NR 577 Week 5

Scoliosis Scoliosis is a lateral curving of the spine that resembles an S or C shape. Adolescent idiopathic scoliosis (AIS) is a spinal deformity without neuromuscular or congenital cause. AIS is diagnosed most often in children and adolescents from ages 10-18. How should adolescents be screened for scoliosis? Adams Forward bend test What intervention do you do if a spinal curve is greater than 15 degrees orthopedic referral what to do with a cobb angle 10 degrees regular exercise for core strength. No further monitoring required For Cobb angle 11 to 20 degrees follow up radiographs every 4 to 12 months depending on the age of patient and estimated growth potential, plus exercise for core strength. For Cobb angle 21 to 45 degrees bracing for 18 hours per day plus exercise for core strength. For Cobb angle 45 degrees: surgical correction Patellofemoral stress syndrome Degeneration of the posterior patellar cartilage is the cause of this condition. Desiccation, thinning, fissure formation, and ultimately erosion of the cartilage occur. Mechanical factors are suspected although unproven. what is the most common cause of knee pain in joggers Chondromalacia Presentation of Chondromalacia retropatellar aching that is worsened by standing up, climbing stairs, or any other form of bent-knee strain; it is typically bilateral. Stiffness may develop after inactivity. Palpable grating can be elicited at the patellofemoral joint with flexion and extension of the knee. Tx for chondromalacia Symptomatic measures include acetaminophen or NSAIDs, ice, knee rest, and subsequent avoidance of knee overuse. Quadriceps-strengthening exercises are helpful. Surgery is a consideration in incapacitating cases.