PPEN
True or False - The anatomical neck is fused by the growth plate.
What is true?
List two things required for diagnosis.
What are hx of mechanism of injury, medical background, palpation and inspection of injured limb, CT, MRI, US, x-ray?
True or False - There is a cure for certain types of EDS.
What is false? There is no cure, just tx and preventative measures.
Describe the role of PT post-op.
Provide edu on f'tonal mvt, recovery, pain management, provide exercises that improve strength, ROM, and flexibility after procedures, reduce length of hospital stays, gain baselines and track progress and patient goals, follow post-op protocols.
True or False - The lower the score means better function on QuickDASH.
What is true? Higher score = more impairment
The level of nerve injury where the axon and endoneurium are disrupted.
What is axonotmesis 3rd degree?
List one risk factor the elderly.
What is osteoporosis?
Describe EDS.
What is a group of hereditary disorders of connective tissue that are varied in the ways they affect the body and in their genetic causes? There is a reduction in type 5 collagen.
Prescribe 2 exercises for phase 2 post-ORIF.
What are: supine shoulder AROM flexion, side-lying shoulder ER w/ towel under arm, side-lying abduction to 90 deg, side-lying shoulder flexion, low punch, shoulder isometric flex/ext/IR/ER, biceps curls, triceps ext, prone rows, etc.?
Describe the role of PT in emergency room.
Help w/ ax of mobility and function, help make diagnoses, refer for management, recommendations for discharge, educate on injury and trajectory of healing or condition management, bracing.
Proximal fractures most commonly occur in these people.
What is women >65?
In young people, males experience more fractures than females.
List three signs and symptoms of an isolated PHF.
What are localized pain, swelling, decreased ROM, and pain on palpation.
Prevalence of EDS.
What is 1/3500 or 1/5000?
List 3 things that make a patient eligible for OHIP.
Referral from doctor or NP, have a recent illness/injury/etc., have a valid Ontario health card, be <19, be 65+, any age if have been in hospital w/in last 12 months, 18+ while in LTC home.
Most common PHF according to the Neer Classification.
What are one-part fractures? No fragments meet the criteria for displacement; fracture lines involved 1-4 parts, no displaced parts, treated conservatively, 70% of PHF.
List two predisposing factors of nonunions.
Mechanical instability: inadequate fixation, distraction, b loss, poor b quality
Inadequate vascularity: severe injury, excessive soft tissue stripping, vascular injury
Poor b contact: soft tissue interposition, malposition or malalignment, b loss, distraction
List 3 pediatric causes of PHFs/BPIs.
What are abuse, during child birth, and trauma?
List 3 differential diagnoses.
What are Marfan Syndrome, Loeys-Dietz Syndrome, Stickler Syndrome, Williams Syndrome, Aarskog-Scott Syndrome, and Fragile X-Syndrome?
List three indications for ORIF.
Displacement >5mm of tuberosities, marginal articular fractures w/ jt displacement, large varus or valgus deformity, <65 years of age, >100% displacement of surgical neck.
QuickDASH for shoulder disorders MCID and MDC.
MCID = 8-19
MDC = 11.2-17.18
Explain the inflammation phase of fracture healing.
First few days
Bleeding -> hematoma -> growth factors
Vasodilation and hyperemia in surrounding tissues
Hematoma replaced by granulation tissue
Name three differential diagnoses.
What are GH dislocation, scapula fracture, clavicle fracture, humeral shaft fracture, neuromuscular injury, and neuropathic arthropathy?
List the three major criteria of the Villefranche Criteria for the Classic subtype.
What are skin hyperextensibility, widened atrophic scars, and joint hypermobility?
List 3 precautions of phase 1 post-op ORIF.
What are: No abduction past 90 deg, shoulder ER 0-40 deg, no lifting >1lb, no motions into painful ranges and no driving until adequate ROM, sling is discharged, and no narcotic pain medication being used?
CPO Standard for Communication's 4 of the 6 keys of communication.
What are 1) Show basic courtesy, 2) Be clear, 3) Listen, 4) Consider culture, 5) Confirm understanding, 6) Watch body language?