Musculoskeletal

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Author:
PNP9
ID:
251618
Filename:
Musculoskeletal
Updated:
2013-12-08 15:50:59
Tags:
msk
Folders:
MSK
Description:
msk
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  1. Difference between diff types of joints: synovial, cartilaginou and fibrous joints?
    Synovial joints – freely movable (knee, shoulder)

    Cartilaginous joints – slightly movable (vertebral bodies)

    Fibrous joints – immovable (skull structures)
  2. Muscular testing?
  3. LBP difference with these conditions?
    Back strain, acute disc hernation and osteoarthritis?
    • Back strain: Low back, buttock, posterior thigh
    • aching pain, spasm, pain increased with activity or bending, limited motion due to pain

    • Acute disc herniation: Low back to lower leg pain, sharp, shooting or burning pain, paresthesia in leg, pain better with standing;
    • increased with bending or sitting

    Osteoarthritis: Low back to lower leg; often bilateral, ache, shooting pain, "pins and needles" sensation, increased with walking, especially up an incline; decreased with sitting
  4. Ottawa ankle rule?
  5. Thompson Test?
    • used to determine the integrity of the
    • Achilles tendon, is performed with the patient lying prone with his or her
    • knees extended and feet off the table. If the Achilles tendon is intact, the
    • amount of plantar flexion of both feet will be equal when the gastrocnemius
    • muscles are simultaneously squeezed. The test is considered positive when the
    • amount of plantar flexion on the involved side is diminished or absent
  6. How do you test the acromioclavicular joint?
    crossover test - 494
  7. Test subacromial and subdeltoid bursae?
    494
  8. SS of RF
    Pain migrating from joint to joint
  9. SS of RA
    • progressive additive pattern w/ symmetric involvement ( multiple joints)
    • stiffness = muscle atrophy + weakness 
    • tenderness at compression
  10. Myalgia
    general pain and ache
  11. Arthralgia
    pain w/o evidence of arthritis
  12. Diff between RA and OA
    • RA:
    • symmetric, inflammation
    • PIP, MCP, MTP

    • OA
    • Not inflammed, symmatrical
    • DIP, CMC
  13. Diff between muscle spasms?
    • Muscle spasms
    • either traumatic or nontraumatic,
    • neck pain, limited ROM

    • Cervical disc injury
    • traumatic injury
    • worse with tilt to the affected side 
    • numbness or tingling to affected dermatomes
    • may not have pain or radicular pain
  14. Back pain? Acute disc hernation and OA?
  15. Back pain? Acute disc hernation and OA?
    • Back strain: Low back, buttock, posterior thigh
    • aching pain, spasm, pain increased with activity or bending, limited motion due to pain

    • Acute disc herniation: Low back to lower leg pain, sharp, shooting or burning pain, paresthesia in leg, pain better with standing;
    • increased with bending or sitting

    Osteoarthritis: Low back to lower leg; often bilateral, ache, shooting pain, "pins and needles" sensation, increased with walking, especially up an incline; decreased with sitting
  16. shoulder pain vs cervical disc injury
  17. Rotator cuff muscles test

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