MSK W2 Flashcards
UE conditions
what is the first step in the Canadian Cspine rules?
what is step 2 in the Canadian Cspine rules?
what is step 3 in the Canadian Cspine rules?
What is Whiplash Associated Disorder (WAD)?
Abrupt acceleration-deceleration injury to the cervical spine.
Commonly occurs in motor vehicle accidents or contact sports.
List the acute signs and symptoms of Whiplash Associated Disorder.
- Decreased ROM
- Pain
- Increased tone in cervical spinal muscles
- Headaches
- Jaw pain
- Neurological symptoms depending on grade
What factors can affect chronic symptoms of Whiplash Associated Disorder?
- Psycho/Emotional Trauma
- Pending monetary gain (litigation)
- Pre-existing injury
- Pre-injury level of fitness
If there is a disc herniation of C5/C6, what nerve root is anticipated to be affected and what are the expected findings?
C6 nerve root
*myotomal = elbow flexion, wrist ext weakness
*dermatomal = lateral elbow
*DTR = biceps brachii or brachioradialis
What is the definition for Cervicogenic Headaches?
Disorder of the cervical spine involving bony, disc, and/or soft tissue elements.
Often originates from the atlanto-occipital and upper cervical joints.
Identify the hallmark signs of Frozen Shoulder (Adhesive Capsulitis).
- Pain – dull, diffuse often occuring at the deltoid insertion
- Muscle atrophy
- Limited ROM (ER > Abduction > IR)
- Loss of arm swing during gait
- difficulty with overhead activities or dress
What are the three stages of Frozen Shoulder?
- Freezing
- Frozen
- Thawing
What happens with an Anterior Disc Displacement in the TMJ?
The condyle is blocked by the disc and unable to roll and slide forward (lock jaw).
Can be chronic (reduce on its own) or acute.
What are common signs of Temporomandibular Myofascial Pain?
- Tenderness of Masseter, Temporalis, Medial pterygoid, lateral pterygoid, suboccipitals
- Pain or tenderness of the jaw
- Difficulty chewing
- Locking of the joint
What is the main treatment approach for Shoulder Instability?
- Stabilization exercises of scapula
- Strengthening adductors and internal rotators
- Postural education
What should be avoided in the treatment of Impingement Syndrome?
Immobilizing the arm in a sling, as it could lead to adhesive capsulitis.
What is a Colles Fracture?
Fracture to the distal radius, often associated with a FOOSH injury.
Characterized by a linear transverse fracture of the distal radius.
What are the risk factors for a Scaphoid Fracture?
- FOOSH injury
- Commonly occurs in young and elderly
- More prevalent in females with osteoporosis
True or False: There are specific risk factors that make one more likely to experience a scaphoid fracture.
False
There are no specific risk factors or diseases associated with scaphoid fractures.
What is the typical treatment approach for a scaphoid fracture?
- Initially casting or surgery
- Use of wrist guard when returning to activities involving falling
What are the WAD red flags to look out fot?
Bilateral arm numbness and tingling in arms, signs of concussion.
What is the role of education in the treatment of Frozen Shoulder?
Reduce frustration and encourage patient compliance; teach home exercise program.
What WAD grade is assigned for no complaint about the neck and no physical signs?
Grade 0
What WAD grade is assigned for a neck complaint of stiffness, pain, or tenderness only with no physical signs?
Grade I
What WAD grade involves a neck complaint with MSK signs such as decreased ROM and point tenderness, but no neurological signs?
Grade II
What WAD grade includes a neck complaint with peripheral neurological signs but no fracture or dislocation?
Grade III