Common Msk Disorders

Front 1

What are the different kinds of hip pain?

Back 1

Joint (groin)
Lateral (hip gone)
Sacroiliac (buttock/low back)

Front 2

What symptoms are indicative of hip pain in a joint?

Back 2

Pain with weightbearing

Front 3

What kind of pathology is likely with hip pain in a joint in an old person? Young person?

Back 3

Old: OA

Young person: labral tear (you'll hear clickling, locking)

Front 4

If you suspect a labral tear, what should you order up?

Back 4

MRI arthrogram

Front 5

What physical exam test should you do if you suspect joint hip pain?

Back 5

Internal rotation of the leg

Front 6

What's the treatment for hip pain in the joint?

Back 6

NSAIDs
Steroids

Mechanical aids:
Weight loss
Cane

Front 7

What symptoms will someone come in with if they have lateral hip pain?

Back 7

Pain with side lying and walking

Front 8

What will be the physical exam of someone if they have lateral hip pain?

Back 8

Tender to palpation over the trochanter (bursitis) or the tendons (tendonitis)

Front 9

What tendeons insert on the greater trochanter that could be causing tendinitis?

Back 9

Obturator externus, internus
Piriformus
Gluteus minimus

Front 10

What's the treatment for lateral hip pain?

Back 10

Bursitis:
-Steroid injections
-Ice

Tendonitis:
Same
Stretching

Front 11

What is the history of someone who come in with sacroiliac hip pain?

Back 11

Posterior hip/low back/buttock pain

Increased during weightbearing

Front 12

What is the test on the physical exam that you use to look for SI hip pain?

Back 12

Focal tenderness

FABER's test

Front 13

What is the treatment for SI hip pain?

Back 13

Physial therapy

Steroid injection (under fluoro)

Front 14

What is the history that someone presents with if they've got patellofemoral chronic knee pain?

Back 14

Pain behind the patella when they get up

Front 15

What is the exam for patellofemoral knee pain?

Back 15

Positive patellar compression tests

Front 16

What is the treatment for patellofemoral knee pain? Why?

Back 16

Strengthen the vastus medialis, stretch the rest of the quad. Also, strengthen the external hip rotators.

Underlying this is the fact that the patella is displaced laterally and is coming into contact with the femur

DON'T BABY THE LIMB!

If there's foot/ankle problems, use orthotics

Front 17

What is the history of someone with patellar tendonitis?

Back 17

Lots of physical activity, then pain in the inferior patellar region

Front 18

What is the pathology underlying patellar tendonitis?

Back 18

Microtears in the patellar tendon

Front 19

What are the physical exam findings in patellar tendonitis?

Back 19

Tenderness/fullness in a smile distribution below the patella

Front 20

What's the treatment for patellar tendonitis?

Back 20

Rest/ice

Eccentric strengthening

DON'T INJECT!!!

Front 21

What is the history of PA bursitis?

Back 21

Relative overuse (MALL-WALKERS DISEASE) and then MEDIAL knee pain

Front 22

What is the history of someone with plantar fascitis?

Back 22

Overuse

Pain on the plantar surface - the initial steps are the worst

Front 23

What is the physical exam of someone with plantar fasciitis?

Back 23

Tender to palpation, especially when the foot is dorsiflexed

Front 24

What is the history of someone coming in with a calcaneal stress fracture/

Back 24

Hell pain with weightbearing

Pain increasing there as the day continues

Front 25

What's the physical exam test for a calcaneal stress fracture/

Back 25

Reproduction of the pain with a medial-lateral squeeze of the calcaneus

Front 26

What's the history of someone with achilles tendonitis?

Back 26

Overuse

Pain with long strides, doing a calf raise

Front 27

What are the physical exam findings of achilles tendonitis?

Back 27

Tenderness, reproduction of symptoms with pressure over the Achilles tendon

Front 28

What's the treatment for achilles tendonitis?

Back 28

Ice/Nsaids

If really bad, crutches

Eccentric strengthening

Front 29

What's the history of someone with a stress fracture of their foot?

Back 29

Runners/people who are on feet a lot

Pain increases with time spent on foot

Front 30

What are the physical exam findings of someone with a stress fracture?

Back 30

Focal tenderness of the midfoot

Front 31

What's the treatment of someone with a stress fracture of the foot?

Back 31

IT DEPENDS WHICH METATARSAL!!!

2-4: rest/ice/crutches

5th: send them to ortho - this won't heal

Front 32

What is the history of someone with metatarsalgia?

Back 32

Pain with weight bearing

Front 33

What are the physical exam findings of someone with metatarsalgia?

Back 33

Tenderness when you palpate the metatarsal heads (usually the 2nd and 3rd)

Front 34

What is the treatment of someone with metatarsalgia?

Back 34

Orthotics

Front 35

What are the different kinds of shoulder/neck pain?

Back 35

Gleno-humeral

Upper trapezius

C3/C4 radiculopathy

Front 36

What two tendons are vulnerable to impingement in the shoulder? WHy?

Back 36

Long head of the biceps and supraspinatus

They go "under the bridge" of the AC joint and coracoacromial ligament

Front 37

What test do you for a supraspinatus tear?

Back 37

Abduct arm to paralell, 30 degrees from front, externally rotate

Front 38

What is the history of someone with glenohumeral shoulder/neck pain?

Back 38

Recent overuse

Pain with overhead activites

Front 39

What are the physical exam findings of someone with glenohumeral shoulder/neck pain?

Back 39

Pain with ABduction that's increased when the humerus is internally rotated

Front 40

What's the history of someone with upper trapezius pain?

Back 40

Whiplash onset of aching pain in shoulder

Aggravated by a maintenance of posture

Relieved by massage, stretch

Front 41

What are the physical exam findings of someone with shoulder/neck pain?

Back 41

Tender/trigger point pain

Front 42

What's the treatment of someone with shoulder/neck pain?

Back 42

Massage, etc.

Front 43

What's the history of someone with C3/C4 radiculopathy pain?

Back 43

Insidious onset

Pain fluctuates with head/neck position

Sharp (rather than diffuse) in nature

History of remotecervical injury

Front 44

What's the physical exam of someone with C3/C4 radiculopathy like?

Back 44

Pain reproduced when you narrow the neuroforamen

Front 45

What's the treatment of someone with C3/C4 radiculopathy?

Back 45

PT

Meds (anti-neuropathic)

Steroid injections

If bad enough, surgery

Front 46

What's the history of someone with lateral epicondylitis?

Back 46

Overuse

Front 47

What's the physical exam findings of someone with lateral epicondylitis?

Back 47

Tenderness to palpation over the origin of the common wrist/finger extensors

Pain reproduced with resisted wrist extension

Front 48

What's the treatment for lateral epicondylitis?

Back 48

Rest/ice after activity

Steroids/botox

Eccentric strengthening

Front 49

What's the history of someone with deQuervain's Tenosynovitis?

Back 49

History of wrist/hand overuse

Pain over the radial aspect of wrist associated with increased activity

Front 50

What are the physical exam findings of someone with deQuervain's Tenosynovitis?

Back 50

Tenderness over the conjoined APL and EPV muscles