Utilization and Treatment Guidelines Montana
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| Name 3 of the 9 diagnostic imaging studies that may be appropriate following a shoulder injury. | 1)X-Ray 2) Sonography 3) MRI 4) CT 5) MR Arthrography 6) Bone Scan 7) Venogram 8) Radio Isotope Scanning 9) Arthrogram (recommended if patient has metal implants)
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| What test should be administered to diagnose potential nerve involvement following a shoulder injury? | Nerve Conduction Studies/ EMG Testing
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| What term is an ac joint injury frequently referred to as? | Separated Shoulder
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| How many different grades of an ac joint injury are there? | Grades 1-6 increasing in severity from simple sprain/strain being grade one to complete rupture of all ligaments and joint displacement being 6.
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| For the diagnoses of bicipital tendonitis how many weeks of conservative therapy are recommended before surgical intervention is to be considered? | 12 Weeks
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| Is it common for a worker to develop adhesive capsulitis (frozen shoulder) as a result of a primary work injury or occupational disease? | No this is almost always a complication resulting from surgical intervention.
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| Following a steroid injection into the shoulder is physical therapy recommended? | Yes, physical therapy almost always makes the result of the injection more effective
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| What occupational triggers are there that can cause a rotator cuff tear? | 1) Sudden Trauma (fall with outstretched arm) 2) Chronic Overuse with repetetive overhead motion. 3) Moderate lifting done by de-conditioned workers.
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| True or False: Return to early full duty work in the course of healing for a tendon repair puts a worker at increased risk for re-tearing? | True
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| What is the optimum and maximum amount of therapy sessions recommended following a rotator cuff repair? | Optimum = 24-36 sessions Maximum = 48 sessions
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| Is fibromyalgia considered to be an occupational condition? | No there is no quality epidemiological evidence that fibromyalgia is the result of a work related condition.
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| True or False: Use of viscosupplementation is accepted medical practice on the shoulder? | False: Its use in the shoulder is not supported by scientific evidence at this time.
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| What are the three common in office physical tests performed to diagnose shoulder problems? | Hawkins Test, Neer Test, Yergeson Test
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