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Conditions Test 2b

Conditions Chap 7 for test 2 SRM

QuestionAnswer
Tendons(sinew)p301 Made of tough strands/cords, of dense connective tissue:attach muscles to bones. Non-elastic: do not offer much give but they can withstand the tension created by our muscles contracting. ("Tender"=Bone to muscle)
Ligaments p301 Made of tough, dense, fibrous bands of connective tissue, hold bones together either around a joint capsule (hip) or across the joint (knee). They allow movement in one direction while restricting it in another (stability). (Bone to Bone)
Strain p.332 Injured tendon, muscle or other tissue resulting from: overuse, overstretching, escessive forcible stretching (of tissue beyond functional capacity)
Sprain p332 Acute partial Tear of a ligament. Graded 1st, 2nd, & 3rd degree.ligament. It is a more serious condition that includes blood vessel and nerve damage (blood clots and hair line fractures are a concern).
How long does it typically take a strain or sprain to heal pg 334 2-6 weeks for both dependent upon severity
Which limb is most commonly amputated & why p333 The legs due to atherosclerosis & constant gangrene. 2ndry causes include trauma, frostbite, thermal/electical burns, infection & malignancy
What is the difference between a cummulative trauma or an acute strain or sprain? cummulative is the result of chronic overuse vs. acute which is from an immediate injury/trauma
Dislocation Forcible displacement of a bone from its joint (completely) causing loss of joint function
Subluxation Partial but not total displacemnt of bone from its joint
Why is it important to have a sprain/strain diagnosed? To rule out any FXs
T/F: Dislocations & Subluxations are only caused by accidents, sports injuries or other traumas. FALSE. Congenital weakness, arthritis, Ehlers-Danlos Syndrome (hypermobility/skin laxity) can all contribute (+etc)
Adhesive Capsulitis AKA Frozen Shoulder p335 Very limited ROM due to inflammation,scarring,thickening,&shrinkage around the shoulder capsule.Site is stiff/painful:either localized or encompasses the upper arm/neck, can disrupt sleep. Shoulder may be permanently impaired (frozen)after pain’s gone.
What causes (etiology) Adhesive Capsulitis p336 Inflammation of the sapsule with secondary scarring--usually begins after a slight injury/problem such as bursitis & tendonitis
Importance to OT (Frozen Shoulder) p336 Teach/assist with ROMs, use cold/heat therapy, Finger Tree, Stem, NSAIDs,reinjury avoidance
What are the most common dislocations shoulder, hip, fingers, spinal column
What is the most common dislocation in the shoulder An anterior dislocation (A/C Joint)
If you have a dislocation of the shoulder from a stroke, where is it likely to occur Bottom of Acromion
As an OT, your patient's shoulder just popped out of socket. Should you attempt to pop it back in real quick, so you can put some heat/ice on it? NO! Only people trained in reductions should attempt to reduce a dislocation otherwise you could further damage.
How do you diagnose sprains/strains/dislocations/subluxations? xrays
Who is most likely to get Frozen shoulder? Middle aged women, diabetics, chest/breast SX pat's
How long does the pain in frozen shoulder usually last around 3-4 months
Severed Tendon p336 When a tendon is torn completely into 2 sections preventing the muscle from performing its function of moving a body part
What are the 2 most common severed tendon sites Hands & Heels
How is severed tendon corrected Always by SX
Importance to OT (Severed Tendon) Need to move ASAP w/o using muscle as to reinjure! (use special splinting=dynamic splint) Follow Dr's protocol for how soon to move
Shin splints p337 Inflammation of the periosteum, the extensor muscles of leg & surrounding area
Reason for shin splints: overuse & overpronation
How are sin splints DX physical exam & HX of pain that worsens w/exercise-disappears after rest.
Importance to OT (shin splints) Apply ice/heat; NSAIDs, stretching exercises, corrective shoes, proper conditioning
Plantar Fasciitis (Calcaneal Spur)(heel spur) p338 Inflammatory response at the bottom of the calcaneus (heel bone)
What causes Plantar Fasciitis (etiology) constant tension on inflexible fascia: Flat feet, toe-hill/sand running, sudden ++activity/weight, age, familial, SHOES
T/F: Heel spurs are what cause Plantar FAsciitis FALSE...They are a RESULT of the inflammatory response (problem)
Importance to OT Plantar Fasciitis: Rest, apply ice, NSAIDs, heel pads, Shoes w/good support/orthotics,
Torn Meniscus p341 A crack, tear, or fissure usually due to wear or injury in the semilunar cartilage in the knee (either medial or lateral)
What causes Torn Meniscus Usually sports related-sudden twisting or external rotation of leg while knee is flexed.
Importance to OT--torn meniscus Very specific course of rehab based upon the DR's Protocol!! Adaptations to other ADLs
Rotator Cuff Tear p342 Tear in any of the 4 tendons of the rotator cuff in the shoulder-infraspinatus & supraspinatus, subscapularis, & teres minor
What acute symptoms will a person have with a rotator cuff tear? an immediate snapping sound & acute pain. ROM limited depending on tear
Acute symptoms person will have with a torn meniscus? acute pain when putting weight on leg. May have knee "lock up" or give way. full flexion difficult, pain increases w/ full extension
Importance to OT--Rotator Cuff Tears rubber band exercises, stretching, customized exercise program (DX w/arthrogram/MRI)
Created by: RadGirl13