Mkgrady8 Gpmdc 3 Joint And Bone Injuries

Front 1

contusion definition

Back 1

bleeding in soft tissue

Front 2

hematoma

Back 2

when the bleeding in the soft tissue collects

Front 3

edema

Back 3

inflammatory fluid in the tissue that is outside the joint

Front 4

effusion

Back 4

inflammatory fluid in the joint capsule

Front 5

sprain

Back 5

damage to a ligament

Front 6

strain

Back 6

damage to a tendon

Front 7

subluxation

Back 7

a partial dislocation

Front 8

GO OVER: the superficial skin abrasion, deep soft tissue contusion slide

Back 8

do it, she said it was very important (on the test)

Front 9

capsulitis versus fibrosis

Back 9

same thing but for some reason capsulitits is when you are talking about the shoulder and everywhere else is fibrosis; both are scar tissue in the joint that becomes calcified

Front 10

tenosynovitis

Back 10

infection of the tendon sheath

Front 11

need to know whether what you're seeing is

Back 11

infectious arthritis or not (SHE MADE A BIG DEAL ABOUT THIS BUT I'M NOT SURE WHAT SHE'S TALKING ABOUT)

Front 12

anabolic steroids, abx (quinolones), statins increase the risk of what

Back 12

ligament strain, tendon sprain, rupture of either

Front 13

which ligament has the better ability to heal: the cruciate ligaments or the colateral ligaments?

Back 13

the colateral ligaments; the ligaments intrarticular ligaments don't heal easily (cruciates); MCL heals fastest then LCL then PCL then ACL; this is why we replace the ACL instead of tying it back together (it won't heal)

Front 14

bursitis

Back 14

inflammation of periarticular sac; shoulder, elbow, hip, knee, achilles; due to overuse; MAKE SURE THAT IT IS NOT SEPTIC and instead is due to overuse

Front 15

WHAT IS THE UNHAPPY TRIAD

Back 15

tearing the ACL, MCL, and medial meniscus at the same time

Front 16

sprain- THE MORE SEVERE IT IS THE MORE DIFFICULT IT IS FOR THEM TO

Back 16

WEIGHT BEAR

Front 17

HOW DO YOU MAKE A DIAGNOSIS

Back 17

inspection, palpation, active range of motion (ROM) compared to passive ROM, gait; do an x ray (MAKE SURE YOU DON'T ONLY LOOK AT THE BONE ON X RAY BUT ALSO THE SOFT TISSUE SHADOWS)

Front 18

if you think that there is fluid somewhere make sure it's not

Back 18

SEPTIC; THAT MEANS ASPIRATE AND TEST; RULING OUT SEPTIC ARTHRITIS AND SEPTIC BURSITIS; make sure that you don't aspirate through infected skin or tissue however because then you'll just introduce infection into the joint which would be disastrous

Front 19

the terms buckle/torus, greenstick

Back 19

buckle/torus is a compression (too high of a load on the bone that squeezes it down) fracture that looks like a greek column; greenstick is an incomplete fracture (due to tension); these are fractures in CHILDREN

Front 20

avulsion is more common in adults or kids?

Back 20

kids; this is a disconnect of a tendon or ligament from its attachment site

Front 21

IF YOU PAY ATTENTION TO THE LAST 2 SLIDES (OF HER SECOND LECTURE ON 9/10) THEN YOU WILL GET HER QUESTIONS RIGHT

Back 21

so look at them

Front 22

you CANNOT examine a limb through

Back 22

a splint or dressing

Front 23

what should you check when you're thinking fracture?

Back 23

neurovascular status

Front 24

get x-rays of what?

Back 24

the joint above and below the injury

Front 25

make a habit of looking at what

Back 25

the radiographic images and not just the readings

Front 26

describe bone fractures by

Back 26

the bone, location, and classification

Front 27

provide appropriate emergent treatment and then what

Back 27

consult the ortho asap

Front 28

actions before sending a pt with a fracture to an orthopaedist

Back 28

examine the injured area and associated structures, obtain appropriate XRs, gently realign the limb, wash out and dress open wounds (administrate appropriate antimicrobial abx), immobilize the fracture (splint), speak personally to the consultant in all emergent cases

Front 29

what does edema look like?

Back 29

it's extra articular (not in the joint)

Front 30

what does effusion look like?

Back 30

it's fluid in the joint; could be due to a degenerative condition like arthritis (rheumatoid, gouty) or it could be due to infection (septic)

Front 31

what is bursitis?

Back 31

effusion; so could be due to arthritis or infection; this can often be due to piercing of the skin but it is also commonly seen in diabetics (they're skin is not as protective as it once was)

Front 32

medial tibial stress syndrome

Back 32

aka MTSS aka shin splints; runners get this; osteoclastic bone resorption is exceding osteoblastic bone formation; can lead to stress fracture; this is due to increased pressure in the compartment (leads to compartment syndrome too)

Front 33

myofascial pain syndrome/fibromyalgia

Back 33

ideopathic diffuse pain; hard to treat

Front 34

RSD/CRPS

Back 34

chronic regional pain syndrome; autonomic system sends severe pain for no reason (very sensitive so just touching the affected arm (or whatever) causes the pain)

Front 35

myositis osificans

Back 35

MO; hard hit to a muscle can cause calcium deposition

Front 36

heterotopic osification

Back 36

ectopic ossification; happens after injury or surgery so need to give them PT and not just tie down the arm (or whatever)

Front 37

morel-lavalee lesion

Back 37

sheering of the epidermis and the dermis so subq is sheered off; skin can then die because of lack of vessels (they are destroyed in sheering force)

Front 38

avulsion

Back 38

tearing away of a ligament or tendon from the bone; this is way more likely in children (adults will have a rupture or tear of the lig/tendon instead)

Front 39

adhesive capsulitits of the shoulder

Back 39

the shoulder is stuck; there was inflammation that caused it to stick

Front 40

apophysitis

Back 40

inflammation of the insertion point of tendons (childhood condition)

Front 41

pop eye deformity of the bicept

Back 41

often occurs due to eccentric contraction (contraction without shortening of the muscle)

Front 42

positive thompson test

Back 42

when you squeeze their calf they should plantar flex; if not= achilles rupture (and positive thompson's test)

Front 43

comminuted bone fracture

Back 43

a break of the bone into more than 2 fragments

Front 44

angulation in a fracture

Back 44

the bone it not aligned perfectly aka there is an angle formed between the proximal and distal bone piece

Front 45

physeal refers to

Back 45

the growth plate; or something that is common in children