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Orthopedic Injuries and Disorders
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Orthopedic Injuries and Disorders

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Questions and Answers

What direction is the direct blow to the knee that causes a specific type of injury?

  • Posterolateral
  • Anteromedial (correct)
  • Lateral
  • Medial
  • What is characterized by a posterolateral drawer sign?

  • Resultant injury from a direct blow to the knee (correct)
  • Popliteal tendon injury
  • Fibular collateral ligament injury
  • Arcuate ligament complex injury
  • Which of the following is NOT a characteristic of cumulative trauma disorders?

  • A single episode incident with full recovery (correct)
  • Caused by a minor stress imposed repeatedly
  • Related to a single episode incident
  • Caused by repetitive motion
  • What is true about the carrying angle?

    <p>It is more pronounced in females</p> Signup and view all the answers

    Which structure is NOT found in the dorsal compartment of the wrist?

    <p>FDP</p> Signup and view all the answers

    What is characterized by MCP flexion, interossei and lumbricals shortened, and often found in rheumatoid arthritis?

    <p>Intrinsic plus position</p> Signup and view all the answers

    What is NOT a characteristic of cumulative trauma disorders?

    <p>A single episode incident with full recovery and no further exposure</p> Signup and view all the answers

    What is true about the lateral most structures found at the dorsal compartment of the wrist?

    <p>APL and ECRL</p> Signup and view all the answers

    What is the recommended protocol for weight bearing after a surgery?

    <p>Early weight bearing as tolerated</p> Signup and view all the answers

    Which motion is restricted in total hip arthroplasty using an anterolateral approach?

    <p>Internal rotation</p> Signup and view all the answers

    What defense mechanism is demonstrated by a patient who becomes angry at their therapist after seeing no improvement?

    <p>Displacement</p> Signup and view all the answers

    What is the likely associated condition in a patient with adhesive capsulitis and psychoneuroses?

    <p>Depression</p> Signup and view all the answers

    What is the main goal of rehabilitation for a patient with head trauma who is unable to bathe and dress independently?

    <p>Regaining independence in daily activities</p> Signup and view all the answers

    What is the primary focus of rehabilitation for a patient with musculoskeletal disorders?

    <p>Enhancing functional abilities</p> Signup and view all the answers

    What is the likely outcome for a patient with adhesive capsulitis who does not receive proper treatment?

    <p>Increased stiffness and pain</p> Signup and view all the answers

    What is the primary objective of post-operative care for a patient who has undergone total hip arthroplasty?

    <p>Preventing complications and promoting healing</p> Signup and view all the answers

    What type of scoliosis would a patient with a gibbus deformity on the right thoracic region be expected to have?

    <p>Right thoracic scoliosis and left lumbar scoliosis</p> Signup and view all the answers

    What phenomenon is observed when a patient with right hemiparesis exhibits mass flexion of the right lower extremity in response to resistance applied to the right elbow flexion?

    <p>Homolateral synkinesis</p> Signup and view all the answers

    During which phase of gait is the iliopsoas muscle concentrically contracting?

    <p>Heel strike to foot flat</p> Signup and view all the answers

    Displacement of which bone can cause carpal tunnel syndrome?

    <p>Lunate</p> Signup and view all the answers

    What is the term for data that can vary once certain limits have been imposed?

    <p>Variable data with certain limits</p> Signup and view all the answers

    What is the expected finding in a patient with right thoracic scoliosis and left lumbar scoliosis?

    <p>Gibbus deformity on the right thoracic region</p> Signup and view all the answers

    What is the term for the phenomenon where stimulation of one muscle group results in involuntary contraction of another muscle group on the same side of the body?

    <p>Homolateral synkinesis</p> Signup and view all the answers

    What is the primary function of the iliopsoas muscle during the gait cycle?

    <p>Hip flexion</p> Signup and view all the answers

    Study Notes

    Mechanism of Injury

    • Direct blow to the knee from an anteromedial direction results in a lesion to the arcuate ligament complex, popliteal tendon, fibular collateral ligament, and lateral head of the gastrocnemius
    • Characterized by a posterolateral drawer sign

    Cumulative Trauma Disorders

    • May be related to a single episode incident
    • Posture maintained by the worker, including the length of time sustained, must be addressed in conjunction with repetitious motion
    • A relatively minor stress, imposed and successfully sustained numerous times in the past, can result in a significant breakdown of the system
    • A combination or series of stresses applied over a period of time from which adequate recovery does not occur

    Carrying Angle

    • More pronounced in females
    • Evident when the elbow is fully flexed
    • Disappears when the elbow is fully extended
    • Normal values: 5 to 19 degrees

    Dorsal Compartment of the Wrist

    • Lateral most structures: APL, EPB, ECRL, ECU

    Intrinsic Plus Position

    • Characterized by MCP flexion, interossei and lumbricals being shortened
    • Often found in rheumatoid arthritis
    • IP extension

    Scoliosis

    • Compensated right thoracic scoliosis and left lumbar scoliosis would expect a gibbus deformity on the right thoracic region

    Synkinesis

    • Mass flexion on the right LE as the resistance is applied indicates homolateral synkinesis

    Gait

    • Iliopsoas is concentrically acting during the acceleration phase

    Carpal Tunnel Syndrome

    • Displacement of the lunate bone can cause carpal tunnel syndrome

    Data

    • Data that has the capacity to vary once certain limits have been imposed

    Hip Arthroplasty

    • Anterolateral approach restricts internal rotation

    Defense Mechanisms

    • Displacement: transferring emotional burden to another entity/person
    • Projection: attributing one's own undesirable impulses to someone else
    • Regression: adapting to stressful situations by reverting to earlier levels of behavior
    • Repression: subconsciously blocking undesirable ideas or impulses

    Adhesive Capsulitis

    • Associated with psychoneuroses, such as depression, manic-depressive disorder, schizophrenia, or schizoaffective disorder

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    Description

    Quiz on types of orthopedic injuries, including mechanism of injury, resultant signs, and affected ligaments and tendons.

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