomfy: midcalcaneal
A

PLANTAR FASCIITIS

36
Q

Conservative treatment
~6-8mos
VG

A

PLANTAR FASCIITIS

37
Q

MOI: INVERSION +PF

Diffuse pain & edema

A

ANKLE SPRAIN

38
Q 
RICE
Surgery: rare; Grade 3
Mild: 1-3w
Mod: 3-4w
Severe: 3-6mos
Grades 1-3
A

ANKLE SPRAIN

39
Q

Internal derangement
Multiplanar loss: ER & ABD
Progressive loss; diffuse pain

A

ADHESIVE CAPSULITIS

40
Q 
Pendulum exercises
Jt immob - ultrasound
Injection of anes &amp; steroid
Self-limiting: 1-3yrs
20-50% long-term ROM defs.
Painful to treat
Recovery: up to 2yrs
A

ADHESIVE CAPSULITIS

41
Q

Trauma: sudden/repetitive
Acute, reversible
2-3w
Open surgery

A

GH JT INSTABILITY

42
Q

Palpation & pain on resisted Sup w/ elbow F

Resistance w/ forward elbow F; E & Sup

A

BICIPITAL TENDINITIS

Yergason’s & Speed’s Test

43
Q

Swollen tendon, Stenotic @transverse lig; freq hemorrhagic

Discomfort –> Painful snap

A

BICIPITAL TENDINITIS

44
Q

Resolve: 3mos

Surgery > conservative treatment - Young

A

BICIPITAL TENDINITIS

45
Q 
Risk: Older people
Traumatic or degen
FOOSH; jerking
Pain along tuberosity
Painful arc
Drop arm test
A

ROTATOR CUFF TENDONITIS/TEAR

46
Q

4-6w
Partial: debridement
Complete: stitching

A

ROTATOR CUFF TENDONITIS/TEAR

47
Q

MOI: Repetitive stress d/t overuse of Extensor FA mm’s
Localized tenderness over FA Extensor tendon
Discomfy radiohumeral jt & annular lig

A

LAT EPICONDYLITIS

48
Q

Pain: resisted wrist & mid finger E; Gripping
Reversible
Good

A

LAT EPICONDYLITIS

49
Q

Overuse injuries - musculocutaneous strucs
Flexor communis & Pron teres
Localized pain w/ radiation

A

MED EPICONDYLITIS

50
Q

Resisted F & Pron
PASSIVE E & Sup
Chronic: Soft tissue contractures + loss of full E & Sup
REST b4 strengthen

A

MED EPICONDYLITIS

51
Q 
Acute: swell, NORMAL ROM, pain w/ passive F >90
Acute, reversible
Good
3-6w
Aspiration
A

OLECRANON BURSITIS

52
Q

Multimodal
Prolonged gripping (wide)
Repetitive stress
Occupational

A

TRIGGER FINGER

53
Q 
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
A

TRIGGER FINGER

54
Q

Acute, reversible
Excellent
Curtailing ax - shear force
Ice: 15mins every 6hrs
Acute stage: Steroid inj - quiet tenosynovitis
Refractory case: surg decompression - 90% cure

A

DE QUERVAIN SYNDROME

55
Q

FOOSH + UD (Wrist E & Pron)
Wrist edema, ecchymosis, restricted ROM
Tenderness
Common: frm Lig injury

A

SCAPHOLUNATE INSTAB.

56
Q

8-12w
Desk: 2-4w
Phys work: 3mos
Contact sports: 3-6mos

A

SCAPHOLUNATE INSTAB.

57
Q 
Progressive wrist arthrosis &amp; SL collapse
If tear = DO NOT HEAL ON OWN
LT effect: ARTHRITIS - Surg
Acute &amp; Chron: Surg
Partial wrist arthrodesis: chronic
Proximal row carpectomy: advanced
A

SCAPHOLUNATE INSTAB.

58
Q

Avascular: Central art disc
Vascular: Dors & Palmar R-U ligs
Primary stab of DISTA R-U JT.
Acute, trauma: FOOSH or microtrauma

A

TFCC INJURIES

59
Q 
Radiocarpal jt
\+Ulnar variance = Increase load bearing 
Wrist catching/locking
Tenderness &amp; hollow bet FCU &amp; ECU tendon
Insidious or traumatic 
Young vs old
A

TFCC INJURIES

60
Q

No surgery: 12w heal (3mos XD)
After surg: 3mos
Central art - Surg DEBRIDEMENT

A

TFCC INJURIES

OT 303 (3 decks)

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