Musculoskeletal System Flashcards

(67 cards)

0
Q

What are congenital limb deficiencies from

A

Teratogens
Metabolic diseases
Congenital constricting bands

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1
Q

How do people get limb deficiencies

A

Traumatic
Pathological
Congenital

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2
Q

Malformation of the hands and feet occur in how many lice births

A

1/600

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3
Q

Amelia

A

Absence of one or more limbs

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4
Q

Phocomelia

A

Limb missing proximal portion

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5
Q

Paradisal deficiency

A

Proximal part of limb developed but medial or lateral side of the limb is missing

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6
Q

Transverse hemimelia

A

Portion of a forearm or hand or part of all the fingers are missing or portion of distal lower extremity

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7
Q

When do dr want to get prosthesis for ue

A

6 months of age

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8
Q

When do drs want to get prostheses for Le

A

12 months

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9
Q

When getting prosthesis consider

A

Terminal device

Growing child

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10
Q

Ot intervention for limb deficiencies

A

Bilateral activities
Teach prosthesis application
ADL skills

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11
Q

What is the name for congenital club foot

A

Talipes equinovarus

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12
Q

What is the incidence for club foot

A

1 to 2 per 1000

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13
Q

Who is club foot more common in

A

Boys rather than girls

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14
Q

What is the cause of club foot

A

Unknown
Could be congenital
Over crowding in uterus

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15
Q

Clinical picture of club foot

A
Fore foot adduction and supination
Heel varus (turned inward)
Equinus of the ankle (upward bending on ankle) 
Medial deviation of foot
Bones malformed or underdeveloped
Rare paralysis and permanent deformity
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16
Q

Medical management of club foot

A

Taping
Splinting
Casting
Surgery

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17
Q

Congenital club hand

A

Partial of full absence of radius and bowing of ulnar shaft

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18
Q

Fractures are classified by

A

Open or compound
Closed
Green stick
Comminuted

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19
Q

Treatment of fractures

A

Reduction and immobilization

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20
Q

How long do fractures take to heal

A

Infants 2-4 weeks
School aged 6 weeks
Adolescents 8-10 weeks

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21
Q

What is arthrogryposis

A

No progressive condition with multiple joint contractures found throughout the body

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22
Q

How do people kids get amc

A

Decreased fetal movement cfrom connective tissue disorder, inability to move, maternal infection, drug abuse, trauma

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23
Q

Amc affects how many people

A

Boys and girls equally

1 in 3000 births

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24
What does the lifespan of amc depend on
Severity of disease
25
How is amc detected. | How to fix it
In utero | Casting splinting Arom prom stretching surgery
26
What is osteogenesis imperfecta
Fragile bones that break easily
27
Other problems in oi
``` Muscle weakness Hearing loss Fatigue Joint laxity Curved bones Scoliosis Brittle teeth Respiratory problems ```
28
Mild cases of oi fractures | Severe
Few fractures | Hundreds fractures
29
How many people get oi
1 in 20000
30
What is oi caused by
Mutation on a gene causing problems with type 1 collagen formation
31
Oi is not caused by
Poor nutrition or too little calcium
32
Oi between males females and ethnicities
Equal frequency
33
Most cases of oi are from
Inherited | 25% have no history
34
How to diagnosis oi
Ultrasound | Type 2 apparent less than 20 weeks
35
Oi prognosis
Diagnosed in utero: most end in miscarriage Quality of life difficult to predict Respiratory failure nots common cause of death No cure
36
Types of oi
Type 1 Type II Types III Type IV
37
Type 1 oi
Most common Mild bone fragility, few fractures, minimal limb deformities Collagen structure normal Lack fractures at birth
38
Type II oi
``` Most severe form Improperly formed collagen Intrauterine fracture common Sclerae dark blue oR blue gray Respiratory and swallowing problem Short limbs small chest soft skills leg like frog ```
39
Type III
``` Most severe from if kids live Severe bone deformity Respiratory swallowing problems Short. Head not relative to body Sclera tinted ```
40
Type IV oi
``` Moderately severe Fracture range in severity Can be diagnosed at birth but often occurs later Sclera tinted but fade Adults shorter than average ```
41
Managing o
Avoid activities Techniques for safe handling and positioning Energy conservation Healthy lifestyle
42
Treatment of oi
``` cast Splints Wraps Braces Rods Meds Mobility aids ```
43
What is scoliosis
Deformity with lateral curvature of more than 10 degrees | Abnormal curvature of spine
44
Types of scoliosis
``` Functional scoliosis Congenital scoliosis Neuromuscular scoliosis Syndrome related Idiopathic ```
45
Functional scoliosis
Flexible and can be caused by poor posture leg length discrepancy poor postural tone hip contractures or pain
46
Congenital scoliosis
Present aT birth. Structure is caused by abnormal spinal or spinal cord structure.
47
Neuromuscular cp
Cp oi op
48
Syndrome related scoliosis
Marfans
49
85% of scoliosis cases are
Idiopathic Infants .5% Juvenile 10.5% Adolescent 89%
50
Symptoms of scoliosis
``` Uneven shoulders One shoulder blade more prominent Uneven waist One hip higher than the other Leaning to one side Fatigue ```
51
Risk factors for scoliosis
Girls more likely Younger Curves in middle to lower spine less likely to progress Spinal problems at birth
52
Treatment of scoliosis
Surgery if 40-50 degrees Braces. If 25-40 degrees. Prevent further progression Underarm Milwaukee
53
What is jra
Joint inflammation and stiffness with symptoms lasting more than 6 weeks
54
When does jra begin. Who does it affect
Children less than 16 | Usually 2-4 years old. Common in girls
55
Cause of jra
Unknown Maybe predisposed Maybe triggered by environment
56
How to diagnosis jra
``` Med history X-ray Blood test CBC Ana Bone scans Bone marrow examination Erythrocyte sedimentation rate ```
57
What is a CBC
Complete blood count. Look at blood cells for abnormalities
58
What is erythrocytes sedimentation rate
How rapidly blood cells settle to the bottom of a test tube
59
What is Ana
Antinuclear antibody. Detects if there will be eye disease
60
Types of jra
Pauciarticular Polyarticular Systemic
61
What is pauciarticular jra
Affects four or fewer joints. Few to no systemic malformations Girls under 8, Knees hips ankles and elbow often affected Often affects joints on one side of body Iridocyclitis-chronic eye inflammation Positive prognosis
62
Polyarticular jra
``` Onset at any age More girls than boys Five or more joints affected Small joints of hand, knees, hips, ankles, feet, neck Symmetrical ```
63
Systemic jra
``` Equal male to female Onset at any age Affects whole body Least common High fever Red pale spots Anemia High WBC ```
64
Treatment of jra 4 areas
Control inflammation relieve pain Prevent or control joint damage Maximize functional abilities
65
Treatment of jra
``` Meds ADLs Adaptive equipment Exercise Seating ```
66
Prognosis of jra
Varies Large percent cover in 1-2 years About 15% have permanent disabilities