Pathology II - Arthrology

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What is a first degree strain?

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Considered mild.
Pain during isometric contraction.
Inflammation.
No bleeding.

What is a second degree strain?

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Considered moderate.
Pain upon palpation.
Hemorrhaging and tearing.

What is a third degree strain?

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Considered severe.
100% tearing of tendon from muscle or bone.

Strains are associated with Tendons or Ligaments?

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Tendons

Sprains are associated with Tendons or Ligaments?

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Ligaments

What is a first degree sprain?

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Minor tearing of ligaments.
No abnormal loss of R.O.M.

What is a second degree sprain?

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Partial tearing of ligament.
Pain with passive movements.

What is a third degree sprain?

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Complete tear.

What is Osteoarthritis?

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Non inflammatory degeneration of articular cartilage.

What is subluxation?

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An incomplete or partial dislocation.

What is Rheumatoid Arthritis?

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Slow, chronic and progressive inflammatory disease that principaly affects the joints.

What is Gout?

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Disease where increased serum uric acid levels cause urate crystals to be deposited in joints and kidneys.

What is a common cause of gout?

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High protein diets

What is tendonitis?

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Inflammation of the tendon, commonly at the insertion.

What is Golfer's elbow?

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Inflammation of the tendons at the medial epichondyl of the humerus.

What is Tennis elbow?

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Inflammation of the tendons at the lateral epichondyl of the humerous.

What is Tenosynovitis?

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Inflammation of the tendon sheath.

Where are common names for the two most common places that tenosynovitis can occur?

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Carpal Tunnel & Tarsal Tunnel Syndrome.
(Ankles & Wrists)

What is Osgood Schlatter Disease?

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Tender and swollen tibial tuberosity occuring in atheletic adolescents.

What is a good treatment plan for someone with Osgood Schlatter disease?

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Working the quads.

What is Plantar fasciitis?

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Micro tears in the plantar fascia in the medial calcaneous or mid foot.

What is scoliosis?

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A lateral and/or spiraling curvature of the spine.
Spine may be flexible and reactive or fixed and structural.

What is Kyphosis?

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Excessive posterior curve of the thoracic spine.

What is Lordosis?

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An exaggerated cervical or lumbar curve.

What is Gibbous?

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A humpback (C-7 protrusion)

Ture or False: Low back pain is a disease?

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False.
It is a symptom.

What is back pain caused by poor blood flow?

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Vascular Back Pain

What is back pain caused by disc herniation?

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Neurogenic Back Pain

What is back pain caused by organ related pathology?

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Viscerogenic Back Pain

What is back pain that is considered "in your head"?

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Psychogenic Back Pain

What is back pain caused by disc degeneration?

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Spondylogenic Back Pain

What is Radicular pain?

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Pain that radiates down the legs.

What is acute herniation?

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Displaced disc compresses nerve root causing sensory and motor deficits. Often results in sciatica.

What is spinal stenosis?

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Pain brought on by prolonged standing or walking - neurogenic claudication.

What is Spondylolisthesis?

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Forward displacement of one vertebrae over another, usually L5 over S1.

What is Ankylosis?

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Bony fusion of the joints resulting in joint immobility.

What is Genu Valgum and what muscles can be treated to affect this condition?

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Knock knees.
Lengthen adductors.

What is Genu Varum and what muscles can be treated to affect this condition?

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Bowed legs.
Lateral thigh muscles, including glutes & biceps femoris.

What causes Genu Valgum and Genu Varum?

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Asymmetric Cartilage Growth

What is the condition when the medial longitudinal arch is missing?

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Flat foot

What are two types of flat feet?

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Flexible: Medial arch is restored during plantar flexion.

Rigid: Medial arch is NOT restored during plantar flexion.

What is Paget's Disease?

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Thickening and disorganization of bone architecture.

What is the condition that is a result of too much collagen, not enough minerals in the bone?

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Osteomalacia

What condition is a result of a vitamin D deficiency?

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Rickets

At what age range are bones typically their strongest?

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25-28

What condition is characterized by a loss of bone mass?

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Osteoporosis

How many deaths per year are linked to osteoporosis?

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100,000

What are Stress fractures?

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Accumulation of stress induced micro-fractures which eventually fracture through the compact bone.

Where are the top 4 locations for stress fractures?

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Tibia
Fibula
Metatarsals
Head of Femur

What is Osteochondroma?

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Tumor of bone cartilage

What type of fracture exhibits bone protruding through skin?

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Open

What type of fracture exhibits bone that does not protrude through skin?

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Closed

What type of fracture exhibits bone move out of its normal position?

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Displacement

What type of fracture occurs as a result of another bone diseasze?

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Pathologic

What condition is recognized by blue pus forming at the corner of the eyes?

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Osteomyelitis

What age related factors affect osteoporosis?

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Osteoclasts remain active as one ages, while osteoblasts slow down. Thus new bone formation occurs slower than bone breakdown.

What physical activity factors affect osteoporosis?

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As activity increases, so does bone mass.

What genetic factor affects osteoporosis?

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Not born with enough vitamin D receptors.

What nutrition related factors affect osteoporosis?

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Increased calcium increases bone mass.
Increased vitamin D increases calcium absorption

What hormonal related factors affect osteoporosis?

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Thyroid (controls calcium uptake into bones)
Parathyroid (controls calcium release into blood)

What condition is a result of too much hydroxyapetite and not enough collagen in bone?

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Osteopetrosis


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