... 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 ... Bursitis
There are several bursas around the knee. Two of them, the pes anserine and
the prepatellar, can become inflamed and present to the primary care clini-
ci...
... 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...
... FL, USA
Editor
Primary Care of
Musculoskeletal
Problems in the
Outpatient Setting
With 207 Illustrations
problems. The most important role for the primary care clinician is pre-
vention and early ... Immobilization and inac-
tivity lead to muscle shortening. The shortening results in a decrease in the
range of motion and a disruption of the shock-absor...
... 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 be...
... 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...
... 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. 1...
... 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...
... 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...
... crest through the mid-
point of the patella. Draw another line from the tibial tuberosity through the
midpoint of the patella. The angle formed at the intersection of the two lines
is the Q angle ... describe the compart-
ments and the contents of the compartments. Knowledge of the structures in
these compartments aids in the diagnosis and treatment...
... 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 me...