Care of Musculoskeletal Problems in the Outpatient Setting - part 2 ppt

... applied to the joint to dis- rupt the joint proper or the surrounding ligaments that hold the joint in its anatomical position. The AC joint lies between the acromial end of the clav- icle and the acromion. ... recreate the pain help pinpoint the anatomic structures involved in the injury. Abducting the arm to 90° impinges the supraspinatus muscle under the c...

Ngày tải lên: 11/08/2014, 13:20

... border of the humeral head places it in the correct location. The depth of the insertion is usually about half the depth of a 1.5 -in. 22 -gauge needle. Patient bulk also influences the depth of insertion. ... differ depending on the degree of intervention. 13.1. Examination The examination will differ depending on the phase of AC. Initially the patient may...

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 ... contractures make reinsertion more diffi- 1 52 E.J. Shahady 3 .2. Thinking Process The unusual position of the finger in the flexed palm indicates malrotation of the...

Ngày tải lên: 10/08/2014, 15:20

... 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 muscles. Treat by initiating RICE ... positive on the left side. 10 .2. Thinking Process Osteoarthritis of the hip is the first thing that comes to mind given the patient’s age and chronicity of...

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 ... based on the model of acute care rather than chronic care. In the acute care model, patient participation in decision making is minimal to nonexistent. The medi...

Ngày tải lên: 11/08/2014, 13:20

... 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 increased her running ... 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. T...

Ngày tải lên: 11/08/2014, 13:20

... lesions, 75 Hindfoot injuries, a case study, 320 – 322 Hip, 4 Hip and thigh problems, case histories, 20 8 21 0, 21 8 22 0, 22 2, 22 3 focused history, 20 4 focused physical examination, 20 4 20 8 organizational ... content, 29 Low-density lipoprotein (LDL), 9 Lower leg, anatomy of, 26 9 27 1 exercises, 28 7, 28 8 pain, 26 8 case study of left, 27 2 27 4 focused history o...

Ngày tải lên: 11/08/2014, 13:20

... Musculoskeletal Problems in the Outpatient Setting Edward J. Shahady, MD Tallahassee, FL, USA Editor Primary Care of Musculoskeletal Problems in the Outpatient Setting With 20 7 Illustrations problems. The ... the anatomy in action. 2. Principle 2 The history helps the clinician not only make the diagnosis but better under- stand the risks for in...

Ngày tải lên: 10/08/2014, 15:20

... ligaments of the floor of the snuffbox. All these land- marks are noted in Figure 7.8. The examination in SLLD is positive for discomfort in the snuffbox and pain in the midportion of the wrist. ... of the thumb, index finger, and a portion of the middle finger. Test the strength of the thenar muscles by assessing the ability of the thumb to move...

Ngày tải lên: 10/08/2014, 15:20

... your office with complaints of right groin and thigh pain for the past 3 weeks. The pain first began after 25 min of running but now it starts within minutes of beginning her run. The pain stops ... often minimal owing to the depth of soft tissue overlying the femoral neck. The above factors of (1) increased risk for osteoporosis (eating disorder), (2) history of rece...

Ngày tải lên: 10/08/2014, 15:20