Week 4: HOME (II)

Question 1

Rickets

Answer 1

• Childhood deficiency (Vit D, Calcium, Phosphate)
• Osteopenia (Weak bones causes bend)
• Bowed legs (short height)
• Delayed teeth formation
• Pot belly (Thoracic Kyphosis)

Question 2

Rickets (Tx)

Answer 2

• Vit D
• Balance Diet

Question 3

Osteomalacia

Answer 3

• Softening a weaking of the bones
• Lack of calcium (Mainly Vit D)
• Trendelenrug Gait
• Aches, Muscle Weakness, Pain, Stress Fractures

Question 4

Bone Metastases

Answer 4

• Cancer spread to bone
• Primary locations (Lung/Breast)
• Pain
• X-Rays for minor broken bone

Question 5

Bone Metastases (Tx)

Answer 5

• Chemotherapy/radiation
• Metal rods to prevent (Fx)

Question 6

Giant Cell Tumor of Bone

Answer 6

• Cancer in bone (Bening but can be maignant)
• Swollen mass or Fracture to sit

Question 7

Giant Cell Tumor of Bone (Tx)

Answer 7

• -ectomy
• Cancer Tx (Chemo/Radiation)

Question 8

Mutiple Myeloma

Answer 8

• tumor of plasma (in bone marrow)
• Stiffness of muscels and nerves (mainly in carpal tunnel)

Question 9

Mutiple Myeloma (Tx)

Answer 9

• Chemo
• Radiation
• Stem cell transplant

Question 10

Osteomyelitis

Answer 10

• Inflammation of bone
• Will spread to nearst joint
• Fever, fatigue, infected bone tissue.
• May lead to necrosis

Question 11

Osteomyelitis (Tx)

Answer 11

• Amputation

Question 12

Osteosarcoma

Answer 12

• Tumors attached to long bones
• Limit ROM
• Erythema (irritation of skin)
• Pain/Fractures

Question 13

Osteosarcoma (Tx)

Answer 13

• Cancer Treatments
• -ectomy
• May require a prosthesis

Question 14

Spondylosis

Answer 14

• Affecting intervertebral discs
• Loss in disc height
• Low back pain
• Extensors Spasms

Question 15

Spondylosis (Tx)

Answer 15

• HEP
• Posture re-education
• E-stim/Ultrasound/Traction
• Hydro/Therma Therapy
• Massage

Question 16

Spondylolysis

Answer 16

• Lower interartiuclar fracture

Question 17

Spondylolysis (Tx)

Answer 17

• Abdomen/Extensors Ex
• Lifestyle/postrual re-education

Question 18

Lyme Disease

Answer 18

• Tick-borne disease
• Fever, chills, fatigue, skin rash

Question 19

Lyme Disease (Tx)

Answer 19

• Antibiotics
• Strenghting Ex
• Joint Mob
• Pain reduction

Question 20

Talipes Equinovarus

Answer 20

• Inverted foot (Genetics)
• A.k.a Clubfoot
• Ankel in PF+Inv+Add

Question 21

Talipes Equinovarus (Tx)

Answer 21

• Splinting
• PROM Stretch (Ankle/LE)

Question 22

Osteogenesis Imperfecta (Rare)

Answer 22

• Fragile bone & connective tissue
• Easily fracture bones
• Hearing Problems
• Brittle Teeth
• Scoliosis

Question 23

Osteogenesis Imperfecta (Rare) (Tx)

Answer 23

• Extreme Caution
• Gait/Ambulate/Transfers
• CONTRAS! (Resistance/PROM)
• Aquatherapy (less stress on bones)

Question 24

Fibrous Dysplasia

Answer 24

• Weak bones (Trabecular to Fibrous Tissue)
• Fx in (Cranium, pelvis, femur, Shldr Girdle)
• Walking Affected

Question 25

Fibrous Dysplasia (Tx)

Answer 25

• -ectomy
• Fx Fixation
• Nerve pressure reduction

Question 26

Legg-Calve-Perthes Disease

Answer 26

• Avascular necrosis of the femoral epiphysis (Pediatric Disease)
• Deformed Femoral Head
• Graudual limp
• Limited Abd + Medial ROT.

Question 27

Legg-Calve-Perthes Disease (Tx)

Answer 27

• Gait w/ or w/o DME
• Strengthing
• ROM Ex

Question 28

Slipped Capital Epiphysis

Answer 28

• Femur slides at the epiphysis during growht
• LAT. roated
• Caused by traumatic twisting

Question 29

Slipped Capital Epiphysis (Tx)

Answer 29

• Sx intervention (use of pins)
• Gait
• Strenghthening Ex