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Exam 2 Skin block > Sports medicine > Flashcards

Sports medicine Flashcards

1
Q

ACL tear: ACL purpose

A

primary stabilizer of the knee, preventing anterior tibial translation

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2
Q

ACL tear: SX

A

Popping sounds, hemearthritis, knee instability

associated with meniscal tear

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3
Q

ACL tear: Exam

A

X ray negative

MRI positive

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4
Q

ACL tear: TX

A

PT (hamstring strengthening) or ACL reconstruction

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5
Q

Frozen shoulder: Description

A

Idiopathic loss of shoulder motion, associated with diabetes, 40-60 years.

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6
Q

Frozen shoulder: SX

A

Early freezing with thawing 6-24 months

pain may be associated with this

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7
Q

frozen shoulder exam

A

loss of 50% active and passive ROM

painful deltoid insertion

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8
Q

frozen shoulder: Test

A

x rays are negative

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9
Q

frozen shoulder: TX

A

NSAIDS, injections, ROM with pt

arthroscopic lysis of adhesion of MUA

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10
Q

Impingement syndrome

A

inflammation of the subacromial bursa and rotator cuff tendons in middle aged person

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11
Q

Impingement syndrome: SX

A

lateral shoulder pain with overhead activity

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12
Q

Impingement syndrome: Exams

A

positive hawkins (impinge the supraspinatus tendon), supraspinatus test. No weakness.

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13
Q

Impingement syndrome: TX

A

PT, steroid injection, surgical decompression

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14
Q

Elbow epicondylitis: Description

A

Degenerative and painful condition of Extensor carpi radialis brevis and/or flexor pronators

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15
Q

Elbow epicondylitis: SX

A

35-55 yo with pain on either the medial or lateral epicondyle with activity

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16
Q

Elbow epicondylitis: Exams

A

pain on the epicondyle.

lateral epicondyle with pain with extension of wrist

medial epicondyle with pain with flexion of wrist.

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17
Q

Elbow epicondylitis: TX

A

ice, brace, larger grips for pen or luggage. PT, anti inflam, PT

steroid may help because of paradoxical inflammation to promote bone healing.

surgical debridement

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18
Q

Meniscal tear: description

A

fraying or tearing of menisci

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19
Q

meniscal tear: SX

A

locking and catching of the knee

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20
Q

meniscal tear: exam

A

Mcmurray’s positive

joint line tenderness

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21
Q

meniscal tear: Test

A

x ray negative

MRI show tear

22
Q

meniscal tear: tx

A

PT

arthroscopic debridement

23
Q

olecranon bursitis: description

A

inflammation of olecranon bursitis. Gout.

24
Q

Olecranon bursitis: SX

A

swelling, painful posterior elbow

25
Q

Olecranon bursitis: exam

A

mass over tip of elbow, tender, red, hot

26
Q

Olecranon bursitis: test

A

aspiration for crystal or infection

27
Q

Olecranon bursitis: TX

A

NSAID

surgical tx

28
Q

patellofemoral pain: description

A

pain around the patella without signs of arthritis , common in teenagers with growth spurts

29
Q

patellofemoral pain: SX

A

achy pain anterior knee worse after long periods of sitting, and climbing stairs

30
Q

patellofemoral pain: exam

A

Q angle

patellar apprehension

resisted extension of knee

31
Q

patellofemoral pain: test

A

xray normal

32
Q

patellofemoral pain: tx

A

PT for quad strength

33
Q

plantar fasciaitis: description

A

degenerative tear of plantar fascia, more common in women and overweight persons with tight heel cords

34
Q

plantar fasciaitis: SX

A

worse heel pain in morning, insidious onset

35
Q

plantar fasciaitis: exam

A

tender on medial and lateral calceneous, tight dorsiflexion

36
Q

plantar fasciaitis: test

A

x ray show heel spurs, which is not causing pain but a symptom

37
Q

plantar fasciaitis: tx

A

NSAID, Heel cups, stretches for heel

injections

surgical release

38
Q

Rotator cuff tear: description

A

tear of supraspinatous (most common), infraspinatous, subscapularis, or teres minor

acutely in young, chronic degeneration in old

39
Q

Rotator cuff tear: SX

A

pain with overhead activity, catching, grating sensation

40
Q

Rotator cuff tear: exam

A

positive drop arm, hawkins, weak supraspinatous, weak external rotation

41
Q

Rotator cuff tear: tests

A

x rays may show high riding humeral head

MRI shows discontinuity of tendon

42
Q

Rotator cuff tear: tx

A

PT, nsaids

repair of tendons

43
Q

Rupture of proximal biceps tendon: description

A

rupture of long head of biceps, with labral injury

44
Q

Rupture of proximal biceps tendon: SX

A

sudden pain, bulge in arm

45
Q

Rupture of proximal biceps tendon: exam

A

popeye arms, pain with supination

46
Q

Rupture of proximal biceps tendon: test

A

x ray negative

MRI show tear with hematoma

47
Q

Rupture of proximal biceps tendon: tx

A

NSAIDS, PT

surgery (tenodesis: staple)

48
Q

trchonateris bursitis: description

A

inflammation of the great trchonateric bursa from IT band

49
Q

trchonateris bursitis: SX

A

lateral hip pain, unable to lie on side

50
Q

trchonateris bursitis: exam

A

point tender over posterior GT

ober’s test

51
Q

trchonateris bursitis: Test

A

x ray negative

MRI show swelling of BURSA

52
Q

trchonateris bursitis: TX

A

NSAIDS

PT for stretches and strengtething

Exam 2 Skin block (22 decks)

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