Term
| Which head of the biceps is involved in biceps tendinitis? |
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Definition
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Term
| Which demographic is typically affected by biceps tendinitis? |
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Definition
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Term
| What injury is typically caused by overuse or injury causing small tears in tendon and inflammation in tendon? As we age less blood supply to tendon and therefore decreased ability to heal wear and tear changes and chronic inflammation can result. |
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Definition
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Term
| Pt presents w/tender tendon in bicipital groove and soreness w/resisted mm testing. |
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Definition
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Term
| How is biceps tendinitis tx? |
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Definition
| nsaids, rest, activity modification. cortisone injection carries increased risk of rupture. |
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Term
| Where does the long head of the biceps travel and insert proximally? This position puts it at risk for what? |
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Definition
| bicipital groove. top of glenoid. impingement along w/the rotator cuff tendons. |
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Term
| How would a biceps long head tear affect clinical strength? |
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Definition
| this mm accts for 15-20% of overall biceps strength so if ruptured may not affect clinical strength. also functions to supinate forarm. |
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Term
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Definition
| retraction of tendon down bicipital groove and bulging biceps. notable bruising when occurs and sore but pain typically resolves. rupture of tendon. |
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Term
| How do you tx rupture of biceps tendon? |
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Definition
| if non-sx no tx. if sx-sx tenodesis (anchoring distal tendon into bicipital groove) |
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Term
| What is the hallmark sign of glenohumeral arthritis? |
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Definition
| loss of motion (bo active and passive) |
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Term
| Who gets hyperparathyroidism? What does this cause? |
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Definition
| dialysis pts this results in weaker bones and microfx's |
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Term
| What blood disorder causes osteonecrosis? |
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Definition
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Term
| Pt presents w/activity and stiffness. Pain and crepitus may be a late sx as the shoulder is a non-weight bearing jt. |
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Definition
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Term
| How do you tx glenohumeral arthritis? |
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Definition
| therapy, nsaids, glenohumeral cortisone injection (can rupture tendon), sx jt replacement |
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Term
| What is the hallmark sign of a frozen shoulder? |
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Definition
| sig loss of bo passive and active motion |
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Term
| Associated conditions: diabetes, hypothyroidism, recent mi, parkinson's disease, pt w/low pain threshold |
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Definition
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Term
| post injury stiffness, capsule thickness and tightens |
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Definition
| frozen shoulder (adhesive capusulitis) |
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Term
| IDDM, women btwn ages of 40-60 at most risk, very often thin women |
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Definition
| frozen shoulder (adhesive capusulitis) |
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Term
| How do you tx frozen shoulder? |
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Definition
| therapy to restore motion, consisting of progressive stretching and as much motion as pt can realistically perform. often pain meds, cortisone injection and manipulation under anaesthesia |
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Term
| Clinically scapulothoracic motion will dominate. typically scapula motion begins in abduction after 20 degrees of glenohumeral motion. external rotation is the next plane w/decreased motion. |
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Definition
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Term
| Result from blunt trauma to back or lateral shoulder: falls, motorcycle accident. |
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Definition
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Term
| How do you tx scapula fx: body? |
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Definition
| tx short per of immobiliztion followed by shoulder jt motion progression to prevent stiffness |
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Term
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Definition
| short period of immobilization |
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Term
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Definition
| short period om immobilization, 3-6 weeks then advance activities |
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Term
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Definition
| immobilize to limit short head of biceps and coricobrachialis mm activity |
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Term
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Definition
| sx if sig gap at articular surface |
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Term
| Why are scapula fx acutely very painful w/typical sig swelling and bruising |
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Definition
| mm about scapula is well innervated and sig vasculature |
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Term
| What is the most commonly broken bone |
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Definition
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Term
| How does clavical displace in mid clavicle fx? |
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Definition
| proximal fragment rises cephalad due to pull of scm and distal fragment is pulled downward by gravity and pectoralis if the fx tears through the periosteum |
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Term
| How are most mid clavicular fx tx? |
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Definition
| closed tx (non-op management- sling immobilization w/or w/o fig 8 strap). sx carries risks of nv and lung injury an dincreased frequency of non-union |
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Term
| What are indications for sx fixation mid clavicular fx? What is the concern |
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Definition
| sig separation or opposition (1.5 cm) (this amt typically results in sig clinical bony alignment change), concern for ongoing neurologic injury |
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Term
| With what is distal clavicle fx often associated? |
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Definition
| ac jt ligamentous disruption |
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Term
| How may a distal clavicle fx appear clinically? What tx does this entail? |
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Definition
| ac jt separation. higher incidence of non-union and if sx non-union sx for fraagment removal w/ or w/o lig reconstruction |
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Term
| What should be considered when ordering xrt for proximal clavicle fx? How is this tx? |
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Definition
| hard to appreciated on xrt. often misdiagnosed for anterior sc jt dislocations. tx w/imobilization. |
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Term
| What should be considered w/clavicle fx on xrt? |
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Definition
| delayed timeframe to show radiographic evidence of bony callus formation |
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Term
| What complication is possible and what is most commonly involved? |
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Definition
| brachial plexus injuries, ulnar n branch most commonly involved |
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