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35 Cards in this Set
- Front
- Back
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Morphology with AC Osteoarthrits? |
Women and Diabetics >20 years old DJD of meniscus Affects motion/Rotator Cuff Impingement and degeneration |
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Pathologies of AC Osteoarthtisis? |
Repetitive minor stress/trauma Subchidral sclerosis/cyst/
osteophytes/DJD
Traumatic osteolysis weightlifting,rugby,hockey |
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AC Assessment |
History Gradual onset pain 20-30yo Starting off pain Crepitation and decrease movement Exam Atrophy Altered ROM Crepitation and decrease motion X-ray |
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Treatment AC Osteoarthritis |
Mobilisations Adjust around joint PT/nutrition Heat Progressive exercise --> ROM resistance Advice |
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SC Joint Sprains and Tears Assessment |
Dislocations are Rare 1) pain, swelling, alt joint okay 2) swelling, bruising, pain Damage to SC &CC ligaments 3) Anterior more common Posterior = pressure on trachea or vessels or plexus Instability |
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Treatment of SC? |
PRICES Adjust low force --> high force Tape brace post adjusting Ensure proper function of Shoulder girdle & spine Acute--> repair--> rehabilitation |
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Humeral fractures Morphology |
Osteoporosis Pain and muscle splinting Associated dislocation Neurovascular injury |
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Significant assessment for humeral fracture? |
Foosh Adolescent epiphyseal injury Trauma to shaft Circulation &a nerve compromise. Signs of radial nerve damage Decrease ROM & muscle splinting Diagnostic imaging |
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Humeral fracture treatment |
Refer for medical assessment/casting Sling Heal & rehabilitate Goal 1) stabilise and align 2) normal ROM AND STRENGTH
AC Pulse magnetic therapy/laser Nutrition Modify Spinal adjustments Mobilisation --> modify adjustment |
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Humeral fracture treatment |
Refer for medical assessment/casting Sling Heal & rehabilitate Goal 1) stabilise and align 2) normal ROM AND STRENGTH
AC Pulse magnetic therapy/laser Nutrition Modify Spinal adjustments Mobilisation --> modify adjustment |
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Humeral fracture treatment |
Refer for medical assessment/casting Sling Heal & rehabilitate Goal 1) stabilise and align 2) normal ROM AND STRENGTH
AC Pulse magnetic therapy/laser Nutrition Modify Spinal adjustments Mobilisation --> modify adjustment |
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Clavicle fracture morphology |
Most commonly in middle Cross section different along length Age= type Impact absorbed at weakest area Complicated at birth Compromised circulation and medial cord brachial plexus |
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Clavicle fracture pathology |
Overlap common Be aware of complications Prevent post trauma stiffness |
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Clavicle fracture assessment |
PT holds elbow, drooping shoulder Displacement Asssess neurovascular compromise Test Ulnar nerve Neonate DDX X rays aware of distal 1/3 Aware persistent pain |
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Clavicle fracture assessment |
PT holds elbow, drooping shoulder Displacement Asssess neurovascular compromise Test Ulnar nerve Neonate DDX X rays aware of distal 1/3 Aware of persistent pain |
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Clavicle fracture Treatment |
Referral: safety reasons Bandage/ fig 8 brace Healing and rehab AC pulse therapy/laser Nutrition ROM Exercise Mobilise --> modify adjustments Modify spinal adjustments STT |
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Clavicle fracture Treatment |
Referral: safety reasons Bandage/ fig 8 brace Healing and rehab AC pulse therapy/laser Nutrition ROM Exercise Mobilise --> modify adjustments Modify spinal adjustments e.g seated not prone STT |
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Sprengles Deformity Morphology, Function & Pathology |
Congenital (high scap) or Aquired - (Neuro Scapular Dyskinesia) Long thoracic nerve etiology 2:1 more in female Unilateral |
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Sprengles Assessment |
Associated anomaly Etiology Postural change ROM change X-ray findings |
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Sprengles Treatment |
Cong - associated Shoulder or thoracic conditions Aquired - same as for suprascapular n entrapment Surgery best between 4&7 |
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Brachial Plexus Injury Morphology & function |
Nerve roots - trunks - division - cords - peripheral nerves
Traction Trauma Compressive Trauma Erb's Palsy/Klumpke's Paralysis |
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Brachial Plexus Injury Pathology |
Neurovascular injury Overlap Referral?????? |
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Brachial Plexus assessment |
Etiology of Trauma Erb paralysis c5-6 " Waiters Tip Klumpke Paralyis C8-T1 claw hand Neuro assessment EMG |
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Brachial Plexus Injury assessment |
Etiology of Trauma Erb paralysis c5-6 " Waiters Tip Klumpke Paralyis C8-T1 claw hand Neuro assessment EMG |
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Brachial Plexus Injury Treatment |
ASPENRAC Acute - modify with MAT Atrophy -> referralfor surgical decompression |
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Brachial Plexus neuritis |
Not common Idiopathic/inherited Reaction to Systemic disorder R.A, ankylosing spondylosis Decrease immune system Axillary suprascapular & long thoracic nerve lesion |
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Brachial Plexus neuritis |
Not common Idiopathic/inherited Reaction to Systemic disorder R.A, ankylosing spondylosis Decrease immune system Axillary suprascapular & long thoracic nerve lesion |
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Brachial Neuritis assessment |
Young adult males Rapid onset unilateral right Weakness and Paresis Follows Fasciculations Muscle assessment & Neurological Lab Diagnosis?? |
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Brachial Neuritis Treatment |
ASPENRAC - multi modal care Acute-Modify with MAT Treat Systemic Disorder |
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Complex Regional Pain Syndrome - Morphology Type 1 & 2 |
After initial Trauma Reflex = Symp Nervous System Sympathetic = Vasomotor & Sudomotor Dystrophy = Wasting of tissue |
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Complex Regional Pain Syndrome - Function |
Complaint of Vasodilation & Stiffness Inc Vasodilation dec Stiffness or vice versa Stiffness and Atrophy Pain/Causalgia/ Symp Activity Osteoporosis, Osteoarthrosis Changes to Circulatory Pump |
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Complex Regional Pain Syndrome - Pathology |
Major or Minor Trauma Stage 1) -3 Months (acute) Stage 2) -3 - 6 Months Stage 3) - >2 Years Within Months of injury starts to become dystrophy |
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Complex Regional Pain Syndrome - History |
Type A Personality Trauma and resultant symptoms Continous burning or throbbing pain, usually in arm, leg, foot Sensitive to touch or cold Swelling of the painful area Changes in skin temp - at times skin may be sweaty, other times may be cold Changes in skin Colour white,mottled red or blue Changes in skin texture, tender, thin or shiny at affected area Changes to hair and Nail growth Joint stiffness, swell and damage Muscle spasms, weakness & Atrophy Decreased ability to move the affected bodypart Symptoms change and vary person to person PAIN MOST COMMON Swelling, redness, noticeable changes in temp and hypersensitivity esp cold occur first |
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Complex Regional Pain Syndrome - Exam |
Stages of changes to skin nails hair joints, muscles ROM changes Palp Changes Neurological sensitivity XRAY --> Osteoperosis, Atrophic Osteoarthrosis Bone Scan DDX |
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Complex Regional Pain Syndrome - Treatment |
DONT over Ajust! Change of lifestyle Nutrition VIT C and PT important Self Management Monitor Well Medical Approach? |
