Term
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Definition
Medial (golfer's)
S/sx: pain w/ wrist fexion and forearm pronation, when lifting w/ palm up.
Lateral: gradual onset of pain w/ wrist extension, lifting w/ palm down.
Tx: NSAID, activity modification, corticosteroid injection |
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Term
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Definition
AKA trigger finger.
S/sx: pain, catching, locking of finger when flexed. Feeling of going out of joint; pt may awaken w/ finger locked in palm. Stenosis at MP joint but PIP may be ID'd as source of pain. May have palpable nodule in distal palm. RA and DM pt may have multiple fingers.
Tx: NSAIDS or steroid injection. s/p |
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Term
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Definition
Nerve entrapment of median nerve caused by repetitive overuse, RA, DM, pregnancy, tumors, thyroid.
S/sx: pain, burning, tingling, numbness of palmar surface of thumb and first 2 fingers; may radiate to forearm, shouder, neck, chest. + tinels (volar wrist percussion) and phalens (pain/paarasthesia)
Tx: wrist splint, NSAIDS, steroids, behavior modification; s/p |
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Term
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Definition
impingement due to repetitive overhead use of arm causing compression of bursa.
S/Sx: ant/lat pain exacerbated by overhead activity, night pain. Tendernes/crepitus on greater tuberosity and subacromial bursa. Pain w/ arm abduction and lowering against resistance. +Near/Hawkin
Tx: NSAID, behavior mod, steroid, PT |
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Term
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Definition
| s/sx: nospecific pain localized to shoulder, worse at noc; lockign sensation during abduction, sx refer down prox lat arm. Tenderness over suprapinatus insertion, pain w/ ROM between 60-120* adduction |
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Term
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Definition
self-limiting dosorder w/ deposition of Ca hydroxyapatite crystals w/in one or more tendons of rotator cuff. Painless until resoption.
S/Sx: mild pain at rest, abduction pain and "catching" sensation.
X-ray reveals Ca deposits, but not diagnostic. |
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Term
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Definition
Acute: force or extreme hyperabductionor hyperextension such as a fall or lifting/catching heavy object. Chronic: progressive pain worse at noc at lat upper arm.
weakness and pain of abduction, elevation and ext rotation.
Tx: NSAID, opiates, ice, gentle ROM exercises |
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Term
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Definition
pain over medial/anterior tibia w/ exertion relieved by rest. Caused by microtears of muscular fibers at bony attachment place.
Tx: behavior modification, orthotics, strengthening/flexibility exercises |
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Term
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Definition
an apophysitis of tibial tubercle resulting from repeated normal stresses or overuse. Causes micro-avulsions of the ossification center and underlying cartilage. Most common young athletic boys.
s/sx: chronic intermittent pain/tenderness over ant aspect of knee and tibial tuberocity agravaated by running, kneeling, climbing stairs. Exam shows prominence and soft tissue swelling over tibial tubercle.
X-rays not necessary
Tx- self limiting. Rest, ice, immobilization for compliance |
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Term
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Definition
Young active women. Softening of the patella due to overuse, patello femoral malalignment which leads ot tracking abnormailty and pressure on lateral articular cartilage.
S/sx: pain in ant knee w/ stair climbing and rising from chair. +patellar compression and apprehension test.
Tx: rest, NSAIDS, quadracep strenghtening exercises |
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Term
| Ligamentous ankle injuries |
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Definition
Grade I: Microtearing of collagen fibers. Minimal tenderness/swelling. Tx: weight bearing as tolerated, strengthening exercises.
Grade II: complete tears of some but not all collagen fibers in ligament. Moderat tenderness/swelling, decreased ROM, +/- instability. Tx: air splint, ROM exercises
Grade III: complete tear/rupture of ligament. Significant swelling, tenderness, instability. tx: immobilization, +/- s/p. |
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