Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 1 ppsx

... Musculoskeletal Problems in the Outpatient Setting Edward J. Shahady, MD Tallahassee, FL, USA Editor Primary Care of Musculoskeletal Problems in the Outpatient Setting With 207 Illustrations problems. The ... Immobilization and inac- tivity lead to muscle shortening. The shortening results in a decrease in the range of motion and a disruption of t...

Ngày tải lên: 10/08/2014, 15:20

... 10 -year-olds, 68 18 for 1 1- to 12 -year-olds, and 76 16 for 1 3- to 14 -year-olds. 16 . Shoulder Exercises Repeat each of the following exercises two times a day. Rotate from one exer- cise to the other. ... differ depending on the degree of intervention. 13 .1. Examination The examination will differ depending on the phase of AC. Initially the patient may be...

Ngày tải lên: 10/08/2014, 15:20

... most commonly in 1 3- to 16 -year-olds (see p. 11 1). The age of occurrence of META is dependent on the skeletal maturation of the athlete and occurs between 11 and 16 years of age. Once the medial ... 68 18 for 1 1- to 12 -year- olds, and 76 16 for 1 3- to 14 -year-olds. 10 . Ulnar Collateral Ligament Injury The mechanism of injury for UCL stretch o...

Ngày tải lên: 10/08/2014, 15:20

... or indication of tissue in the joint. Magnetic resonance imaging may be indicated to access the amount of tissue that has been dis- placed into the joint. Save the ordering of the MRI for the ... over the ulnar side of the MCP. The ulnar side points toward the ulna in contrast to the radial side of the joint, which points toward the radius (Figure 8 .10...

Ngày tải lên: 10/08/2014, 15:20

... guide the content of the remaining examination. 3. Case 3 .1. History A 22-year-old female runner comes to your office with complaints of right groin and thigh pain for the past 3 weeks. The pain ... 25 min of running but now it starts within minutes of beginning her run. The pain stops when she stops running and the pain is not present with walking or at rest. She has inc...

Ngày tải lên: 10/08/2014, 15:20

... iliac spine 13 15 21 –25 Sartorious Lesser trochanter 11 12 16 17 Iliopsoas Greater trochanter 2 –3 16 17 Gluteal Ischial tuberosity 13 15 20 –25 Hamstrings Iliac crest 13 15 21 –25 Abdominal ... and the degree of disability is determined by the degree of injury. The symptoms are pain over the iliac crest, point ten- derness, and pain with stretching of the abdominal m...

Ngày tải lên: 10/08/2014, 15:20

... is doing well. 11 .3. Imaging When OA is suspected, recommended radiographs include weight-bearing and non-weight-bearing views. Some of the classical findings include joint space narrowing, subchondral ... being hit on the lateral side of the knee and experiences immediate medial knee pain and inability to bear weight. Examination reveals point tenderness in the vicinity of...

Ngày tải lên: 10/08/2014, 15:20

... start-up pain after sit- ting or when arising in the morning. Examination reveals swelling in between the Achilles tendon and the calcaneus. There is generally a prominence in the area of the ... started down the right path. The mechanism of injury will many times pinpoint the anatomy involved in the injury. Questions like the following help put the pieces o...

Ngày tải lên: 10/08/2014, 15:20

... benefit is obtained by increasing the rate beyond 75% for the average patient in the primary care setting. Include resistance training and stretching in the plan. Emphasize that increasing strength ... confirm the history and make the diagnosis. Knowledge of the anatomy helps the clinician perform the examination. For example, in Chapter 15 in the case of...

Ngày tải lên: 11/08/2014, 13:20

... recreate the pain help pinpoint the anatomic structures involved in the injury. Abducting the arm to 90° impinges the supraspinatus muscle under the corocoacromial ligament. In addition, pain produced ... graded by the amount of trauma that occurs to the joint and the acromioclavicular and coricoclavicular ligaments. There are five grades of injury but in the pr...

Ngày tải lên: 11/08/2014, 13:20