SCS Study Set
Schuermann's Kyphosis - ANS-juvenile kyphosis; juvenile discogenic (12-17 yo)
(structural deformity) anterior wedging of the vertebral bodies of 5 degrees in 3 or more
vertebrae; can be a thoracic (peak at T7-T9) or thoracolumbar
Clay Shovler's Fx - ANS-Spinous process fracture of the cervical/upper thoracic vertebrae
Hangman's Fx - ANS-Fracture of the upper cervical d/t a hyperextension MOI. Fx of the pars
articularis
SCFE - ANS-Slipped Capital Femoral Epiphysis
*most common hip disorder in adolescents
can be insidious or traumatic anterior translation of the femoral neck on the epiphysis; causes
shear forces within the growth plate
- Mild, moderate to severe slippage
Pt may c/o groin or thigh pain for prolonged periods; ~45% will complain of knee or thigh pain at
initial onset
Possible Intra-articular Pathologies of the hip - ANS-Labral tear
FAI
Chondral injury/loose body
OA
Ligamentum Teres
Osteonecrosis
Myoglobin - ANS-an O2 and iron binding protein found in skeletal and cardiac muscle fibers
- supplies O2 to the cells in your muscles
*distantly related to hemoglobin
Urine tests can be used to assess the level of myoglobin in your urine; typically filtered out by
the kidneys, but in the case of extensive muscle damage, high levels of myoglobin may be
detected
Bennett Fracture - ANS-Define: intra-articular fracture that occurs along the base of the 1st
metacarpal; a triangular portion, avulsion fracture
MOI: forced hyper-flexion &/or ABD
, Tx: typically considered unstable; often require surgical intervention
- Immobilization: 8 weeks + 3 additional post-removal
- no heavy gripping or pinching activities for 3 months
Smith Fracture - ANS-A distal radio-ulnar fracture that is displaced to the ventral side; often
caused by a FOOSH with the wrist in flexion
("Reverse colles fracture)
Colles Fracture - ANS-A distal radio-ulnar fracture that is displaced to the dorsal aspect; more
common than a smith's fracture
Scaphoid Fracture - ANS-Most common carpal fracture (> 50%); the waist of the bone is the
most common place of fracture, with the pole of the scaphoid (<20% of the time)
Symptoms: deep, dull ache; TTP along the base of the 1st MC = the waist of the scaphoid
(+) Pinch grip for pain, TTP, radial deviation
Very commonly missed; (SNAC = scapho-nonunion advanced collapse)
- if symptoms continue to persist, repeat xrays are required in 2 weeks
- MRI will provide quicker results of an apparent fx
Tx: surgical vs. conservative
- Immobilize: 8-10 weeks; up to 3 months if fx occurs at the waist in a spica case
- an additional 6 weeks of a removable thumb spica that is based at the forearm
ACR Appropriateness Criteria - ANS-
Frieberg's Special Test - ANS-
Phases of Throwing - ANS-
Little League Shoulder - ANS-
Types of Throws/Forces Generated - ANS-
Humidity: Wet Bulb Measures - ANS-
Hydration Levels - ANS-
Anter vs Retrograde Amnesia - ANS-
Types of meniscal repairs - ANS-
Schuermann's Kyphosis - ANS-juvenile kyphosis; juvenile discogenic (12-17 yo)
(structural deformity) anterior wedging of the vertebral bodies of 5 degrees in 3 or more
vertebrae; can be a thoracic (peak at T7-T9) or thoracolumbar
Clay Shovler's Fx - ANS-Spinous process fracture of the cervical/upper thoracic vertebrae
Hangman's Fx - ANS-Fracture of the upper cervical d/t a hyperextension MOI. Fx of the pars
articularis
SCFE - ANS-Slipped Capital Femoral Epiphysis
*most common hip disorder in adolescents
can be insidious or traumatic anterior translation of the femoral neck on the epiphysis; causes
shear forces within the growth plate
- Mild, moderate to severe slippage
Pt may c/o groin or thigh pain for prolonged periods; ~45% will complain of knee or thigh pain at
initial onset
Possible Intra-articular Pathologies of the hip - ANS-Labral tear
FAI
Chondral injury/loose body
OA
Ligamentum Teres
Osteonecrosis
Myoglobin - ANS-an O2 and iron binding protein found in skeletal and cardiac muscle fibers
- supplies O2 to the cells in your muscles
*distantly related to hemoglobin
Urine tests can be used to assess the level of myoglobin in your urine; typically filtered out by
the kidneys, but in the case of extensive muscle damage, high levels of myoglobin may be
detected
Bennett Fracture - ANS-Define: intra-articular fracture that occurs along the base of the 1st
metacarpal; a triangular portion, avulsion fracture
MOI: forced hyper-flexion &/or ABD
, Tx: typically considered unstable; often require surgical intervention
- Immobilization: 8 weeks + 3 additional post-removal
- no heavy gripping or pinching activities for 3 months
Smith Fracture - ANS-A distal radio-ulnar fracture that is displaced to the ventral side; often
caused by a FOOSH with the wrist in flexion
("Reverse colles fracture)
Colles Fracture - ANS-A distal radio-ulnar fracture that is displaced to the dorsal aspect; more
common than a smith's fracture
Scaphoid Fracture - ANS-Most common carpal fracture (> 50%); the waist of the bone is the
most common place of fracture, with the pole of the scaphoid (<20% of the time)
Symptoms: deep, dull ache; TTP along the base of the 1st MC = the waist of the scaphoid
(+) Pinch grip for pain, TTP, radial deviation
Very commonly missed; (SNAC = scapho-nonunion advanced collapse)
- if symptoms continue to persist, repeat xrays are required in 2 weeks
- MRI will provide quicker results of an apparent fx
Tx: surgical vs. conservative
- Immobilize: 8-10 weeks; up to 3 months if fx occurs at the waist in a spica case
- an additional 6 weeks of a removable thumb spica that is based at the forearm
ACR Appropriateness Criteria - ANS-
Frieberg's Special Test - ANS-
Phases of Throwing - ANS-
Little League Shoulder - ANS-
Types of Throws/Forces Generated - ANS-
Humidity: Wet Bulb Measures - ANS-
Hydration Levels - ANS-
Anter vs Retrograde Amnesia - ANS-
Types of meniscal repairs - ANS-
