By M. Rebecca Hoffman
This booklet is designed to behave as an off-the-shelf consultant to aid overall healthiness care services within the overview of sufferers offering with universal musculoskeletal court cases within the fundamental care setting. This ebook has been divided into chapters protecting significant physique areas and accidents, and every bankruptcy contains: red flags, that are stipulations requiring fast remedy and/or referral; basic anatomy of every physique sector; approach to the patient; tear sheets to be used in the course of overview; common scientific diagnoses; and disposition of the sufferer illustrated with beneficial move charts.
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Additional info for Common Musculoskeletal Problems: A Handbook
There are two types of bursitis: noninfectious and infectious (septic) bursitis. With noninfectious bursitis, recurrent friction causes sterile irritation of the bursa, which typically presents as a painless, nontender swelling overlying the bursa . In septic bursitis, the swelling with be erythematous and tender. Even with this localized tenderness of the bursa, ROM of the elbow should be preserved; a decrease in ROM or significant pain with motion should alert the examiner to the possibility of a septic joint (see section “Red Flags” above).
5 ml can be injected. If the bones of the AC joint are displaced enough to override each other on X-ray, or if distal clavicle fracture is suspected, the patient should be referred. Persistent AC joint pain can indicate underlying rotator cuff pathology that can be managed through PT. Shoulder Instability Patients with shoulder instability (laxity of one or more of the three glenohumeral ligaments) tend to be younger and more active than those with impingement. Although young patients with instability of the shoulder may have impingement symptoms and findings, they often have underlying instability that needs to be addressed.
The challenge of the primary care provider is identifying those with pathology that requires intervention to prevent harmful sequelae. History should include location and duration of symptoms, inquiry about any trauma or mechanism of injury, and in the case of overuse injuries, questioning about occupation and/or daily activities. Inquiry should be made regarding the presence of any neurologic or radicular symptoms, which may be referred from the neck or arm. The “primary” physical examination should be performed on all patients presenting with hand and wrist complaints .