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55 Cards in this Set
- Front
- Back
Functional Scoliosis characteristics
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compensatory, postural and transient - the back becomes symmetrical when bent forward as in adams test |
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Structural Scoliosis character
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congenital, neuromuscular and idiopathic the back remains asymmetrical when bent over as in adams test |
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Adams test
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for scoliosis, bent over w upper extremities dangling beside knees or hands clasped, look for asymmetry |
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Colles wrist fx |
from catching oneself by falling on palm |
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smiths fx |
opposite of colles - falling on back of hand |
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location of Navicular bone |
boat-shaped bone located in the top inner side of the foot, just above the transverse. It helps connect the talus, or anklebone, to the cuneiform bones of the foot.
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tests for DeQuervain's Disease
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finkelstein's test - make a fist with thumb inside and actively deviate wrist toward ulnar side |
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what is the other name for DeQuervain's Disease
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stenosing tenosynovitis |
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positive Finkelstein's test |
pain over LI 5 snuffbox = deQuervain's dz or stenosing tenosynovitis |
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test for carpal tunnel |
phalens and tinels |
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nerve affected in carpal tunnel syndrome |
median nerve |
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distribution of median nerve |
thumb, index, middle , half ring (tingles when tapped at wrist indicate carpal tunnel) |
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drawer sign on knee |
either anterior cruciate ligament or posterior cruciate ligament instability - if tibia moves more than 6mm on femur |
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Abduction/Adduction Stress Test for knee
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medial collateral ligament or lateral collateral ligament instability |
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varus = |
bowlegged |
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valgus = |
knock kneed (val GUM - holds the gum between her knees) |
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genu = |
knee |
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genu varum
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knees bend laterally outward |
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genu valgum
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knees bend medially inward |
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genu recurvatum
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knees hyperextended backward |
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Osgood-Schlatter disease
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painful lump below the kneecap in children - growing pains
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Baker's cyst
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popliteal cyst causing bulge and a feeling of tightness behind knee from arthritis or cartilage tear
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main muscles which are responsible for dorsiflexion are
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tibialis anterior
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main muscles which are responsible for plantar flexion are
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gastrocnemius and soleus
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Camel Sign of the knee
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double hump at the patella observed in patients with patella alta. The first hump is the high positioned patella and the second hump is represented by the infrapatellar fat pad or infrapatellar bursa |
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café au lait spots significance?
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neurofibromatosis - most common neurological genetic disorder causes benign tumors to form on the nerves anywhere in the body at any time also scoliosis, macrocephaly and short stature and HTN
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muscle & nerve between the greater trochanter and the sacrum
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piriformis muscle and sciatic nerve |
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C5 reflex on what tendon? |
biceps tendon |
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C6 reflex on what tendon? |
brachioradialis |
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C7 reflex what tendon? |
Triceps |
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the olecranon process is on what bone? |
the ulna |
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Trendelenberg's Sign: how performed, positive finding, and interpretation
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standing on one foot the iliac crest on that side is higher indicates weak glut medius etc |
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preg hormones cause what to happen to joints and sinews |
relaxing, stretching |
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Syndesmosis:
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In this type of fibrous joints the bones are connected with interosseus ligament for example the inferior tibiofibular joint.
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Gomphosis:
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These are also known as peg and socket joints. Examples are tooth in the socket.
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synchondrosis:
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Primary cartilaginous joints - temporary - because after a certain age the cartilaginous plate is replaced by the bone. Ex: between the epiphyses and diaphysis of a growing long bone
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symphysis:
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Secondary cartilaginous joints -permanent -symphysis pubis, manubrio-sternal joint and intervertebral joints between the vertebral bodies
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Synarthroses
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Immovable joints: sutures of the skull
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Amphiarthroses
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Partially moveable joints: intervertebral discs
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Diarthroses
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Freely moveable joints: knee
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Tests for SI Joint pain
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gaenslens, iliac compression, hibbs and yeomans |
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describe gaenslens test |
examiner presses flexed knee to abdomen while slowly hyperextending affected thigh, gradually applying pressure just above the knee
POS= pain in SI area or rad down thigh |
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describe illiac compression test |
pt sidelying, examiner applies downward pressure to upper iliac crest POS= pain in SI area |
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describe Hibbs test |
pt prone, examiner stabilizes pelvis on side nearest self, other hand grasps pts opposite ankle, bends knee to 90 degrees and pushes ankle laterally POS= pain in SI area/pelvis |
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describe yeomans test |
pt prone, examiner stabilizes suspect SI joint, other hand flexes knee on affected side and lifts knee off table POS = pain in SI |
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Acu Ortho red flags |
severe unremitting pain pain unrelieved by meds or position change severe night time pain pain without hx injury severe spasm psych overlay LOC obvious lesions |
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Adams test is positive for functional scoliosis when |
the back is symmetrical when bent forward |
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Adams test is positive for structural scoliosis when |
the back is asymmetrical when bent forward |
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The prinicipal or main muscles which are responsible for dorsiflexion are
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tibialis anterior
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The principal or main muscles which are responsible for plantar flexion are
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gastrocnemius and soleus
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plantar flexion is |
pushing on the gas pedal or standing on tip toe |
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dorsiflexion is |
pulling toes up toward head |
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dorsal root ganglion |
sensory nerve tract |
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ventral root ganglion |
motor nerve tract |
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what nerve root goes to the achilles tendon? |
S1 |