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Flashcards in Thoracic Spine [MDDR] Deck (16):
1

Osteochondrosis, a term used to describe disorders that affect bone growth by bone necrosis is involved in what pathology

Scheuerman's Disease (idiopathic)

2

X-ray for Scheuerman's disease would show

Wedged vertebrae, irregularity of endplates, narrowing of disc space

3

Physiotherapy management

As typically patients present with postural deformity physiotherapy management usually involves postural exercises, stretches and strengthening exercises

4

Surgery for Scheureman's disease is typically when

the kyphosis exceeds 75 degrees when measured on x-rays

5

Osteoporosis clinical features

Poor posture
Increased thoracic kyphosis
Dowagers hump

6

Osteoporosis -> low bone density is usually __________

asymptomatic

7

Are patients usually aware of osteoporosis

No. Only when a fracture occurs

8

Not to be missed for the thoracic region -> bone cancer
Symptoms include

Pain
limited rom
swelling
tenderness
fever
weight loss
unremitting night pain

9

How to recognise inflammatory back pain

insidious onset
back pain at night
morning stiffness
improvement with exercise
no improvement with rest

10

What occurs in thoracic outlet syndrome ?

Compression of structures as they leave the thoracic outlet

"pain, paresthesia, weakness and discomfort in the upper limb which is aggravated by elevation of the arms or exaggerated movements of the head and neck"

11

Ankylosing Spondylitis is a

inflammatory disorder

12

Most active phase of ankylosing spondylitis is

between the ages of 20-50 (men>female)

13

Patient presents with what when he has ankylosing spondylitis

Typically low back pain, and stiffness, reduced spinal mobility, reduced energy fatigue (fatigue up to 65% of patients)

Limited FIS/EIS , as well as side flexion

Note: begins in the SIJ

14

Ankylosing Spondylitis can result in

progressive ossification of the spine (fusion)

15

Common causes of thoracic spine according to Brukner and Khan

Costovertebral Disorder
Facet joint (intervertebral disorder)
Paraspinal Muscle Sprain
Fracture
Scheureman's Disease

16

T4 Syndrome involves

Symptoms arising from the upper thoracic spine, including upper extremity paresthesia or numbness