ClinicalManifestationsTable.doc.docVIP

Clinical Manifestations Vertebral Column Disorder: Manifestations Spina Bifida Failure of the two sides of the vertebral arches to fuse; open vertebral canal Scoliosis Abnormal lateral curvature of the vertebral column; involves the right and left sided curvature and rotation of one vertebra upon another Kyphosis Abnormal curvature of the vertebral column in the thoracic region, producing a hunchback deformity Lordosis Abnormal curvature of the vertebral column in the lumbar region producing a swayback deformity Herniation of Intervertebral Discs A tear can occur within the annulus fibrosis through which the gelatinous material of the nucleus pulposus can track and eventually impinge upon neural structures Shoulder Joint, Scapular Pectoral Muscles Injury Site of Injury How does this occur? Associations Misc. Clavicle Fracture Junction of the middle and lateral thirds Most commonly fractured bone Dislocation of Acromioclavicular Joint Acromioclavicular joint Shoulder separation as a result of direct trauma Commonly associated with rupture of the coracoclavicular ligament Results in elevation and upward subluxation of the clavicle Dislocation of Sternoclavicular Joint Sternoclavicular joint Rare; Dislocation is typically in the ventral direction Fracture of the Humerus Distal to the deltoid tuberosity Deviation of the proximal segment laterally by the deltoid and supraspinatous and the distal segment superomedially by the pull of the triceps, biceps and coracobrachialis Fracture of the Humerus Proximal to the Deltoid tuberosity Deviation of the proximal segment medially (adducted) by the pull of the Pec. Major and Teres major and displacement of the distal segment laterally and superiorly by the pull of the Deltoid Rotator Cuff Occur in violent or repeated abduction above 90 degrees Acute fall on the outstretched hand Produces rupture of one or more of the rotator cuff muscles; Pain = limited ability to abduct the arm Rotator cuff tendonitis =