Musculoskeletal Day 2 Flashcards Preview

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Flashcards in Musculoskeletal Day 2 Deck (39):
1

damage of spinal cord below L2 resembles what?

peripheral nerve lesion
-varies in presentation

2

damage of spinal cord above L2 resembles what?

spinal cord injury

3

what is a level of lesion?

last remaining 3+ muscle strength

4

what spinal cord fracture would allow a pt to walk?

T8 or below

5

what lesion would result in death most likely?

anything above C3
-goes to the diaphragm and you quit breathing

6

what is characterized by tenderness, pain on movement of neck, and taught bands of musculature on palpation?

cervical strain
-usually lasts longer than stiff neck

7

what is characterized by local tenderness, pain with certain movements and lasts usually 1-4 days?

"stiff neck"

8

what kind of neck pain is characterized by neck pain with radiating to arm?

cervical radicular pain

9

in cervical radiculopathy, pain would be worse with

coughing, sneezing, straining

10

what causes cervical radiculopathy?

herniated disc or DDD with spurring

11

cervical cord compression could be caused by

herniated disc
DDD with spurring (arthritis)
trauma (car crash)

12

what does a positive babinski sign indicate?

spinal cord damage

13

what is treatment for spinal cord injury?

decompress and stabilize with a cage

14

what is the most common LBP?

mechanical

15

when is mechanical LBP aggravated?

moving, lifting, twisting

16

when is mechanical LBP alleviated?

rest

17

will mechanical LBP go below the knee?

no, if it does, it is something else

18

what risk factors are involved with older women with mech LBP?

long term steroid use
think: osteoporosis
compression fx

19

what do muscle spasms do?

limits your movement to protect the area tht is involved

20

what will mechanical LBP not have?

motor/sensory/reflex abnormalities

21

what PE findings accompany osteoporosis?

percussion tenderness over spinous process
Fxs elsewhere
thoracic kyphosis

22

what characterizes radicular LBP?

shooting pain radiating below the knee in a dermatomal distribution-numbness, tingling
*worse with sitting, bending, coughing, sneezing, straining

23

what is a common cause of radicular LBP?

herniated IV disc with compression or traction of nerve

24

why does sitting increase radicular LBP?

pressure on front of disc increases and pushes disc farther backward

25

what would cause a positive straight leg test?

herniated disc

26

what is lumbar stenosis?

pseudoclaudication
-pain in back of legs that worsens with walking and gets better with sitting

27

what causes lumbar stenosis?

combination of DDD and OA that narrows the spinal canal

28

which patients will most likely have lumbar stenosis?

>65 yo

29

what are the PE findings of ankylosing spondylitis?

loss of normal lumbar lordosis
muscle spasms
anterior and lateral flexion

30

what is DISH?

diffuse idiopathic skeletal hyperostosis

31

what is a PE finding of DISH?

flexion and immobility of spine

32

pt presents with back pain that is worse at night and unrelieved by rest, what would you be suspicious of?

malignancy

33

referred pain with normal spinal movements and ROM would cause suspicion for...

abdominal or pelvic problems

34

what is the most commonly separated shoulder joint?

acromoclavicular joint

35

what is considered the "shoulder joint"

glenohumoral joint

36

what are the rotator cuff muscles?

SITS
supraspinatous
infraspinatous
teres minor
subscapularis

37

how is the rotator cuff most commonly injured?

by the arm having to slow down
-eccentric contraction

38

what are the axioscapular muscles?

rotate the shoulder internally
-trap
-rhomboids
-serratus anterior
-levator scapulae

39

what are the axiohumoral muscles?

internal rotation of the shoulder
-pec major
-pec minor
-latissimus dorsi

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