MASTER MUSCULO SECTION

Which muscles would work if you were shoved forward using the ankle strategy?

paraspinals, hamstrings, gastroc

Which muscles would work if you were shoved forward using the hip strategy?

abs, quads

Which muscles would work if you were shoved backwards using the hip strategy?

paraspinals, hamstring

Which muscles would work if you were shoved backwards using the ankle strategy?

abdominals, quadriceps, tibialis anterior

what does middle deltoid do?

shoulder abduction

what is the recovery process for a reverse tsa surgery?

requires a swing for 4-6 weeks

what shoulder movements do you have to look out for after reverse tsa?

no GH extension or IR past neutral

what is the movements to avoid for tsa with an intact rotator cuff?

avoid IR to protect the subscapularis repair

the thoracic outlet region is made up of what 3 structures

the brachial plexus, the subclavian artery, and the subclavian vein

shoulder impingement occurs with what age patients

pt age > 40 yrs old

what is the most common site of dislocation

GH jt

what is the second most common site of dislocation

AC joint

what is the most common shoulder dislocation direction

anterior

what motions lead to anterior shoulder dislocation

shoulder abduction and ER

bankart lesion is a lesion to the

inferior labrum

Hill sachs lesion is a fracture of the head f the humerus and part of what

posterior superior labrum

where is posterior internal impingement most common

in overhead athletes (supraspinatus and infraspinatus touch the glenoid with abd/er)

stage 1 of adhesive capsulitis

gradual onset but strength stays constant

stage 2 of adhesive capsulitis

pain at rest, limited ROM in all directions (loss of ER > ABD > IR)

stage 3 of adhesive capsulitis

frozen stage with adhesions, less pain but super stiff

stage 4 of adhesive capsulitis

pain is gone but ROM deficits but improving

what is hard end feel?

bone on bone

what is wartenburg syndrome?

entrapment of the superficial branch of the radial nerve with only sensory symptoms

what is wartenberg's sign?

slightly greater abduction of the fifth digit; paralysis of the adducting palmar interosseous muscle

dupuytren contracture

progressive disease of the palmar fascia resulting in shortening, thickening, and fibrosis of the fascia (common in 3/4 digits)

boxer fracture

fracture of the 4th and 5th metacarpal

gamekeeper thumb

Ulnar collateral ligament sustained by forced hyperextension of the thumb at MCP of thumb

bunnell littler test

Greater PIP joint flexion with MCP joint flexion than with MCP joint extension

what are symptoms of hip oa?

pain slow and worsens over time, sudden onset, night pain, groin/thigh pain, morning stiffness

What age is affected by Legg-Calve-Perthes disease?

3-13 yr old BOYS smaller in statue

symptoms of legg calves perthe

worse with activity, improves with rest, Trendelenburg sign

treatment for leg calves perthe disease

scottish rite brace

treatment for slipped capital femoral epiphysis

surgery

what age group is affected by scfe

8-15 year old MALE

what is the hip capsular pattern

FLEX > ABD > IR

LCPD initial sign

limp

SCFE classic risk clue

male and obesity and bilateral cases common

FAI provocate test

FADDIR

Hip OA age clue

50 yrs

Hip OA morning stiffness

what is barlow sign

will dislocate the hip

what is ortolani sign

will relocate the hip back in place

what are symptoms of the SCFE?

anatalgic pain and pain in the knee, groin, or thigh

what is ddh age range

6 months to 4 years old

what is trochanteric bursitis

inflammation of the trochanteric bursa

what are signs and symptoms of trochanteric bursitis

unable to lie o the affected side, sleep disturbances, low back pain

what is it band syndrome

common knee injury that presents with pain and/or tenderness on palpation of the lateral aspect of the knee

what are signs and symptoms of the IT band syndrome

seen with runners with hip abductor weakness

what is piriformis syndrome

peripheral neuritis of the branches of the sciatic nerve cause by abnormal condition of the piriformis

what are the signs and symtoms of piriformis syndrome

butt/hip pain, women (higher Q angle), prolonged sitting or walking, squatting, hip adduction, IR

what is meralagia paresthetic

entrapment of the lateral femoral cutaneous nerve

what is the most common place for entrapment for meralagia paresthetic

inguinal ligament

what age group is most likely for meralagia paresthetic

30-40 yr old

what is the ligament/muscle that limits hip flexion (knee extended)

hamstrings

what is the ligament/muscle that limits hip flexion (knee flexed)

inferior/posterior capsule; glute max

what is the ligament/muscle that limits hip extension (knee extension)

iliofemoral ligament; psoas major

what is the ligament/muscle that limits hip extension (knee flexed)

rectus femoris

what is the ligament/muscle that limits abduction

pubofemoral ligament; adductor muscles

what is the ligament/muscle that limit adduction

ischiofemoral ligament; IT band

what ligament/muscle limit ER

iliofemoral/pubofemoral ligaments; IR muscles; TFL or glute minimus

what ligament/muscle limit IR

ischiofemoral ligament; piriformis/glute max

what is the screwhome mechanism in OKC

tibia will IR to Flex, Tibia will ER to extend

what is the screhome mechanism in CKC

femur will IR to extend, femur will ER to FLEX

what is another name for PFPS

runners knee

what direction is the patella likely to deviate in PFPS

laterally

what is chondromalacia

anterior knee pain due to physical and biomechanical changes;

what is another name for patellar tendinopathy

jumper's knee

what is the age group seen with patellar tendinopathy

15-30 yrs old

what is the difference between primary and secondary knee OA

primary = wear and tear

Secondary = trauma, posture, hypomobility, RA

what is osgood schlatter disease

an overuse injury that presents with anterior knee pain

what is the age group with osgood schlatter

9-15 years old in children who are physically active

what is the chief complaint in osgood schlatter

ache in the anterior knee and a clear tenderness of the apophysitis upon direct palpation

where do people who have genu varum/bow legs find pressure

lateral knee and LCL

where do people who have genuine valgum find pressure

medial knee and MCL

how does the unhappy triad occur (MOI)

twisting or hyperextension of the knee mechanism of injury + valgus force

what is the degree amount to avoid with acl ligament

60-90 degrees of flexion early on

what are the ottowa knee rules

1. 55 years or older

2. Tenderness (isolated) of the patella

3. Tenderness at the head of the fibula

4. Inability to flex the knee to 90

5. Inability to weight bear both immediately and in the casualty department (4 steps, regardless of limping)

ATFL MOI

inversion and plantarflexion

calcaneofibular ligament MOI

inversion and plantarflexion

what is the MOI of the high ankle sprain

ER and dorsiflexion

if you have a rigid foot, what is the correction

wedge to bring the floor up

if you have a flexible foot, what is the correction

put a post on the affected side to push back to normal

you would give a medial wedge in

foot varus

you would give a lateral wedge in

foot valgus

morton's neuroma

condition with the common plantar digitial nerves leading entrapment; occurs in the 2/3rd intermetetarsal spaces.

what is clubfoot

foot is fixed in adduction, supination, and varus

what is compartment symptoms s/s

pain/pallor/paresthesis, paralysis, and pulselessness

what is the age group associated with spondylosis

50 yrs old

what is the age group associated with spondylolysis

15-20 yrs old

what is the age group of spondylolisthesis

20 yrs old

what is the age group of disc herniation

30-50 yrs old

what is the age group of spinal stenosis

60 yrs old

what is scheuermann's disease

anterior wedging in thoracic spine

in scoliosis, what muscles are tight on concave side and lengthened in convex side

quadratus lumborum, latissimus dorsi, external oblique

TMJ: what direction to mob to elevate/close the mouth

posterior glide