MSK key pathologies Flashcards

(33 cards)

1
Q

define tendinopathy

A

pain and dysfunction associated with a tendon

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2
Q

what are the 4 stages of a tendinopathy

A

altered tendon cell population
disorganisation of collagen
ground substance changes
neovascularisation

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3
Q

name some risk factors for tendinopathy

A

sedentary population over 60
athletic population over 40
changes in load/training
overload/underload
diabetes
genetic factors
increased BMI
previous injury
malaise

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4
Q

what is a strain

A

muscle or tendon injury - involves over contracting or lengthening a muscle causing tearing of collagen

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5
Q

what is a sprain

A

an injury to the band of collagen i.e a ligament, which connects 2 or more bones to a joint

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6
Q

what is a femoral acetabular impingement

A

a pathological mechanical process by which morphological abnormalities of the acetabulum and/or femur combined with vigorous hip motion can damage the soft tissue structures within the hip itself

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7
Q

what is osteoarthritis

A

a common disabling condition that causes joint pain and stiffness caused by the gradual erosion of cartilage

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8
Q

what is the most common MOI for a meniscal tear

A

twisting injury on a semi-flexed limb through a weight bearing knee

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9
Q

what are the signs and symptoms of osteoarthritis

A

reduced ROM actively and passively
slight swelling over the joint
pain -> more on weight bearing activities
clicking/grinding

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10
Q

what are the signs and symptoms for meniscal tears

A

inability to fully extend or bend the knee
difficulty weight bearing
swelling
catching or locking of the knee joint
pain in the knee joint

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11
Q

what is patellofemoral pain syndrome

A

an umbrella term for pain arising from the patellofemoral joint itself, or adjacent soft tissue structures

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12
Q

what is shoulder instability

A

when the labrum and/or ligaments stretch or tear, the shoulder has a greater tendency to dislocate

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13
Q

what are the tell tale signs of shoulder instability

A

dislocation and subluxation

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14
Q

what is frozen shoulder

A

characterised by initially painful and later progressively restricted active and passive glenohumeral ROM with spontaneous complete or nearly complete recovery over a period of time

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15
Q

what are the three stages of a frozen shoulder

A

acute/freezing/painful stage
adhesive/frozen/stiffening phase
resolution/thawing phase

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16
Q

what is spinal stenosis

A

canal narrowing of either the central or foraminal canal

17
Q

what are the signs and symptoms of spinal stenosis

A

spinal pain
nerve symptoms
symptoms improve with flexion activities and worsen with extension

18
Q

what is ankylosing spondylitis

A

where changes to the SIJ or the spine can be seen on an x ray

19
Q

what are the signs and symptoms of ankylosing spondylitis

A

symptoms starting slowly
pain in the lower back
improves with movement
night time waking
early onset (under 40)

20
Q

scoliosis

A

s shaped curve in the spine

21
Q

what is spondylosis

A

generic umbrella term for osteoarthritic changes within the spine

22
Q

what is whiplash associated disorder

A

generic term for neck pain following sudden force (acceleration/deacceleration)

23
Q

what is peripheral nerve entrapment/irritation

A

an area in the peripheral nerves in which the nerve becomes irritated

24
Q

what are the signs and symptoms of peripheral nerve entrapment/irritation

A

pain and/or sensory symptoms at the interface and distal to the area the nerve supplies

25
what is radiculopathy
a change in neurological function from nerve root compression/irritation or sensitivity
26
what are some signs and symptoms of radiculopathy
motor loss in the relevant nerve root (myotome) arm symptoms (cervical) or leg symptoms (thoracic) reflex changes (reduced) pain in dermatomal distribution sensory symptoms in dermatome
27
what is spondylolisthesis
anterior translation of the superior vertebra relative to the inferior vertebra
28
what is carpal tunnel syndrome
carpal tunnel syndrome is a collection of signs and symptoms caused by compression of the median nerve in the carpal tunnel
29
what are the signs and symptoms of carpal tunnel syndrome
numbness and tingling mainly in the thumb and radial fingers aching and pain in the anterior wrist and forearm clumsiness in the hand
30
what is iliotibial band syndrome
ITB results from repetitive friction of the iliotibial band sliding over the lateral femoral epicondyle
31
what are the risk factors of iliotibial band syndrome
athlete pre-existing iliotibial band tightness high weekly mileage time spent walking or running on a tract
32
what do you do in the acute stage of ITB syndrome?
activity modification Ice NSAIDs
33
what do you do in the sub-acute phase of ITB syndrome
stretching ITB