Care of Musculoskeletal Problems in the Outpatient Setting - part 9 pdf

... and socks. In static observation, observe the athlete both in the weight-bearing and in the non-weight-bearing phases. Are there any obvious deformities? Is there significant bowing of the Achilles ... Next, assess the ROM of the various joints of the foot. Motion of the hindfoot, or subtalar joint, is assessed by cupping the heel in one hand and alternately...

Ngày tải lên: 11/08/2014, 13:20

... 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 ... in patients with pain in the popliteal area (the back of the knee). The popliteus is the pri- mary internal rotator of the tibia. Its origin is the posterior, m...

Ngày tải lên: 10/08/2014, 15:20

... Musculoskeletal Problems in the Outpatient Setting Edward J. Shahady, MD Tallahassee, FL, USA Editor Primary Care of Musculoskeletal Problems in the Outpatient Setting With 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 the...

Ngày tải lên: 10/08/2014, 15:20

... 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. ... with the other by measuring how far up the back the hand can reach to scratch the back. There usually is a lit- tle difference with the dominating arm lag...

Ngày tải lên: 10/08/2014, 15:20

... test (Tinel’s sign) is the production of tingling on the palmer surface of the thumb, index finger, and a portion of the middle finger. Test the strength of the thenar muscles by assessing the ability ... flexion. They also usually complain that the pain is located on the palm of the hand in the thenar area (thumb side). The pain may radiate the elbow. Nu...

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 ... volar aspect of the DIP joint and swelling and tenderness over the volar surface at the MCP joint and a feel- ing of a lump on the volar surface of the MCP joint....

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 recen...

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 ... injuries. They usually feel an immediate pull or pain in the groin. They will present with a limp and groin pain on the involved side. Examination will reveal te...

Ngày tải lên: 10/08/2014, 15:20

... present. The remaining parts of the history and physical in this patient are consistent with OSD. 12.3. Imaging The lateral radiograph of the knee outlines the tibial tubercle. In an adoles- cent ... 60,000. One quick way of deciding on the turbidity of the fluid is to place the fluid-filled tube in front of some newsprint. In OA you should be able to read t...

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