Pathology 10 - MSK

Question 1

Rotator Cuff Tendonitis - what produces symptoms

Answer 1

rep overhead activities - impig of the supraspinatus

therefore the supra is not able to depress the humeral head

Question 2

Rotator Cuff Tendonitis - primary impig 2/2

Answer 2

intrinsic or extrinsic factors within the subacromial space

Question 3

Rotator Cuff Tendonitis - secondary impig 2/2

Answer 3

poor mechanics or insatbility at the GH

Question 4

Rotator Cuff Tendonitis - what tendon is most commonly involved

Answer 4

supraspinatus tendon

Question 5

Rotator Cuff Tendonitis - where does the supraspinatus insert

Answer 5

greater tubercle of the humerus

Question 6

Rotator Cuff Tendonitis - pop

Answer 6

overhead activities - swimming, tennis, baseball, painting

25-40

Question 7

Rotator Cuff Tendonitis - clinical presentation

Answer 7

difficulty with overhead activties

dull ache after period of inactivity

weak and pain with arc- 60-120-deg

pain at insertion of involved muscle

Question 8

Rotator Cuff Tendonitis - night

Answer 8

pain is normally increased at night - decreasing sleep time

Question 9

Rotator Cuff Tendonitis - what activties do patient have a hard time with

Answer 9

dressing

repative shoulder motions - lifting, throwing, swinging

Question 10

Rotator Cuff Tendonitis - imaging

Answer 10

MRI - not often used 2/2 high cost

X-ray - laterally rotated shoulder can be used to ID Ca depoists

Question 11

Rotator Cuff Tendonitis - special test

Answer 11

yergason’s

speeds

empty can (jobes)

hakins and kennedy

Question 12

what muscle are involved with Rotator Cuff Tendonitis

Answer 12

supraspinatus

long head of the biceps

subacromial bursa

glenoid labrum

Question 13

what are analgesics

Answer 13

medications that relieve pain by either reducing inflammation or changing the way the brain perceives pain.

Question 14

what is the difference between Acetaminophen and Nonsteroidal anti-inflammatory drugs (NSAIDs)

Answer 14

Acetaminophen: raising your pain threshold—it will take a greater amount of pain for you to feel it.

NSAIDS: reduce inflammation. (ibuphrophen)

Question 15

RC tear full and partial tear population

Answer 15

partial tear - younger pop

full tear - older pop

Question 16

Scoliosis - what is the direction of the curve

Answer 16

lateral

can be associated with lordosis or kyphosis

Question 17

Scoliosis - what zones of the back is the curve seen most often

Answer 17

thoracic or lumbar

Question 18

Scoliosis - rot of the SP

Answer 18

rotated towards the concave side

Question 19

Scoliosis - rid on the concave side

Answer 19

laterally and anteriorly

Question 20

Scoliosis - rib on the vex side

Answer 20

pushed anterior and the thorcic cage narrowed

Question 21

Scoliosis - vert body

Answer 21

towards vex side

Question 22

Scoliosis - vert canal changes

Answer 22

narrowed on the convex side

Question 23

Scoliosis - majority of cases present as what

Answer 23

idopathic - unknown cause

Question 24

Scoliosis - subset classificatiosn

Answer 24

0-3: infantile

4 - puberty: juvenille

12 G, 14 B: adolesent

skeletal maturation: adult

Question 25

Scoliosis - what is nonstructural scoli

Answer 25

reversible curve that can change with reposisitoning non-progressive

Question 26

Scoliosis - what is nonstructural scoli normally caused by

Answer 26

leg length discrepancy poor posture

Question 27

Scoliosis - what is structural scoli

Answer 27

cannot be corrected with movement and can be caused by congenital MSK and neuro reasons

Question 28

Scoliosis - contributing factors to a structural scoli

Answer 28

development of the spine in utero associate neuro disease - cerebral palsy, muscular dystrophy, congenitial defect of the vert inheritance of a auto dominent trait

Question 29

cerebral palsy what is it

Answer 29

a group of disorders that affect a person's ability to move, balance, and maintain posture. It's caused by damage or abnormal development in the brain that occurs before, during, or after birth.

Question 30

scoliosis - asymetries in the body

Answer 30

asym: shoulders, scpaula, pelvis, and skin folds

Question 31

scoliosis - juvenile idopathic scoli presentation

Answer 31

4 - puberty thoracic curve with vex towards the right progression: rib hump post over the thoracic region on the vex side of the curve no pain until curve has progressed

Question 32

scoliosis - adolescent socli of greater the 30 deg is more common in what pop

Answer 32

women

Question 33

scoliosis - do curves of <20 deg cause impairment

Answer 33

rarely

Question 34

scoliosis - imaging

Answer 34

anterior and lateral view x-rays with patient standing and bending mRI - can be used to rule out other conditions

Question 35

scoliosis - what method is used to determine the angle of the curvature

Answer 35

Cobb method

Question 36

what conditions do we want to rule out in the presents of scoliosis

Answer 36

spondy infection neoplasm disk herniation compression fx

Question 37

scoliosis - postural abnormality

Answer 37

increase in space between the trunk and the elbs during standing leg length uneven shoulders and hips promience of one side of the pelvis

Question 38

scoliosis - what does curve >60-deg lead to if untreated

Answer 38

pulmonary insufficiecy pain impact lung capcity arthy disc patho

Question 39

scoliosis - estim used for

Answer 39

pain biofeedback for proper posture

Question 40

scoliosis - curve less then 25 exercises and intervention

Answer 40

should be monitored every 3 months breathing exercises and stregthening

Question 41

scoliosis - curve 25 - 40 exercises and intervention

Answer 41

spinal orthesis PT for posture, strehtening, and breathing

Question 42

scoliosis - curve >40-deg exercises and intervention

Answer 42

surgical spinal stablization

Question 43

scoliosis - surgical methods to correct

Answer 43

posterior spinal fusion spalization with a harrington rod

Question 44

scoliosis - what does prognosis depend on

Answer 44

age of onset severity of the curve

Question 45

scoliosis - what results in the best outcome

Answer 45

early inntervention

Question 46

scoliosis - when does the curve stop progressing

Answer 46

skeletal maturity

Question 47

scoliosis - curve progression <40-deg at skeletal maturity

Answer 47

scoli does not progress sig

Question 48

scoliosis - curve progression >50-deg at skeletal maturity

Answer 48

ongoing progression of the curve each year of life

Question 49

scoliosis - neuromuscular scoli

Answer 49

development patho that result in alteration of the structure of the spine EX: cerbral plasy, marfans

Question 50

scoliosis - degenerative

Answer 50

normal aging progress

Question 51

scoliosis - what type of scoli do we treat

Answer 51

structural - this does not chnage with lateral bending

Question 52

scoliosis - is most common between what ages

Answer 52

10-13

Question 53

scoliosis - more common in girls or boys

Answer 53

either - 10< curve girls: curve >30

Question 54

scoliosis - pain

Answer 54

no normally a result of the spinal curve but the abnormal forces placed on other tissued of the body because fo the curve

Question 55

scoliosis - when is surgery indicated

Answer 55

>40-deg curve