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Block 4 - Secondary Conditions
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57
Biology
Graduate
04/09/2009

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Term
Bimalleolar fracture
Definition
double ankle fracture usually associated with ruptured ligaments
Term
Achille’s rupture
Definition
rupture above the calcaneus bone which is zone of poor blood flow, + Thompson test when plantar flexion is absent, need surgery
Term
Tarsal Tunnel Syndrome
Definition
compression of the tibial nerve as it passes under the flexor retinaculum in the ankle, + tinels sign, loss of sensation
Term
Fracture of the calcaneus
Definition
stress fracture due to microtrauma, CR negative for 2-3 weeks, usually thought of as plantar fasciitis
Term
5th Metatarsal Fracture
Definition
fracture of the foot
Term
Torus Fracture of the wrist
Definition
distal radius diaphysis or metaphysis fracture in children that causes a bulge or buckling of the cortex
Term
Nursemaid’s Elbow
Definition
pediatric partial dislocation of the elbow causing the annular ligament to slide over the head of the radius and become entrapped
Term
Slipped Capital Femoral Epiphysis
Definition
slippage of the epiphysis from the ball of the femur, occurs in kids, needs surgical pinning
Term
Osgood Schlatter Disease
Definition
adolescent problem where repetitive activity like jumping pulls at the insertion of the patellar tendon at the tibial tubercle causing pain
Term
Blount’s Disease
Definition
vit D deficiency that results in rickets due to medial metaphyseal plate growth arrest causing the tibia to bow inward, brace or surgery fixes it
Term
Toddler’s fracture
Definition
oblique or spiral fracture of the tibia caused by a twisting motion, difficult to detect on CR
Term
Tibial torsion
Definition
twisting of the tibia in uterus causing a pigeon toe walk, self-corrective by age 2, observation only
Term
Trochanteric Bursitis
Definition
inflammation of the bursa and surrounding iliotibial band to be treated with rest, ice, and stretching
Term
Sacroiliac joint dysfunction
Definition
inflammation of the joint and ligament complex due to excessive movement or preggers/premenstrual woman who produces relaxin, not to be confused with sacroiliitis which is systemic, + Fabere’s sign
Term
Acetabular Fracture
Definition
fracture of the acetabulum of hip
Term
Posterior Hip Dislocation
Definition
dislocation of femoral head that may injure the sciatic nerve
Term
Tibial stress fracture
Definition
active patients causing repetitive stress on tibia, MRI is gold standard to diagnose
Term
Adhesive Capsulitis
Definition
prolonged immobility causes joint contracture, limited ROM, treat with PT ROM
Term
Humeral Fractures
Definition
fracture of humerus seen in CR that may damage axillary or radial nerve
Term
Pathologic Fractures - Humerus
Definition
trivial trauma causes a fracture due to existing cysts, neoplasms, infections, Paget’s Disease
Term
Colles Fracture
Definition
due to trauma to distal radius of elderly/osteoporotic
Term
Scapholunate Dissociation
Definition
most common carpal instability due to acute or chronic tear of interosseus ligaments of the scaphoid, lunate, and capitate resulting in increased flexion and pronation, leads to early degenerative arthirits, xray shows subluxation, + scaphoid shift test
Term
Olecranon bursitis
Definition
inflammation of the olecranon bursa due to acute or repetitive trauma to posterior elbow, aspiration to check for infection, PRICE
Term
DeQuervain Tenosynovitis
Definition
repetitive use of thumb causes inflammation of extensor pollicis brevis, abductor pollicis longus tendons causing thickening of tendon sheath, Finkelsteins test diffs from OA by putting thumb in fist and ulnar deviation
Term
Trigger Finger
Definition
inflammatory condition of the flexor tendon of finger where it becomes thicker, cannot extend, sometimes fingers lock, common in elderly/diabetes/RA, nodules palpable
Term
Radial Head Dislocation
Definition
radial dislocation from elbow, common in Monteggia fracture-dislocation where one bone is dislocated and other is fractured or dislocated
Term
Nightstick Fracture
Definition
non-displaced ulna shaft fracture due to direct blow
Term
Angulated Fracture Metacarpal #5 Neck
Definition
called boxer’s fracture, needs reduction and cast
Term
Distal Phalanx Fracture
Definition
hyperflexion of DIP injures extensor tendon and fractures distal phalanx
Term
Malignant Osteolytic Lesion of Phalanx
Definition
metastasis to the finger from carcinoma such as renal cell carcinoma
Term
Osteomyelitis and septic arthritis
Definition
both bone (including cortex) and joint are involved in infection, they cross the joint which is not typical of neoplasms
Term
Le Forte Fractures
Definition
facial fracture that includes the pterygoid plates
Term
Trigeminal neuralgia
Definition
neuropathic pain at trigeminal nerve radiating to maxilla and mandible, comes in waves, highly painful, surgery and meds are option
Term
Bell’s Palsy
Definition
paralysis of facial muscles due to lesion of facial nerve from unknown causes
Term
Becker’s MD
Definition
Milder pheno than DMD, x-linked recessive, genetic fitness up to 70% normal, reduced levels of dystrophin due to in-frame deletion
Term
Ehlers Danlos Syndrome
Definition
group of inherited disorders with defect in collagen synthesis causing weak skin, joints, and CV system
Term
Marfan’s Syndrome
Definition
autosomal dominant disease cause gentic defect in fibrillin synthesis causing defects in skeleton, eyes, CV, long legs and fingers hyperextensible joints
Term
Lipoma/Liposarcoma
Definition
benign tumor of fat cells, most common soft tissue tumor, never malignant; malignant tumor, arise in deep soft tissues, large and slow to metastasize
Term
Fibroma/Fibrosarcoma
Definition
benign growth of fibrous or connective tissue; malignant growth characterized by immature proliferating fibroblasts
Term
Achondroplasia
Definition
most common disease of the growth plate, defective paracrine signaling results in reduced chondrocyte proliferation, auto dominant on FGF receptor, 80% new/spontaneous, short arms and legs due to early growth plate fusion with normal trunk
Term
Osteogenesis Imperfecta
Definition
brittle bone disease, acquired or inherited Deficiency in the synthesis of type 1 collagen, hearing impairment
Term
Paget’s Disease
Definition
asymptomatic extra thick, irregular bone most commonly affecting femur, pelvis, and spine, high blood alkaline phosphotase
Term
Fibrous dysplasia
Definition
benign, nodular growth of fibrous and bone tissue that affects growing bones in adolenscent
Term
Giant Cell Tumor
Definition
benign epiphyseal tumor of adults, CR shows translucent mass, histology shows sea of osteoclast-type giant cells
Term
Whiplash Syndrome
Definition
extreme motion causing pain from ligaments, tendons, muscle, must rule out other pathologies like fracture or disc herniation with imaging
Term
Cervical Degenerative Disc Disease - OA
Definition
condition of aging modified by infection, obesity, trauma, causing weakened annulus fibrosus and decreased water content of nucleus pulposus, imaged with CR and MRI, PT and NSAIDs
Term
Dens Fracture
Definition
C2 fracture from trauma, must immoblize to prevent further injury to spinal cord, surgical fixation may be required
Term
Cervical Muscle Strain
Definition
injury to muscle or ligament due to overuse or incorrect exertion, loss of lordosis, PT
Term
Lumbar Compression fracture
Definition
most common in osteporotic women, elderly, trauma, long-term steroid medications, often in the thoracolumbar junction, kyphotic deformity seen
Term
Spondylolysis/Spondylolisthesis
Definition
pars fracture; slippage of vertebral body on top of another one, Tx involves brace and PT, possible surgical fusion, step off deformity noted in lower back
Term
Lumbar spine metastasis
Definition
common site of involvement is vertebral body and pedicles due to their high vascularity, 60-80% of meta go there
Term
Lumbar Spinal instability
Definition
excessive ligament movement occurs when spine alignment is displaced due to OA, trauma, congential pars defect
Term
Intrasellar Mass (Acromegaly)
Definition
growth hormone producing pituitary tumor causes abnormal sella turcica seen in CR, gives headaches
Term
Hyperflexion Teardrop Fracture - Dislocation
Definition
severe cervical flexion force causes distraction of spinous processes in vertebra, teardrop bone piece, body is posteriorly displaced, completely unstable and little chance of neuro improvement
Term
Extension teardrop Injury
Definition
hyperextension of cervical vertebra, not stable, less evere than hyperflexion, most common site C2, NO posterior distraction
Term
Vertebral Axial Load Burst Fracture
Definition
vertebral body explodes due to inferior trauma displacing into tissue and spinal canal
Term
Jefferson Axial Load Burst C1 fracture
Definition
burst fracture due to trauma to the head
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