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

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

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

... Musculoskeletal Problems in the Outpatient Setting Edward J. Shahady, MDTallahassee, FL, USAEditor 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 shock-absorbing capability. Bed restor other forms of inactivity ... fasciitis. These clinical prob-lems may be prevented or minimized with the use of orthotics. Further discus-sion of the treatment of pronation and use of orthotics is included in Chapter 15 .An increased...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 3 pptx

Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 3 pptx

... 10 -year-olds, 68 18 for 1 1- to 12 -year-olds, and 76 16 for 1 3- to 14 -year-olds. 16 . Shoulder ExercisesRepeat 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 holding the involved arm to the side and ... 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-gaugeneedle. Patient bulk also influences the depth of insertion....
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 4 pot

Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 4 pot

... 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 athleteand 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 or tear is similar to META. If the growth plate of ... 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 andpain in the midportion of the wrist....
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 5 pptx

Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 5 pptx

... or indication of tissue in the joint. Magnetic resonanceimaging 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 pointstoward the ulna in contrast to the radial side of the joint, which pointstoward the radius (Figure 8 .10 ). Stressing the thumb MCP joint into ... volar aspect of the DIP joint andswelling 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. Extension of all the joints is normal...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 6 pot

Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 6 pot

... guide the content of the remaining examination.3. Case3 .1. HistoryA 22-year-old female runner comes to your office with complaints of rightgroin 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 painstops when she stops running and the pain is not present with walking or atrest. She has increased her running ... 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 recentincrease in running...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 7 ppt

Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 7 ppt

... iliac spine 13 15 21 –25 SartoriousLesser trochanter 11 12 16 17 IliopsoasGreater trochanter 2 –3 16 17 GlutealIschial tuberosity 13 15 20 –25 HamstringsIliac crest 13 15 21 –25 Abdominal ... and the degree of disability is determinedby 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 initiatingRICE ... positive on the left side. 10 .2. Thinking ProcessOsteoarthritis of the hip is the first thing that comes to mind given the patient’s age and chronicity of the problem. There is no doubt the problem...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 8 potx

Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 8 potx

... is doing well. 11 .3. ImagingWhen OA is suspected, recommended radiographs include weight-bearingand non-weight-bearing views. Some of the classical findings include jointspace narrowing, subchondral ... being hit on the lateral side of the kneeand experiences immediate medial knee pain and inability to bear weight.Examination reveals point tenderness in the vicinity of the attachment of the MCL. ... about 8 in. off the floor. Hold legraise for 10 to 15 s and slowly lower your leg back down to the floor.Repeat the exercise 25 times in the injured leg and 10 times in the uninjuredleg. Do these...
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Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 9 potx

Primary Care of Musculoskeletal Problems in the Outpatient Setting - part 9 potx

... 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 ... starteddown 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 of the puzzle together. If the problem ... have had a 5- to 10 -year history of back pain and other signs of osteoarthritis of large joints like the knees or the hips. The classical symp-toms are back pain radiating into the calf and...
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Care of Musculoskeletal Problems in the Outpatient Setting - part 1 pptx

Care of Musculoskeletal Problems in the Outpatient Setting - part 1 pptx

... benefitis 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 thatincreasing strength ... confirm the history and make the diagnosis.Knowledge of the anatomy helps the clinician perform the examination. Forexample, in Chapter 15 in the case of the 36-year-old man with foot pain,examination ... 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 medical problems in the acute care model...
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Care of Musculoskeletal Problems in the Outpatient Setting - part 2 ppt

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

... recreate the pain helppinpoint the anatomic structures involved in the injury. Abducting the arm to90° 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 fivegrades of injury but in the primary care office setting only three ... occur more frequently in the obese.Stretch marks and thinning of the skin also occur more often in obese persons. The approach to helping the obese patient involves a several-prongedattack plan....
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