Mastering Your Musculoskeletal Exam Laurel Short, MSN, FNP-c
|
|
|
- Derrick Johnston
- 5 years ago
- Views:
Transcription
1 Mastering Your Musculoskeletal Exam Laurel Short, MSN, FNP-c
2 Disclosure I have no current affiliation or financial interest with any grantor or commercial interests that may have direct interest in the subject matter of the CE Program.
3
4 Here s what we ll cover Review key components of a comprehensive musculoskeletal exam Describe an organized approach to exam techniques Identify history questions used to assess patients presenting with problems for the upper and lower extremity Identify functional anatomy with clinical significant for the upper and lower limb
5 MSK Exam and Primary Care Musculoskeletal problems are in the top reasons for PCP visits Over half of chronic medical conditions in the U.S. are related to MSK diagnoses
6 Components of MSK Exam Observation Palpation Active & Passive range of motion (ROM) Strength Reflexes and Sensation Gait
7 Helpful Terms Abduction Adduction Proximal Distal Origin Insertion Volar Dorsal Valgus Varus
8 Observation
9 Observation Patient s description in initial call to clinic: Pain, burning, numbness, tingling. When he is seen for his appointment, he has developed this rash with blisters and itching:
10
11 Observation Skin appearance- breakdown, color, scar Swelling, edema, erythema Symmetry or asymmetry Posture Patient affect
12
13 Palpation Pressure level: light prior to firm Identify location: tendon attachment, muscle, joint? Type of pain provoked Focal vs. radiating pain
14
15 Range of Motion
16 Range of Motion Passive vs. Active Types of joints Is range limited due to pain/guarding, weakness, or muscle/joint issue? Always check the unaffected side first for comparison Is there pain associated with the reduced range of motion?
17
18 American Spinal Injury Association Strength Grading 0 Total paralysis 1 Palpable or visible contraction 2 Active Movement 3 Active movement against gravity 4 Active movement against gravity with some degree of resistance 5 Active movement with full resistance (normal)
19 Reflex Grading 0 No response 1+ Slight by definite response (may or may not be normal) 2+ Brisk response (normal) 3+ Very brisk (may or may not be normal) 4+ Repeating response/clonus (always abnormal)
20 Reflexes Video here: brisk reflexes, clonus, Hoffman sign
21 Approach to Exam ROM & Strength Focused Area(s) Special Tests
22 Upper Limb
23 Shoulder Very mobile joint with shallow glenoid fossa Stability depends on muscles and connective tissue Assess posture! Special tests: Impingement, Drop Arm, Apprehension, Wall Push-up
24
25 Elbow Hinge joint Stable with firm bone support Joint articulations include the umerus, radius, and ulna Special tests: Resisted supination/pronation, resisted middle finger, Tinel at the ulnar groove
26 Wrist/Hand Bilateral comparison to look for asymmetry Inspect for atrophy, joint swelling, triggering of finger Special Tests: Tinel, Phalen, Finkelstein, CMC grind Include exam of shoulder and elbow to determine etiology (e.g. cervical radiculopathy vs. carpal tunnel syndrome)
27
28 Prayer sign Dupytren s contracture Thenar atrophy
29
30 Lower Limb
31 Hip Pelvic Girdle: 3 joints Hip joint Sacroiliac joint Pubic symphysis
32
33 Hip Key point: Identify if pain is from hip joint, a surrounding area, or lumbar spine Assess anterior, lateral, and posterior hip Special tests: Stinchfield (resisted flexion with extended knee), Faber, Gaenslon, Ober
34 Meralgia Paresthetica
35 Trendelenburg Sign
36 Knee Largest joint in the body Modified hinge joint Greatest range of motion is flexion More exposed joint, therefore higher risk of injury Meniscal tear testing (McMurray, Apley) Ligament stability testing: Anterior and posterior cruciate ligaments Medial and lateral collateral ligaments
37
38 Peroneal Neuropathy
39 Foot/Ankle Foot and ankle are focal points of support for the body to weight bear and ambulate Heel and toe pads act as shock absorbers for walking and activity Complex joints allow for balance on variable terrain
40 Foot and Ankle Deformed Joint Pes Planus Include inspection of shoes Sensation Proprioception Add visual of foot Arches Charcot Joint
41 Foot and Ankle Plantar fasciitis: tenderness over the medial tuberosity of the calcaneus, tightness with dorsiflexion Morton s Neuroma: Squeeze test- usually between 3 rd and 4 th metatarsal heads Tendinitis: posterior tibial tendon, Achilles tendon Bursitis: retrocalcaneal bursa Metatarsalgia Pes Planus
42
43 SHOULDER EXAM: No atrophy. Normal strength of rotator cuff and shoulder girdle. Special tests are negative. Range of Motion: Pain with Internal Rotation, External Rotation, Abduction. Painful arc of motion degrees (supraspinatus/impingement). Special Tests: Positive impingement testing. ELBOW EXAM: No atrophy, no effusion, redness or warmth. ROM is pain-free and within functional limits, normal strength. Inspection/Palpation: Tenderness at: lateral epicondyle. Special Tests: Positive resisted middle finger extension, resisted supination. WRIST/HAND EXAM: No swelling, redness or warmth. No skin breakdown or nail abnormalities. No palmar or dorsal atrophy. Range of motion is pain free and within functional limits, normal strength. Inspection: thenar atrophy. Special Tests: Positive Phalen's, Tinel's, Median nerve compression. HIP EXAM: No atrophy.inspection/palpation: Tenderness at: trochanteric bursa, piriformis, SI joint. Special Tests: Negative FABER's, Stinchfield's (resisted hip flexion). KNEE EXAM: No atrophy, no effusion, redness or warmth. ROM is pain-free and within functional limits, normal strength. Good ligamentous stability. ANKLE/FOOT EXAM: No swelling, redness or warmth. No skin breakdown or gross deformity. No atrophy. Range of motion is pain free and within functional limits, normal strength. Special tests are negative.
44 NSAID Nutrition Rehab Ice Heat Therapy Injection
45 Make friends with a physical therapist!
46 References Akhtar S, Bradley MJ, Quinton DN, Burke FD. Management and referral for trigger finger/thumb. BMJ 2005, 331:30-3. Brown, K.,L. & Merrill, E. (2015). Musculoskeletal management matters: principles of assessment and triage for the nurse practitioner. The Journal for Nurse Practitioners, 11(10), Department of Research & Scientific Affairs, American Academy of Orthopaedic Surgeons. Annual Incidence of Common Musculoskeletal Procedures and Treatment. Published March Accessed [09/01/2017]. Hoppenfeld, S., & Hutton, R. (1976). Physical examination of the spine and extremities. New York: Appleton-Century-Crofts. Musculoskeletal Medicine. PM&R Knowledge Now. Retrieved on 09/01/2017 from Sallis, R. (n.d.) Examination skills of the musculoskeletal system. American Academy of Family Physicians. Retrieved on 09/01/2017 from nts/ms%20exam.pdf Sarwark, J. F., & Carl, R. L. (2010). Essentials of musculoskeletal care. Rosemont, IL: American Academy of Orthopaedic Surgeons. Silva MB, Skare TL.(2012). Musuloskeletal disorders in diabetes mellitus. Rev Bras Rheumatoly, 52(4),
Musculoskeletal Examination Benchmarks
Musculoskeletal Examination Benchmarks _ The approach to examining the musculoskeletal system is the same no matter what joint or limb is being examined. The affected and contralateral region should both
SMALL GROUP SESSION 16 January 8 th or 10 th Shoulder pain case/ Touch workshop/ Upper and Lower Extremity Examination
SMALL GROUP SESSION 16 January 8 th or 10 th Shoulder pain case/ Touch workshop/ Upper and Lower Extremity Examination Suggested Readings: Opatrny L. The Healing Touch. Ann Int Med 2002; 137:1003. http://www.annals.org/cgi/reprint/137/12/1003.pdf
Physical Exam. Jared Van Der Beek. Basics To Remember. Know the anatomy and how the muscles function.
Physical Exam Jared Van Der Beek Jared@physio-puncture.com 1 Basics To Remember Know the anatomy and how the muscles function. Know what the special tests are looking for and understand why they are positive.
MUSCULOSKELETAL PHYSICAL EXAMINATION GUIDE FOR GERIATRICIANS Dixie Aragaki, MD Daniel Estrada, MD Updated
MUSCULOSKELETAL PHYSICAL EXAMINATION GUIDE FOR GERIATRICIANS Dixie Aragaki, MD Daniel Estrada, MD Updated 9-21-2017 To facilitate the physical examination for common musculoskeletal ailments, this guide
SMALL GROUP SESSION 16 January 8 th or 10 th. Shoulder pain case/ Touch workshop/ Upper and Lower Extremity Examination
SMALL GROUP SESSION 16 January 8 th or 10 th Shoulder pain case/ Touch workshop/ Upper and Lower Extremity Examination Suggested Readings: Opatrny L. The Healing Touch. Ann Int Med 2002; 137:1003. http://www.annals.org/cgi/reprint/137/12/1003.pdf
Sick Call Screener Course
Sick Call Screener Course Musculoskeletal System Upper Extremities (2.7) 2.7-2-1 Enabling Objectives 1.46 Utilize the knowledge of musculoskeletal system anatomy while assessing a patient with a musculoskeletal
The examination of the painful knee. Maja K Artandi, MD, FACP Clinical Associate Professor of Medicine Stanford University
The examination of the painful knee Maja K Artandi, MD, FACP Clinical Associate Professor of Medicine Stanford University Objectives of the talk By the end of this talk you will know The important anatomy
Musculoskeletal Examination
Musculoskeletal Examination Statement of Goals Know how to perform a complete musculoskeletal examination. Learning Objectives A. Describe the anatomy of the musculoskeletal system including the bony structures,
Taming the Musculoskeletal Exam: İSí, se puede!
Taming the Musculoskeletal Exam: İSí, se puede! Ronald H. Labuguen, MD UCSF Department of Family and Community Medicine NP/PA/CNM Professional Practice Conference San Francisco Department of Public Health
Foot and Ankle Physical Exam. The Big Picture: - Gait analysis - Exam standing - Exam sitting - Provocative maneuvers
Foot and Ankle Physical Exam The Big Picture: - Gait analysis - Exam standing - Exam sitting - Provocative maneuvers 1. Gait analysis Physical Exam 2. Examination Standing Alignment Swelling 3. Examination
Mastering the Musculoskeletal Exam UCSF Essentials of Women s Health July 7, 2016 Carlin Senter, M.D. Henry Crevensten, M.D.
Mastering the Musculoskeletal Exam UCSF Essentials of Women s Health July 7, 2016 Carlin Senter, M.D. Henry Crevensten, M.D. I have nothing to disclose Outline Knee exam Shoulder exam Knee Anatomy The
Evaluation of the Knee and Shoulder
Evaluation of the Knee and Shoulder Karen J. Boselli, MD Northeast Regional Nurse Practitioner Conference May 2018 Knee Overview History Examination Top 5 diagnoses When to image When to refer Pain most
RN(EC) ENC(C) GNC(C) MN ACNP *** MECHANISM OF INJURY.. MOST IMPORTANT ***
HISTORY *** MECHANISM OF INJURY.. MOST IMPORTANT *** Age of patient - Certain conditions are more prevalent in particular age groups (Hip pain in children may refer to the knee from Legg-Calve-Perthes
The Painful Hip. Jennifer R Marks, MD
The Painful Hip Jennifer R Marks, MD The Painful Hip A 64 yo F presents to clinic complaining of a sore hip What further questions do you have for this patient? What is on your differential diagnosis?
From Childhood to Adulthood OMT for LOWER EXTREMITY Hip, Knee, Ankle, Foot. Objectives
From Childhood to Adulthood OMT for LOWER EXTREMITY Hip, Knee, Ankle, Foot Jan Hendryx, DO, FAAO Peek n Peak CME March 1, 2019 Objectives 1. Demonstrate knowledge of the anatomy of the lower extremity-
PRIMARY CARE EXAMINATION OF KEY JOINTS. Thomas M. Howard, MD, FACSM FFPC Sports Medicine
PRIMARY CARE EXAMINATION OF KEY JOINTS Thomas M. Howard, MD, FACSM FFPC Sports Medicine General exam principles: Expose entire joint and opposite limb for comparison Have a Differential Diagnosis Exam
Physical Examination of the Knee
History: Pain Traumatic vs. atraumatic Acute vs Chronic Mechanism of injury Swelling, catching, instability Previous evaluation and treatment General Setup Examine standing, sitting and supine Evaluate
Soft Tissue Rheumatism. Elinor Mody, MD Chief, Division of Rheumatology Reliant Medical Group
Soft Tissue Rheumatism Elinor Mody, MD Chief, Division of Rheumatology Reliant Medical Group Some problems are difficult, but diagnosing and treating most causes of joint pain are not! Common areas of
RN(EC) ENC(C) GNC(C) MN ACNP *** MECHANISM OF INJURY.. MOST IMPORTANT *** - Useful in determining mechanism of injury / overuse
HISTORY *** MECHANISM OF INJURY.. MOST IMPORTANT *** Age of patient Sport / Occupation - Certain conditions are more prevalent in particular age groups (Osgood Schlaters in youth / Degenerative Joint Disease
Checklist for Physical Examination of the Knee Muscuoskeletal Block -- Chris McGrew MD, Andrew Ashbaugh DO
Checklist for Physical Examination of the Knee Muscuoskeletal Block -- Chris McGrew MD, Andrew Ashbaugh DO This handout is for use as a rough guide and study aid. Your instructor may perform certain maneuvers
THE LOWER EXTREMITY EXAM FOR THE FAMILY PRACTITIONER
THE LOWER EXTREMITY EXAM FOR THE FAMILY PRACTITIONER Melinda A. Scott, D.O. Orthopedic Associates of Dayton Board Certified in Primary Care Sports Medicine GOALS Identify landmarks necessary for exam of
General Table of Contents
General Table of Contents Detailed Table of Contents ii List of Classic Special Orthopaedic Tests ix p1 Introduct i1 Chapter I: Ankle & Foot 1 Chapter II: Knee 33 Chapter III: Hip & Innominate 79 Chapter
Inspection. Physical Examination of the Elbow. Anterior Elbow 2/14/2017. Inspection. Carrying angle. Lateral dimple. Physical Exam of the Elbow
of the Elbow Anthony A. Romeo, MD Professor, Department of Orthopedics Head, Section of Shoulder and Elbow Surgery Rush University President-Elect, American Shoulder Elbow Surgeons Team Physician, Chicago
Examination of the Knee
Examination of the Knee Wash your hands & Introduce the exam to the patient Positioning & Draping With the patient supine, make sure both legs are exposed in order to compare each side be sure to use draping
Evaluation and Management of Knee Pain. Michael Cassat, MD University of Arkansas for Medical Sciences
Evaluation and Management of Knee Pain Michael Cassat, MD University of Arkansas for Medical Sciences Disclosure I have no actual or potential conflict of interest in relation to this program/presentation.
Module Eight. Application of Health Assessment NUR 225. Physical examination of Musculoskeletal System. King Saud University. Collage of Nursing
King Saud University Collage of Nursing Medical Surgical Nursing depart Application of Health Assessment NUR 225 Module Eight Physical examination of Musculoskeletal System Obtaining a health history Ask
Year 2004 Paper one: Questions supplied by Megan
QUESTION 47 A 58yo man is noted to have a right foot drop three days following a right total hip replacement. On examination there is weakness of right ankle dorsiflexion and toe extension (grade 4/5).
Rheumatology & Immunology. Regional pain syndromes to be covered today. Some definitions. Tendinitis. Bursitis. History. History. Exam.
Rheumatology & Immunology Some problems are difficult, but diagnosing and treating soft tissue syndromes are not! Soft tissue syndromes one of the most common reasons patients present to their doctor.
Chiropractic ICD-10 Common Codes List
Chiropractic ICD-10 Common Codes List This is a preliminary list of Common ICD-10 Codes for chiropractic diagnoses. This is a common code list to be used as a guide for coding and is not intended to represent
Sick Call Screener Course
Sick Call Screener Course Musculoskeletal System - Lower Extremities (2.9) 2.9-2-1 Enabling Objectives 1.46 Utilize the knowledge of musculoskeletal system anatomy while assessing a patient with a musculoskeletal
Physical examination protocol in the study of VPT and nerve conduction in working women with and without chronic pain
Physical examination protocol in the study of VPT and nerve conduction in working women with and without chronic pain ID number General health OK Affected Height cm Weight kg Heart OK Arrhythmia Murmurs
OTM Lecture Gait and Somatic Dysfunction of the Lower Extremity
OTM Lecture Gait and Somatic Dysfunction of the Lower Extremity Somatic Dysfunction Tenderness Asymmetry Range of Motion Tissue Texture Changes Any one of which must be present to diagnosis somatic dysfunction.
Copyright 2004, Yoshiyuki Shiratori. All right reserved.
Ankle and Leg Evaluation 1. History Chief Complaint: A. What happened? B. Is it a sharp or dull pain? C. How long have you had the pain? D. Can you pinpoint the pain? E. Do you have any numbness or tingling?
Elbow. Chapter 2 LISTEN. Mechanism of Injury (If Applicable) Pain
Chapter 2 Elbow LISTEN Mechanism of Injury (If Applicable) Patient usually remembers their position at the time of injury Certain mechanisms of injury result in characteristic patterns Fall on outstretched
Physical Examination of the Knee
History: Pain Traumatic vs. atraumatic? Acute vs Chronic Previous procedures done on the knee? Swelling, catching, instability General Setup Examine standing, sitting and supine Evaluate gait Examine hip
Lecture Notes The LocomotorSystem. W. P. Howlett 2017
Lecture Notes The LocomotorSystem W. P. Howlett 2017 Symptoms Main Symptoms Pain Stiffness Swelling Weakness The History Joints: involved Pain: onset, precipitating& relievingfactors Stiffness: pattern
Trauma & Orthopaedic Undergraduate Syllabus
Trauma & Orthopaedic Undergraduate Syllabus Introduction The purpose of this document is to provide a recommended syllabus for medical students in Trauma & Orthopaedics (T&0). It should help students on
MUSCULOSKELETAL DISORDERS: THE BIGGEST JOB SAFETY PROBLEM. What Are Musculoskeletal Disorders
MUSCULOSKELETAL DISORDERS: THE BIGGEST JOB SAFETY PROBLEM What Are Musculoskeletal Disorders Every year more than 1.8 million workers in the United States suffer painful back and repetitive strain injuries,
Anatomy. Anatomy deals with the structure of the human body, and includes a precise language on body positions and relationships between body parts.
Anatomy deals with the structure of the human body, and includes a precise language on body positions and relationships between body parts. Proper instruction on safe and efficient exercise technique requires
OBJECTIVES: Define basic assessments skills needed to identify orthopedic injuries. Differentiate when an orthopedic injury is a medical emergency
1 2 How to Triage Orthopaedic Care David W. Gray, M.D. OBJECTIVES: Define basic assessments skills needed to identify orthopedic injuries Differentiate when an orthopedic injury is a medical emergency
Arthritis and Rheumatology Clinics of Kansas Patient Education
Arthritis and Rheumatology Clinics of Kansas Patient Education Regional Pain Syndromes Introduction: At some time in the course of life, virtually everyone will experience pain in a tendon, muscle, or
138 Index. D Dorsiflexors, 90 Drop arm test, 15 Dupuytren s contracture, 43 44
Index A Achilles tendon reflex, 91 Adson test, 105 Allen s test, 40, 41 Ankle dorsiflexion test, 92 Ankle stability tests dislocation, 88, 89 radiographs, 87, 88 stability, 87 Ankylosing spondylitis, 118,
Ankle and Foot Orthopaedic Tests Orthopedics and Neurology DX 612
Ankle and Foot Orthopaedic Tests Orthopedics and Neurology DX 612 James J. Lehman, DC, MBA, DABCO University of Bridgeport College of Chiropractic Ankle & Foot Anatomy Stability of the ankle is dependent
CHRONIC FOOT PROBLEMS FOOT and ANKLE BASICS
CHRONIC FOOT PROBLEMS FOOT and ANKLE BASICS ABC s of Comprehensive Musculoskeletal Care December 1 st, 2007 Stephen Pinney MD Chief, UCSF Foot and Ankle Service Chronic problems typically occur gradually
Dorsal surface-the upper area or top of the foot. Terminology
It is important to learn the terminology as it relates to feet to properly communicate with referring physicians when necessary and to identify the relationship between the anatomical structure of the
12. Acromioclavicular (AC) Joint Compression Test (Shear)
List of Some Common Orthopedic tests: Shoulder 1. Empty Can (Supraspinatus) Test 2. Yergason Test 3. Speed's Test 4. Ludington's Sign 5. Drop Arm Test 6. Apley's Scratch Test 7. Cross-Over Impingement
Year 2 MBChB Clinical Skills Session Examination of the Motor System
Year 2 MBChB Clinical Skills Session Examination of the Motor System Reviewed & ratified by: o o o o Dr D Smith Consultant Neurologist Dr R Davies Consultant Neurologist Dr B Michael Neurology Clinical
Physical Examination of the Foot & Ankle
Inspection Standing, feet straight forward facing toward examiner Swelling Deformity Flatfoot (pes planus and hindfoot valgus) High arch (pes cavus and hindfoot varus) Peek-a-boo heel Varus Too many toes
Sports Injuries of the Foot and Ankle. Mark McEleney, MD University of Iowa College of Medicine Refresher Course for the Family Physician 4/4/2018
Sports Injuries of the Foot and Ankle Mark McEleney, MD University of Iowa College of Medicine Refresher Course for the Family Physician 4/4/2018 I. Objectives A. By the end of the lecture attendees will
RECIPES FOR RATINGS !!! A. FIBROMYALGIA: 0% WPI P. 569 B. THORACIC OUTLET SYNDROME 0% WPI P. 569 C. MYOFASCIAL PAIN SYNDROME 0% WPI P.
RECIPES FOR RATINGS 1. THE "0% WPI" RATINGS A. FIBROMYALGIA: 0% WPI P. 569 B. THORACIC OUTLET SYNDROME 0% WPI P. 569 C. MYOFASCIAL PAIN SYNDROME 0% WPI P. 569 D. TENDINITIS OF UPPER EXTREMITY 0% WPI P.
WEEKEND 2 Elbow. Elbow Range of Motion Assessment
Virginia Orthopedic Manual Physical Therapy Institute - 2016 Technique Manual WEEKEND 2 Elbow Elbow Range of Motion Assessment - Patient Positioning: Sitting or supine towards the edge of the bed - Indications:
BIOE221. Session 11. Musculoskeletal System. Bioscience Department. Endeavour College of Natural Health endeavour.edu.au
BIOE221 Session 11 Musculoskeletal System Bioscience Department Session Objectives o Review the major structures and functions of the musculoskeletal system system in order to be able to assess its motor
Shoulder Joint Examination. Shoulder Joint Examination. Inspection. Inspection Palpation Movement. Look Feel Move
Shoulder Joint Examination History Cuff Examination Instability Examination AC Joint Examination Biceps Tendon Examination Superior Labrum Examination Shoulder Joint Examination Inspection Palpation Movement
Trapezium is by the thumb, Trapezoid is inside
Trapezium is by the thumb, Trapezoid is inside Intercarpal Jt Radiocarpal Jt Distal Middle Proximal DIP PIP Interphalangeal Jts Metacarpalphalangeal (MCP) Jt Metacarpal Carpometacarpal (CMC) Jt Trapezium
Physical Examination of the Shoulder
General setup Patient will be examined in both the seated and supine position so exam table needed 360 degree access to patient Expose neck and both shoulders (for comparison); female in gown or sports
Musculoskeletal Assessment ANATOMY AND PHYSIOLOGY
Health Assessment - 1 - Lab 8: Musculoskeletal Assessment University of Kerbala / College of Nursing Adult Nursing Department Health Assessment Musculoskeletal Assessment ANATOMY AND PHYSIOLOGY The musculoskeletal
Hand Anatomy A Patient's Guide to Hand Anatomy
Hand Anatomy A Patient's Guide to Hand Anatomy Introduction Few structures of the human anatomy are as unique as the hand. The hand needs to be mobile in order to position the fingers and thumb. Adequate
Wrist and Hand Complaints
Wrist and Hand Complaints Charles S. Day, M.D., M.B.A. Chief, Hand & Upper Extremity Surgery St. Elizabeth s Medical Center Tufts University School of Medicine Primary Care Internal Medicine 2018 Outline
Peripheral Vascular Examination. Dr. Gary Mumaugh Western Physical Assessment
Peripheral Vascular Examination Dr. Gary Mumaugh Western Physical Assessment Competencies 1. Inspection of upper extremity for: size symmetry swelling venous pattern color Texture nail beds Competencies
Foot and Ankle Complaints.
Foot and Ankle Complaints www.fisiokinesiterapia.biz INTRODUCTION Anatomy and Function Foot Ankle Common complaints Common diagnoses FOOT AND ANKLE ANATOMY 26 bones and 2 sesamoids Forefoot Metatarsals
Sports Medicine Unit 16 Elbow
Sports Medicine Unit 16 Elbow I. Bones a. b. c. II. What movements does the elbow perform? a. Flexion b. c. Pronation d. III. Muscles in motion a. FLEXION (supinated) i Brachialis (pronated) ii (neutral)
Clinical examination of the wrist, thumb and hand
Clinical examination of the wrist, thumb and hand 20 CHAPTER CONTENTS Referred pain 319 History 319 Inspection 320 Functional examination 320 The distal radioulnar joint.............. 320 The wrist.......................
CHAPTER 8: THE BIOMECHANICS OF THE HUMAN LOWER EXTREMITY
CHAPTER 8: THE BIOMECHANICS OF THE HUMAN LOWER EXTREMITY _ 1. The hip joint is the articulation between the and the. A. femur, acetabulum B. femur, spine C. femur, tibia _ 2. Which of the following is
Shoulder joint Assessment and General View
Shoulder joint Assessment and General View Done by; Mshari S. Alghadier BSc Physical Therapy RHPT 366 m.alghadier@sau.edu.sa http://faculty.sau.edu.sa/m.alghadier/ Functional anatomy The shoulder contains
6/5/2018. Forefoot Disorders. Highgate Private Hospital (Royal Free London NHS Foundation Trust (Barnet & Chase Farm Hospitals) Hallux Rigidus
Forefoot Disorders Mr Pinak Ray (MS, MCh(Orth), FRCS, FRCS(Tr&Orth)) Highgate Private Hospital (Royal Free London NHS Foundation Trust (Barnet & Chase Farm Hospitals) E: ray.secretary@uk-conslutants Our
Ligamentous and Meniscal Injuries: Diagnosis and Management
Ligamentous and Meniscal Injuries: Diagnosis and Management Daniel K Williams, MD Franciscan Physician Network Orthopedic Specialists September 29, 2017 No Financial Disclosures INTRODUCTION Overview of
Arthritic history is similar to that of the hip. Add history of give way and locking, swelling
KNEE VASU PAI Arthritic history is similar to that of the hip. Add history of give way and locking, swelling INJURY MECHANISM When How Sequence Progress Disability IKDC Activity I - Strenuous activity
Recognizing common injuries to the lower extremity
Recognizing common injuries to the lower extremity Bones Femur Patella Tibia Tibial Tuberosity Medial Malleolus Fibula Lateral Malleolus Bones Tarsals Talus Calcaneus Metatarsals Phalanges Joints - Knee
Evaluation of Gait Mechanics Using Computerized Plantar Surface Pressure Analysis and it s Relation to Common Musculoskeletal Problems
Evaluation of Gait Mechanics Using Computerized Plantar Surface Pressure Analysis and it s Relation to Common Musculoskeletal Problems Laws of Physics effecting gait Ground Reaction Forces Friction Stored
Hip Joint DX 612 Orthopedics and Neurology
Hip Joint DX 612 Orthopedics and Neurology James J. Lehman, DC, MBA, DABCO University of Bridgeport College of Chiropractic Hip Anatomy Palpation Point tenderness Edema Symmetry Hip ROM Hip Contracture
Hip Anatomy. Hip Joint DX 612 Orthopedics and Neurology. Hip ROM. Palpation
Hip Joint DX 612 Orthopedics and Neurology Hip Anatomy James J. Lehman, DC, MBA, DABCO University of Bridgeport College of Chiropractic Palpation Hip ROM Point tenderness Edema Symmetry Hip Contracture
Scar Engorged veins. Size of the foot [In clubfoot, small foot]
![Scar Engorged veins. Size of the foot [In clubfoot, small foot]](/thumbs/78/77722241.jpg "Scar Engorged veins. Size of the foot [In clubfoot, small foot]")
6. FOOT HISTORY Pain: Walking, Running Foot wear problem Swelling; tingly feeling Deformity Stiffness Disability: At work; recreation; night; walk; ADL, Sports Previous Rx Comorbidities Smoke, Sugar, Steroid
How to Triage Orthopaedic Care. David W. Gray, M.D.
How to Triage Orthopaedic Care David W. Gray, M.D. OBJECTIVES: Define basic assessments skills needed to identify orthopedic injuries Differentiate when an orthopedic injury is a medical emergency Determine
Division of Student Affairs A Primer on the Musculoskeletal Examination Technique and Commonly Missed Injuries in Student Health
Division of Student Affairs A Primer on the Musculoskeletal Examination Technique and Commonly Missed Injuries in Student Health C.S. Nasin, MD, CAQ Sports Medicine Medical Director Head Team Physician
Elbow. Chapter 2 LISTEN. Mechanism of Injury (If Applicable) Pain
Preface The first decade of the twenty-first century has witnessed the continuation of an explosion in our knowledge and understanding of all aspects of disease. Accompanying this has been the increasing
The Shoulder. Jennifer R Marks, MD
The Shoulder Jennifer R Marks, MD Shoulder Anatomy Skeletal & ligamentous components: The joint is comprised of a confluence of Scapula Clavicle Humerus https://www.shoulderdoc.co.uk/article/ http/ www.shoulderdoc.co.uk/article/117777
DART Diagnosis and Related Treatments
DART Diagnosis and Related Treatments The DART Tool allows a user to obtain Treatment recommendations based on the disorder/condition. These recommendations are provided by ACOEM (American College of Occupational
Non Surgical Management Of Hip And Knee Osteoarthritis Toolkit. Evaluation and Diagnosis of Osteoarthritis in Primary Care
Non Surgical Management Of Hip And Knee Osteoarthritis Toolkit Evaluation and Diagnosis of Osteoarthritis in Primary Care OA-HxPE-716.indd 1 TABLE OF CONTENTS HISTORY TAKING... 3 EVALUATION OF SUSPECTED
Evaluation of Posterior Hip Pain
Evaluation of Posterior Hip Pain Anthony J. Ferretti, D.O., MHSA Hip Pain in the Adult Various etiologies: Traumatic Infectious Neurovascular Degenerative Congenital Pathologic 1 Hip Pain Complex interaction
Feet First. Michael K. Cooper, DO FACOFP Family Practice/OMM St John Clinic - Claremore OOA 2018 Annual Convention
Feet First Michael K. Cooper, DO FACOFP Family Practice/OMM St John Clinic - Claremore OOA 2018 Annual Convention Disclaimer I have no conflict of interest. I am not on any pharmaceutical company payroll
Lab Activity 9. Appendicular Skeleton Martini Chapter 8. Portland Community College BI 231
Lab Activity 9 Appendicular Skeleton Martini Chapter 8 Portland Community College BI 231 Appendicular Skeleton Upper & Lower extremities Shoulder Girdle Pelvic Girdle 2 Humerus 3 Humerus: Proximal End
2/20/2018 DUPUYTREN S CONTRACTURE. Palmar fibrosis COMMON ORTHOPAEDIC CONDITIONS ENCOUNTERED IN PRIMARY CARE NO DISCLOSURES UPPER EXTREMITY
COMMON ORTHOPAEDIC CONDITIONS ENCOUNTERED IN PRIMARY CARE NO DISCLOSURES Lori Bretschneider MSN,APRN,ONC DUPUYTREN S CONTRACTURE Palmar fibrosis UPPER EXTREMITY DUPUYTREN S CONTRACTURES Thickening and
COURSE OUTLINE-IB 128: SPORTS MEDICINE INTRODUCTION
COURSE OUTLINE-IB 128: SPORTS MEDICINE INTRODUCTION Definition of sports medicine Pre-participation physical exam Epidemiology of sports injuries injury rates for various sports sports risks relative to
King Saud University College of Nursing Medical-surgical Nursing
King Saud University College of Nursing Medical-surgical Nursing 1.Obtaining a health history: Ask about chief complain: History of presence of muscle pain (onset, location, Aggravating and alleviating
Review relevant anatomy of the foot and ankle. Learn the approach to examining the foot and ankle
Objectives Review relevant anatomy of the foot and ankle Learn the approach to examining the foot and ankle Learn the basics of diagnosis and treatment of ankle sprains Overview of other common causes
SMALL GROUP SESSION 21B February 10 th or February 12 th. Lower Extremity Examination and Ethics Case Discussion
SMALL GROUP SESSION 21B February 10 th or February 12 th Lower Extremity Examination and Ethics Case Discussion Suggested Readings: Opatrny L. The Healing Touch. Ann Int Med 2002; 137:1003. http://www.annals.org/cgi/reprint/137/12/1003.pdf
Elbow Anatomy, Growth and Physical Exam. Donna M. Pacicca, MD Section of Sports Medicine Division of Orthopaedic Surgery Children s Mercy Hospital
Elbow Anatomy, Growth and Physical Exam Donna M. Pacicca, MD Section of Sports Medicine Division of Orthopaedic Surgery Children s Mercy Hospital Contributing Factors to Elbow Injury The elbow is affected
Dr.Israa H. Mohsen. Lecture 5. The vertebral column
Anatomy Lecture 5 Dr.Israa H. Mohsen The vertebral column The vertebral column a flexible structure consisting of 33 vertebrae holds the head and torso upright, serves as an attachment point for the legs,
Therapeutic Foot Care Certificate Program Part I: Online Home Study Program
Therapeutic Foot Care Certificate Program Part I: Online Home Study Program 1 Anatomy And Terminology Of The Lower Extremity Joan E. Edelstein, MA, PT, FISPO Associate Professor of Clinical Physical Therapy
Contents. copyrighted material by PRO-ED, Inc. Chapter 1. Chapter 2. Chapter 3. Chapter 4. Chapter 5. Conditions in Athletic Injuries
Acknowledgments xiii Introduction to the First Edition xv Introduction to the Second Edition xvii Chapter 1 Conditions in Athletic Injuries Anterior Cruciate Ligament (ACL) Tear 2 Biceps Tendon Strain
Chapter 8 8/23/2016. Body Mechanics and Patient Mobility. Introduction to Body Mechanics and Patient Mobility
Chapter 8 Body Mechanics and Patient Mobility All items and derived items 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. Introduction to Body Mechanics and Patient Mobility
UPPER EXTREMITY INJURIES. Recognizing common injuries to the upper extremity
UPPER EXTREMITY INJURIES Recognizing common injuries to the upper extremity ANATOMY BONES Clavicle Scapula Spine of the scapula Acromion process Glenoid fossa/cavity Humerus Epicondyles ANATOMY BONES Ulna
Clarification of Terms
Clarification of Terms The plantar aspect of the foot refers to the role or its bottom The dorsal aspect refers to the top or its superior portion The ankle and foot perform three main functions: 1. shock
NORTH BAY SYMPOSIUM SATURDAY JANUARY 20 TH 2018
NORTH BAY SYMPOSIUM SATURDAY JANUARY 20 TH 2018 ROBERT HAIMSON, M.D. ORTHOPEDIC SURGEON SMGR FELLOW IN AAOS DIPLOMATE IN ABOS COMMON MUSCULOSKELETAL CONDITIONS COMMON MUSCULOSKELETAL CONDITIONS: WHAT
Disclaimer. Evaluation & Treatment of Shoulder and Elbow Pain in the Adult Patient. Objectives. Anatomy
Evaluation & Treatment of Shoulder and Elbow Pain in the Adult Patient William T. Crowe, RN-C, FNP, MSN, MBA Disclaimer! I, William T Crowe, have relevant financial relationships to be discussed, directly
Osteopathic Manipulation for the Knee and Shoulder
Osteopathic Manipulation for the Knee and Shoulder Carlton A Richie III DO FAAFP CAQ; Sports Medicine Associate Professor; Midwestern University Disclosure Statement Nothing to disclose Learning Objectives
BATES VISUAL GUIDE TO PHYSICAL EXAMINATION. OSCE 4: Knee Pain
BATES VISUAL GUIDE TO PHYSICAL EXAMINATION OSCE 4: Knee Pain This video format is designed to help you prepare for objective structured clinical examinations, or OSCEs. You are going to observe and participate
1-Apley scratch test.
1-Apley scratch test. The patient attempts to touch the opposite scapula to test range of motion of the shoulder. 1-Testing abduction and external rotation( +ve sign touch the opposite scapula, -ve sign
Orthopaedic Physical Examination of the Shoulder
Orthopaedic Physical Examination of the Shoulder Feel 1. Exposure 2. Inspect from front, back, side, for asymmetry, deformities, scars, sinuses, muscle wasting (esp deltoid, supraspinatus and infraspinatus).