Flashcards in Musculosckeletal Deck (21):
Forced Flexion of DIP : Mallet Fracture.
Splinting the DIP in extension for 8 weeks
Can spare the PIP
- >50 yrs of age
- Elevated ESR and CRP
TX and diagnosis?
Give prednisone 15 mg
Should be better in 24-48 hrs
Non displace Mid shaft clavicular fracture
Tx and alternative with same outcome and patient satisfaction?
- Figure of 8 dressing and Shoulder Sling!
Female with worsening hip pain
Pain is exacerbated by FABER and FADIR
Hip labral tear
Pt with elbow pain, medial in location, doing overhead serve
Dx and cause?
Tennis elbow vs Golfers elbow which is lateral
Ulnar collateral ligament injury
Lateral patella dislocation
Medially directed pressure while extension of knee; then immobilize
Radial wrist pain
+ for Finkelstein test
- grind test
- Dequarvain tenosynovitis
- If positive grind test: consider scaphoid fx
Chronic Achilles tendinopathy
Eccentric strengthening exercises
Ottawa rules? Four
1. Pain in malleolar zone
2. Pain in the mid foot zone
3. Bony tenderness at the base of the 5th metacarpal or Navicular
4. Unable to bear weight
32 y/o female, started a running program c/o anterior knee pain. PE is normal except for crepitus and lateral patellar tracking
Reduce running distance and PT
Evaluation for Meniscal tear?
Thessaly's maneuver- superior positive and negative predictive value compared to Mc Murray's
What is Female Athlete Triad?
What to order?
2. Low energy
3. Stress fracture
Get Bone mineral density test
Characteristic of Ankylosing Spondylitis
1. Better with exercise and activity
2. Stiffness is worst in AM and may last for hours
3. Symptoms is worse at night
82 y/o female coming in for hip fx
She takes ranitidine and Vit d.
What will you give to reduce recurrent fx?
Give Bisphosphonates after hip fx!- Alendronate weekly
PPI increases risk for osteoporosis
Not h2 blockers!
65 y/o female with severe low back pain after moving a furniture
Not able to void
Large midline disc herniation
-- cauda equina syndrome!
-- cause urinary retention
Most effective Tx for Fibromyalgia?
TCA - centralized pain state. Goal is to decrease neurotransmitters or increase activity of inhibitory neurotransmitters like Norepi and Serotonin
17 y/o playing football
Pain and tenderness at the flexor crease of DIP
Can fully flex the finger and the PIP
Flexion of the DIP is weak
Jersey finger: Rupture of Flexor digitorum profundus (in DIP)
Mallet finger is a rupture in the Extensor digitorum tendons
PT with CTS
Order NCV if conservative mgt fails
1st line for chronic midsubstance Achilles tendinopathy
Eccentric strengthening of the gastrocnemius and soleus
Tendinopathy vs tendinitis; not inflammatory hence no NSAIDS
13 y/o pitcher with pain in upper arm at the shoulder when throwing
Diagnosed with Little league shoulder.
What is it?
Proximal humeral epiphysitis