NMS III Flashcards

(41 cards)

1
Q

What are three muscles to focus rehab on in a AC sprain?

A

Serratus Anterior, Deltoid, and Trapezius

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2
Q

Etiology of an AC sprain

A

trauma to posterolateral shoulder, FOOSH, distraction loading, insidious

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3
Q

What is the most common form of bicipital tendonitis? Describe it

A

Secondary: inflammation associated with shoulder pathology such as impingement syndrome or RCT

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4
Q

What muscle is commonly affected by calcific tendonitis?

A

supraspinatus

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5
Q

What bony landmark do the calcific deposits accumulate next to?

A

Greater tubercle

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6
Q

2 common etiology of calcific tendonitis?

A

Idiopathic (most cases) or metabolic

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7
Q

Risk factors of RCT include

A

obesity, smoking, CVD,

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8
Q

A rotator cuff tear can lead to BLANKK leading to BLANKK leading to BLANKKK

A

RCT–>INstability–>Impingement/bursitis–>Adhesive Capsulitis

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9
Q

Which is more effective at treatement of pain and function, surgery or PT?

A

surgery

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10
Q

WHich iis more common: Bicipital tendonopathy with inflammed tendon and NO shoulder pathology or inflammed tendon with impingement/shoulder pathology?

A

INFLAMMED TENDON WITH IMPINGEMENT IS MORE COMMON

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11
Q

systemic inflammatory conditions that affect the shoulder ? 3

A

RA, SLE, and INFECTION

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12
Q

Specific Risk Factors of Bicipital Tendonopathy

A

previous RCT, recurrent tendonitis, contralat biceps tendon rupture, RA, age over 40, poor conditioning

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13
Q

which of the following PT modalities is effeective for bicipital tnedonopatlhy?

A

US

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14
Q

What is the most common cause of shoulder pain?

A

Impingement

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15
Q

Is surgery or conservative non surgery more effective for shoulder impingement syndrome?

A

surgery is NO more effective than non surgery.

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16
Q

order of diagnositic triage when assessing a sports injury?

A

musculotendinous, skeletal, nervous, vascualr, then pathology

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17
Q

8 critical factors of RTP

A

age/maturation, general health, severity injury, time of healing, previous responses, demand of sport, availabilty of resources, patient understanding/risks

18
Q

Which row of carpal bones are the most vulnerable to injury?

19
Q

extension with radial deviation=

extension with ulnar deviation+ what injury

A

E and RD=fracture

E and UD=sprain, dislocation, tfc tears

20
Q

what is the most common MOI of the wrist injury?

A

hyperextension

21
Q

Which direction does the proximal row travel in a FOOSH? what causes this? wrist

A

the proximal row travels anterior because during a foosh injury, typically you land on the distal row, pushing the proximal row anteriorly

22
Q

Ulnar deviation etiology would injure what wreist ligament?

23
Q

Radial deviation wrist etiology would injure what ligament?

24
Q

hyperflexion wrist injury is COMMON OR RARE?

A

RARE, will damage the dorsal radiocarpal ligaments and lunotriquetral igaments

25
signs of wrist sprain
clicking/creptius with joint plays and pain
26
What is the most common form of instability
dorsal intercalted segemtnal instability
27
What causes a DISI? MOI
hyperextension
28
What bones become disassociated in a DISI?
lunate and triquetrum
29
which direction does the lunate get driven in a DISI injury?
anteriorly
30
What is it called when a hyperfelxion injury occurs and there is disassociation of the lunate and triquetrum
ventral intercalated segnmental instability
31
what is the most commonly dislocated carpal?
lunate, anteriorly
32
when the wrist is hyperextended what is the relationship b/t the scaphoid and lunate?
scaphoid and lunate move apart
33
what is the most commonly torn ligament in the wrist
scapholunate ligament
34
When considering swelling, how do wrist injury compare to finger injuruies?
less swelling in wrist compared to the finger sprain
35
definition of dequervaines
tenosynovitis of the APL and EPB along the lateral wrist and base of thumb
36
what tendons involved with dequervaines
Abductor pollicis longus and extensor pollicis brevis
37
How would you load these tendons?
muscle test, stretch them through flexion, ulnar deviation
38
squeaky thumb associated w/
dequervaines: thumb tendson feel bowstringed
39
what ortho can be used to ddx this?
finklesteins
40
how does intersection syndrome differ from dequervaines?
same presentation but PT has lateral wrist pain
41
what tendons are involved?
ECRB and ECRL repetitievely injured