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Flashcards in NMS III Deck (41):
1

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

Serratus Anterior, Deltoid, and Trapezius

2

Etiology of an AC sprain

trauma to posterolateral shoulder, FOOSH, distraction loading, insidious

3

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

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

4

What muscle is commonly affected by calcific tendonitis?

supraspinatus

5

What bony landmark do the calcific deposits accumulate next to?

Greater tubercle

6

2 common etiology of calcific tendonitis?

Idiopathic (most cases) or metabolic

7

Risk factors of RCT include

obesity, smoking, CVD,

8

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

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

9

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

surgery

10

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

INFLAMMED TENDON WITH IMPINGEMENT IS MORE COMMON

11

systemic inflammatory conditions that affect the shoulder ? 3

RA, SLE, and INFECTION

12

Specific Risk Factors of Bicipital Tendonopathy

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

13

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

US

14

What is the most common cause of shoulder pain?

Impingement

15

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

surgery is NO more effective than non surgery.

16

order of diagnositic triage when assessing a sports injury?

musculotendinous, skeletal, nervous, vascualr, then pathology

17

8 critical factors of RTP

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

18

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

proximal row

19

extension with radial deviation=
extension with ulnar deviation+ what injury

E and RD=fracture
E and UD=sprain, dislocation, tfc tears

20

what is the most common MOI of the wrist injury?

hyperextension

21

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

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

22

Ulnar deviation etiology would injure what wreist ligament?

RCL

23

Radial deviation wrist etiology would injure what ligament?

UCL

24

hyperflexion wrist injury is COMMON OR RARE?

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