Study PTA Midterm 2 Flash Cards

 
Pile Management Card
PTA Midterm 2

loading
Adduction ROM of the hip?
0-30 DEGREES
Extension ROM of the hip?
0-30 DEGREES
Flexion ROM of the hip?
0-120 DEGREES
Capsular pattern of the hip?
FLEX>ABD>IR
Rheumatoid arthritis of the hands will be associated with?
AN ULNAR DRIFT
What kind of pathology is rheumatoid arthritis?
AUTOIMMUNE
Wear and tear of joints?
OSTEOARTHRITIS
What is avascular necrosis associated with regarding hip disorders?
-FEMORAL NECK FX
-HIP DISLOCATIONS
-SCE
-LUPUS
-ERYTHEMATOSUS
-ALCOHLISM
-PROLONGED USE OF CATABOLIC STEROIDS
What is the alloted time given to a trochanteric fx before surgery?
24-48 HOURS (ESPECIALLY FEMORAL NECK FX'S DO TO VASCULAR COMPROMISE)
Most common dislocation of the hip?
POSTERIOR
Signs and symptoms of slipped capital femoral epiphysis?
-LIMP AND HIP PAIN/MEDIAL KNEE PAIN
-LIMITED IR
Tx for an anterveted hip?
FOOT ORTHODICS
Normal anterversion in adults?
8-15 DEGREES
Normal in infants and resolves itself as skeleton develops?
COXA VALGA
Diagnosis of a PCL tear?
-POSTERIOR DRAW
-POSTERIOR SAG
-REVERSE PIVOT SHIFT
-POSTEROLATERAL DRAWER TEST
What muscle group must be strengthened to take the excessive forces off of the ACL?
HAMSTRINGS
Diagnosis of an ACL tear?
-LACHMAN
-ANTERIOR DRAW
-PIVOT SHIFT
-KT-1000
Secondary injury to the ACL?
IR OF THE TIBIA WITH KNEE FLEXED TO 90 DEGREES
Primary injury to the ACL?
ANTERIOR DISPLACEMENT OF THE TIBIA
True/False

You are more likely to tear a meniscus with a torn cruciate ligament?
TRUE
What is the MOST accurate clinical sign of a meniscal tear?
INABILITY TO FULLY EXTEND KNEE OR SQUAT
What tests are used to diagnose a meniscal tear?
-MCmURRAY TEST
-APPLEY'S COMPRESSION TEST
True/False

Medial meniscal tears are more often seen in unstable knees?
FALSE

STABLE KNEES
Why are medial meniscal tears more common than lateral?
IT IS ANCHORED MORE SECURELY TO THE MEDIAL TIBIAL PLATEAU
Which meniscus is more circular and which is more "C" shaped?
-MEDIAL IS MORE "C" SHAPED
-LATERAL IS MORE OF A CIRCULAR SHAPE
AMBRI
ATRAUMATIC MULTIDIRECTIONAL BILATERAL REHAB INFERIOR
TUBS
traumatic unidirectional bankart surgery
What are the two categories used to classify shoulder dislocations?
TUBS
AMBRI
Closed packed position of the hip?
FULL EXTENSION & EXTERNAL ROTATION
Lose packed position of the hip?
30 DEGREES FLEXION/30 DEGREES ABDUCTION/SLIGHT LATERAL ROTATION
Patient position for a true leg length discrepancy test?
SUPINE WITH LEGS 4-8 INCHES APART
What are the anatomical landmarks to measure a true leg length discrepancy?
ASIS TO MEDIAL MALLEOLUS
What are the anatomical landmarks for an apparent/functional leg length discrepancy?
UMBILICUS OR XIPHOID PROCESS TO MEDIAL MALLEOLUS
Apparent leg length is AKA?
FUNCTIONAL LEG LENGTH
What structures are tested during the ober test?
ILIOTIBIAL BAND/TFL
What is the normal length for a hamstring lengh test?
0-20 DEGREES

NEED GOINEOMETER FOR TEST
What is being tested during a piriformis impingement test?
SCIATIC IMPINGEMENT THROUGH PIRIFORMIS MUSCLE
What is a therapist testing for during a Scour (quadrant) test?
ARTHRITIS
The scour test is AKA?
QUADRANT TEST
What would constitute a negative Craigs test?
TIBIA IS PERPINDICULAR TO THE TEST TABLE AND GREATER TROCHANTER IS PARALLEL TO TEST TABLE
What are we testing during Craigs test?
ANTERVERSION/RETROVERSION OF THE HIP
What structures are tested during Ely's test?
RECTUS FEMORIS
What structures are tested for a Kendall test?
RECTUS FEMORIS
Rectus femoris contracture test is AKA?
KENDALL TEST
Structures tested for Thomas Test?
HIP FLEXOR LENGTH
Muscles that internally rotate the hip?
-GLUTEUS MEDIUS
-GLUTEUS MINIMUS
-TFL
Muscles that abduct the hip?
-GLUTEUS MEDIUS
-GLUTEUS MINIMUS
-TFL
All hip abductors are also?
INTERNAL ROTATORS
Patrick test is AKA?
FABER TEST/FIGURE 4 TEST
What consistutes a positive trendelenberg test?
CONTRALATERAL HIP DROPS
Where should the therapist be when having the patient perform a trendelenberg test?
POSTERIOR TO THE PATIENT OBSERVING THE PSIS
What structures are tested for the trendelenberg test?
-GLUTUES MEDIUS
-HIP INSTABILITY/DISLOCATION
What are the two types of surgery for flexor tendon injuries?
-DIRECT REPAIR (AND END TO END REPAIR IN WHICH THE TENDON ENDS ARE RE-OPPOSED AND SUTURED TOGETHER)
-TENDON GRAFT (AN AUTOGENOUS DONOR TENDON)
Why is injury to zone II (no man's land) a bad injury?
-A CONFINED SPACE WHERE THE EXTRENSIC FLEXOR OF THE FINGERS LIE
-LIMITED VASCULAR SUPPLY
-TISSUES IN THIS AREA ARE PRONE TO EXCURSION RESTRICING ADHESIONS
This wrist splint is worn exclusively for exercises?
DORSAL TENODESIS SPLINT WITH WRIST HINGE
Sequence of flexor tendon gliding exercises?
-STRAIGHT HAND
-HOOK FIST (CLAW FIST)
-FULL FIST
-TABLE TOP
-STRAIGHT FIST
How long are median nerve glide/stretches held for?
5-30 SECONDS WITHOUT PRODUCING PAIN
Muscles of the hypothenar eminence?
-OPPONENS DIGITI MINIMI
-ABDUCTOR DIGITI MINIMI
-FLEXOR DIGITI MINIMI
Muscles of the thenar eminence?
-OPPONENS POLLICIS
-ABDUCTOR POLLICIS BREVIS
-FLEXOR POLLICIS BREVIS
MCP extension?
0 DEGREES
MCP flexion?
0-50 DEGREES
CMC extension?
0-20 DEGREES
CMC flexion?
0-15 DEGREES
Zone II in the hand is known as?
NO MANS LAND
What tendons in the hand are more superficial?
EXTENSORS

ARE ALSO THINNER THAN FLEXOR TENDONS
What tendons are deeper in the hand?
FLEXORS
Dupuytren's Disease?
-PROGRESSIVE FIBROSIS OF PALMER APONEUROSIS
-MAINLY MEN OVER 40
-ETOH, EPILEPSY AND GOUT
-PAINLESS
-PROCUCES A FIXED FLEXION CONTRACTURE OF ONE OR MORE DIGITS
-MOST OFTEN INVOLVES THE ULNAR DIGITS 4-5 FINGERS
Herbendens Nodes?
-HARD NODULES OR BOY SWELLINGS WHICH DEVELOP AROUND THE DIP JOINTS
-2ND AND 3RD FINGER MOST OFTEN AFFECTED
-MORE COMMON IN WOMEN
-GENETIC COMPONENT
Flexed DIP, hyperextended PIP?
SWAN NECK DEFORMITY
Flexion at pip, extension at dip?
BOUTONNIERE DEFORMITY
Describe skier's thumb?
-SWELLING AND TENDERNESS OVER ULNAR ASPECT
-PAIN WITH VALGUS STRESS
-PARTIAL TEAR = 6 WEEKS IMMOBILIZATION
-COMPLETE TEARS USUALLY REQUIRE SURGERY
Skiers thumb?
SPRAIN OF THE UCL OF 1ST MCP JOINT

-FORCED ABD & HYPEREXTENSION OF THE MCP JOINT
MOI of a Bennett's fx?
PUNCH OR FALL ON ABDUCTED THUMB
Bennett's fracture?
FRACTURE/DISLOCATION OF 1ST METACARPAL
Geyons syndrome?
COMPRESSION OF ULNAR NERVE
What muscles are irritated with De Quervain's Tenosynovitis?
-ABDUCTOR POLLICIS LONGUS
-EXTENSOR POLLICIS BREVIS
What test is performed to diagnose De Quervian's Tenosynovitis?
FINKELSTEINS TEST
Where does the ulnar nerve pass through?
GUYON'S CANAL BETWEEN PISIFORM AND HAMATE
This kind of nerve compression is common in cyclist and karate?
ULNAR NERVE COMPRESSION
What ligament is surgically cut to make relieve discomfort from carple tunnel?
TRANSVERSE CARPLE LIGAMENT
Where is pain felt with carple tunnel syndrome?
ANTERIOR/VOLAR/PALMAR OF WRIST
What structures pass through the carpal tunnel?
-FDP
-FDS
-PL
-MEDIAN NERVE
Carpal tunnel syndrome is the compression of what nerve?
MEDIAN NERVE
Is there usually sensory loss with posterior interosseus nerve compression?
NO
What is the rationale for using deep friction massage?
-REORIENTATE SCAR TISSUE
-INCREASE MOBILITY BY BREAKING UP SCAR TISSUE
-STIMULATES FIBROBLASTS
What ligament controls the amount of supination and pronation at the proximal radioulnar joint?
ANNULAR LIGAMENT
Name given to a fx that is slow to heal?
DELAYED UNION
What joint can become painful as a result from an excision of the radial head?
DISTAL RADIOULNAR JOINT
What type of radial fx is treated by excision of the fractured area?
TYPE III
Olecranon bursitis is AKA?
STUDENTS ELBOW
With median nerve compression syndrome which muscles can be hypertrophied causing the sypmtoms?
-PRONATOR TERES, FDS OR APONEUROTIC FASCIA
Biceps rupture?
-PAIN
-WEAKNESS FLEXION AND SUPINATION
-NO PALPABLE BICEPS TENDON
-DEFORMITY
-SURGERY AND IMMOBILIZATION
Weakness with elbow flexion and supination are the characteristics of what injury?
BICEPS RUPTURE
Pain increased with wrist flexion and forearm pronation is a result of what injury?
MEDIAL EPICONDYLITIS
What group of muscles would need to be strengthened for an MCL elbow sprain?
MEDIAL PRONATOR MUSCLES
Reconstruction of medial ligamenteous injuries involve what for the reconstruction?
RECONSTRUCTION USING THE IPSILATERAL PALMARIS LONGUS
Instability of a joint can lead to?
BONE SPURS
What is the carrying angle at the elbow for men and women?
MEN: 10 DEGREES
WOMEN: 13 DEGREES
Treatment of radial head fx's
TYPE I & II: CONSERVATIVE
TYPE III: SURGICAL EXCISION
TYPE IV: SURGICAL
An increased varus angle at the elbow can exhibit?
A GUN STOCK DEFORMITY
Posterior interosseous nerve compression?
BRANCE OF RADIAL NERVE TRAPPED
What structure is injured with lateral epicondylitis?
THE COMMON EXTENSOR TENDON (ECRB)
Volkmanns ischemic contracture affects what artery?
BRACHIAL ARTERY
What is a major cause of concern with supracondylar fractures?
VOLKMANS ISCHEMIC CONTRACTURE
Supracondylar fractures?
-DISTAL 1/3 OF HUMERUS
-COMMON IN CHILDREN
-COMPLICATIONS: (VOLKMANN'S ISCHEMIC CONTRACTURE)
Injuries to the medial aspect of the elbow?
-GOLFERS ELBOW (MEDIAL EPICONDYLITIS)
-ULNAR NERVE ENTRAPMENT
-MCL SPRAINS
Injuries to the lateral aspect of the elbow?
-TENNIS ELBOW (LATERAL EPICONDYLITIS)
-LCL SPRAINS
Fx's and dislocations of the elbow can be disastrous if?
THERE IS TRAUMA TO THE BRACHIAL ARTERY
What nerve might suffer trauma with a colles fx?
MEDIAN NERVE
A colles fx will display what kind of deformity?
DINNER FORK DEFORMITY
Adhesive capsulitis will often result in what?
CAPSULAR PATTERN
Describe adhesive capsulitis?
GH CAPSULE BECOMES INFLAMED, THICKENED, SHORTENED, FIBROTIC & ADHERENT TO EITHER ITSELF OR THE HUMERAL HEAD.
What is a red flag with adhesive capsulitis?
DIABETES
How long can each phase of adhesive capsulitis last for?
3-4 MONTHS
The thawing phase of adhesive capsulitis is AKA?
RECOVERY PHASE
What is the clinical presentation of adhesive capsulitis?
OCCURS MORE IN MIDDLE AGED POPULATION WITH MORE FEMALES THAN MALES.
What is the secondary etiology of adhesive capsulitis?
RESULTS FROM TRAUMA, IMMOBILIZATION, RSD, RA, ABDOMINAL DISORDERS, OR PSYCHOGENIC DISORDERS
What is the cause of primary adhesive capsulitis?
UNKNOWN ETIOLOGY
ASSOCIATED WITH DIABETES, HYPOTHYROIDISM, AND CARDIOPULMONARY CONDITIONS
What are the two classifications of adhesive capsulitis?
-PRIMARY (UNKNOWN ETIOLOGY)
-SECONDARY
This phase of adhesive capsulitis is characterized by no pain and no synovitis, but significant capsular restrictions from adhesions. Some patients never regain normal ROM?
THAWING STAGE
Atrophy of the deltoid, rotator cuff, biceps, and triceps brachii muscles occur in this stage of adhesive capsulitis?
FROZEN PHASE
Frozez phase of adhesive capsulitis?
CHARACTERIZED BY PAIN ON WITH MOVEMENT, SIGNIFICANT ADHESIONS, AND LIMITED GH MOTIONS, WITH SUBSTITUTE MOTIONS IN THE SCAPULA
Characteized by intense pain even at rest and limitation of motion?
FREEZING PHASE OF ADHESIVE CAPSULITIES
What is the classif pattern of adhesive capsulitis?
-FREEZING
-FROZEN
-THAWING
Idiopathic frozen shoulder is AKA?
ADHESIVE CAPSULITIES
What kind of motion is allowed in the max protection phase of a rc tear?
PROM ONLY
True/False

If a patient is asymtomatic with an RC tear, surgery is still recommended?
FALSE
How long should you hold off on weight bearing exercises after a full thickness rc tear?
6 WEEKS
Early shoulder motion exercise guidlines and precautions after a repair of a full-thickness rotator cuff tear?
-PERFORM PASSISIVE OR ASSISTED ROM WITHIN SAFE AND PAIN FREE RANGES.
-ONLY PASSIVE ROM FOR 6-8 WEEKS
-PERFORM PASSIVE ROM IN THE SUPINE POSITION TO MAINTAIN STABILITY OF THE SCAPULA ON THE THORAX
-PLACE THE SHOULDER IN SCAPTION TO HELP AVOID IMPINGEMENT AND ANTERIOR TRANSLATION OF THE HUMERAL HEAD
-WHEN INITIATION EXERCISES IN A SITTING POSITION, MAKE SURE THE PATIENT IS UPRIGHT TO AVOID IMPINGEMENT
-TO AVOID SUPERIOR TRANSLATION OF THE HOH, RESTORE STRENGTH TO THE RC MUSCLES ESPECIALLY THE INFRASPINATUS AND SUPRASPINATUS MUSCLES BEFORE STRENGTHENING THE SHOULDER FLEXORS AND ABDUCTORS
Place this card into pile: