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Allied Health Midterm
study guide
89
Health Care
11th Grade
12/12/2010

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Cards

Term
Plantar fascia strain
Definition
Caused by leg length discrepancy, inflexibility of the longitudinal arch, tightness of gastrocnemius;pain in medial heel, pain in the morning, increased pain with increased dorsiflexion;care 8-12 weeks
Term
Morton's Neuroma
Definition
Neuroma in the plantar nerve, between the 3rd-4th metatarsal; Pain radiating in the toes and relieved with non weight bearing; care-shoe selection or artificial turf shoes
Term
Turf toe
Definition
Hyper extension of the great toe, overuse, trauma; care-proper shoes, taping , 3-4 weeks of rest in extreme cases
Term
March fracture
Definition
2nd metatarsal stress fracture; running and jumping sports; mortons toe=1st metatarsal making the 2nd toes appear longer than the great toe; point tenderness along 2nd metatarsal;care=rest, non weight bearing, 2-4 weeks
Term
Shin splints
Definition
(Medial tibial stress syndrome); increasing pain specifically at the distal 2/3 of the posterior medial aspect of the tibia, strain of the posterior tib muscle and the fascial sheath ; pain
Term
IT Band syndrome
Definition
a superficial thickening of tissue on the outside of the thigh, extending from the outside of the pelvis, over the hip and knee, and inserting just below the knee
Term
Osteochondritis
Definition
the cartilage or bone in a joint is inflamed
Term
Legg-Perthes Disease
Definition
Loss of blood circulation to the head of the femur; often in boys; pain in groin
Term
Hip pointer
Definition
Contusion to the iliac crest
Term
Osteitis Pubis
Definition
Chronic inflammation from muscle pulling
Term
Slipped Capital femoral epiphysis
Definition
May be related to growth hormone; more common in boys
Term
Myostitis Ossificans
Definition
Severe/repetitive blows, usually to the quadriceps, that causes ectopic bone formation
Term
What is pes planus?
Definition
Flat footed
Term
What is another name for a "pump bump"?
Definition
Retrocalcaneal Bursitis
Term
What is the purpose of the foot?
Definition
To absorb forces, provide a stable base of support during walking, running, and jumping
Term
Where does the medial longitudinal arch run?
Definition
from the inside arch of the foot, inside heel to the head of the first metatarsal
Term
What muscles cause dorsiflexion of the foot?
Definition
Anterior tibialis
Term
What are some predisposing factors of foot injuries?
Definition
not wearing proper shoes, varying surfaces
Term
What is the treatment of a heel bruise?
Definition
Ice, heel-cup, non-weight bearing
Term
Flexor digitorum
Definition
curl toes 2-5
Term
Extensor hallucis longus
Definition
dorsiflexion of 1st toe
Term
anterior tibialis
Definition
dorsiflexes the foot
Term
peroneals
Definition
eversion and dorsiflexion
Term
gastrocnemius
Definition
Plantar flexion
Term
How do you treat an ingrown toenail?
Definition
trim nails straight; soak in hot water 20 minutes then insert cotton under nail
Term
What are the bones of the ankle joint?
Definition
tibia, fibula, ankle joint, subatlar joint
Term
What is the major weight bearing bone of the ankle?
Definition
Talus
Term
What are the 4 ranges of motion of the ankle?
Definition
dorsiflexion, plantarflexion,inversion, eversion
Term
Where would you find the ATF, CF, and the PTF?
Definition
on the lateral ankle
Term
What muscles are found in the following compartments:
Anterior, Deep posterior, Superficial posterior, Lateral?
Definition
-Tibialis anterior
-tibialis posterior
-gastrocnemius, soleus, popliteus,and plantaris
-peroneus brevis,and longus
Term
Which type of ankle sprain is rare?
Definition
eversion
Term
Why would you use a donut pad on the foot?
Definition
to ease pain, absorb shock
Term
What ligament of the knee protects against valgus stress?Varus?
Definition
MCL;LCL
Term
What does the anterior drawer test?
Definition
A sprain or tear of the ACL
Term
What are some of the functional tests for the knee?
Definition
valgus/varus stress test,, anterior/posterior drawer test, McMurray's test, functional tests(walking, running, jogging)
Term
Which bursa is the most commonly inflamed?
Definition
Prepatellar and deep infrapatellar
Term
What mechanism predisposes an athlete to a PCL tear?
Definition
falling with a hyperflexed knee
Term
What are joint mice?
Definition
Loose bodies; fragments of bone, meniscus, synovial tissue, torn ligament
Term
What would you expect to feel/find in a 1st degree sprain?
Definition
Few ligaments torn or stretched, joint is stable in valgus stress test, little to no jt effusion, point tender just below the medial joint line
Term
What provides the main source of stability in the knee?
Definition
Cruciate ligaments
Term
Immediate swelling would be found in which knee injury?
Definition
ACL sprain
Term
What does feelings of catching mean?
Definition
a locking of the knee
Term
The ACL prevents what movement?
Definition
Prevents the femur from moving posteriorly during weight bearing
Term
What is the ratio of quad to hamstring strength?
Definition
Hamstring should be 60% of quad
Term
What mechanism of injury results in a MCL strain?
Definition
Medially directed valgus force from the lateral side; external rotary force of tibia
Term
Which meniscus is more commonly injured?
Definition
medial
Term
What knee injury would you associate a "pop" with?
Definition
ACL
Term
What shape is the medial/lateral meniscus?
Definition
shaped like bowls
Term
What muscles cause knee flexion?
Definition
Hamstring, biceps femoris, semitendonous, semimembranosus, gracilis, sartorius, popliteus, gastrocnemius, plantaris
Term
Which bone of the knee joint is not actually in contact with the knee joint?
Definition
Term
Which part of the meniscus receives no blood?
Definition
the middle 2/3
Term
What can improper care of a thigh contusion lead to?
Definition
profuse internal bleeding
Term
The most common site of a femoral fracture is where?
Definition
neck of femur
Term
What should be avoided when caring for a hamstring strain?
Definition
ballistic stretching and sprinting
Term
What are the signs of a fractured femur?
Definition
shock because of pain, bone displacement, soft tissue injury, swelling, loss of function, immediate emergency situation
Term
What can an athlete not complete with a hip sprain?
Definition
circumduction of the thigh
Term
What should be prevented in a quad contusion?
Definition
profuse internal bleeding
Term
A 2nd degree quad contusion results in a loss of movement at what degree? What else happens?
Definition
less than 90 degrees; limp,pain, swelling
Term
Where would you find a femoral fraction if in the shaft?
Definition
middle 1/3
Term
What causes pelvic stress fractures?
Definition
repetitive stresses
Term
What is the longest bone in the body?
Definition
femur
Term
What happens at the moment of a thigh contusion?
Definition
swelling, pain, immediate bleeding
Term
What is the function of the pelvis?
Definition
support spine and trunk and transfer weight to lower limbs
Term
What muscle strain ranks first in sports injuries?
Definition
Hamstring strain
Term
The pelvis is formed by how many bones?
Definition
2 innonimate bones
Term
What direction does a hip dislocation happen in?
Definition
internally
Term
2 things you would palpate in a shoulder eval
Definition
bony structures, both shoulders palpated at some time; palpate muscles for tenderness, swelling, or lumps
Term
Basics of an AC joint strain
Definition
cold pressure, stabilize joint, referral
Term
3 bones of the shoulder complex
Definition
clavicle, scapula, humerus
Term
3 groups of shoulder muscles, 2 examples of each
Definition
1. originate on the axial skeleton and attach to the humerus-latissimus dorsi and pectoralis major
2. originate on the scapula and attach to the humerus-deltoid, teres major
3. Attatch to the acial skeletion to the scapula-levator scapulae, trapezius, rhombois, serratus ant/post
Term
3 ligaments of the AC joint
Definition
AC,CC,CCA ligaments
Term
4 joints of the shoulder complex and the bones that make them up
Definition
1. SC joint-sternum and clavicle
2. AC joint- lateral end of the clavicle with the acromion process of the scapula
3. GH joint- rotator cuff into the glenoid cavity
4. ST joint- scapula and thorax
Term
4 rotator cuff muscles
Definition
supraspinatus, infraspinatus, teres minor, and subscapularis
Term
5 directional movements of the shoulder complex
Definition
flexion, extension, abduction, adduction, and rotation
Term
5 phases of throwing and distinct movements in each
Definition
1. wind up-begins with hands separate and ends when maximum external rotation of the humerus has occurred
2. cocking
3. acceleration
4. deceleration
5. follow through
Term
What 3 things are important to tell a patient
Definition
be in proper physical condition, proper warm up, do NOT catch yourself on an outstretched hand-shoulder roll
Term
What anatomy is impinged in impingement syndrome?
Definition
supraspinatus tendon, subacromial bursa, long head of the biceps tendon
Term
What are 2 questions you would ask in the history portion of a shoulder eval?
Definition
1. What caused the pain?
2. Have you ever had this pain before?
Term
What do you need to be careful of with shoulder contusions?
Definition
myositis ossificans
Term
What is the distinct position someone would present if they have a clavicle fracture?
Definition
Supports arm with uninjured side and head slightly tilted toward injured side with chin turned to the opposite direction
Term
What is the mechanism of injury most common for a glenohumeral dislocation?
Definition
abduction, external rotation, and extension that forces the humeral head out
Term
What is the most commonly fractured bone in the shoulder?
Definition
clavicle
Term
What joint is considered the true shoulder joint?
Definition
GH joint
Term
Which rotator cuff muscle is the most commonly strained?
Definition
supraspinatus muscle
Term
which shoulder strain is the least common? why?
Definition
sternoclavicular jt because it is an indirect force
Term
Which test should be positive in shoulder bursitis and not bicep tenosynovitis?
Definition
imingement
Term
Why is a humeral fracture hard to diagnose?
Definition
It is hard to recognize by sight because only a x-ray can give positive proof
Term
Why is the SC joint weak?
Definition
the bony arrangment
Term
Why is the ST joint important?
Definition
shoulder joint movement
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