Critical Pathways in Therapeutic Intervention

PART I: Hand and wrist Chilly fingertips: Raynaud's Phenomenon Volar nodule and flexion contraction of ring finger: Dupuytren's Contracture Painful thumb following intense bout of hammering: DeQuerevain's Disease Nocturnal wringing of painful tingling right hand: Carpal Tunnel Syndrome Fall resulting in wrist deformity: Colles Fracture PART II: Elbow and forearm Burning pain, swelling, & trophic changes in hand, wrist, and forearm out of proportion to a two-week old negligible injury: Reflex Sympathetic Dystrophy Bilateral epicondylar elbow pain: Tennis and Golfer's Elbow PART III: Shoulder Persistent pinpoint tenderness over bicipital groove despite shoulder rotation & painful arc during resistive supination and elevation: Bicipital Tendinitis Loss of right shoulder elevation following injury, without presence of painful arc: Rotator Cuff Rupture Chronic right shoulder pain and crepitus during elevation, swimming, & while carrying a briefcase: Supraspinatus Impingement Chronic shoulder discomfort that progressed to acute unrelenting pain over four month period: Calcific Supraspinatus Tendinitis Acute & excruciating shoulder pain following intense bout of exercise and relieved by rest: Subacromial Bursitis Stiff and painful shoulder: Adhesive Capsulitis Painful bump over distal clavicle: AC Joint Sprain Fall on point of shoulder causing sagging of the upper extremity, loss of shoulder function, and much pain on movement: Clavicle Fracture Painful bump over proximal clavicle: Shoulder Separation Diver accident with acute pain and deformity in shoulder: Shoulder Dislocation PART IV: Brachial plexus, thoracic outlet and shoulder girdle Pain, dysthesia, and paresthesia in ulnar three digits due to proximal lesion: Thoracic Outlet Syndrome Large and broad shouldered infant with monoparetic arm following breech delivery: Erb's Palsy Exquisite pinpoint muscle pain and taut bands within muscle substance, with remote referral to a locale within the same myotome: Myofascial Pain Syndrome Chronic and generalized aches, pains, stiffness at three anatomic sites, and multiple tender points, as well as insomnia and headaches of at least three months duration : Primary Fibromyalgia Syndrome Neonate presenting with ipsilateral head tilt and contralateral facial flattening: Congenital Muscular Torticollis PART V: Nerve and muscle lesions Acute hemiparalysis of all facial muscles following cold exposure: Bell's Palsy Right ape-hand deformity and left claw hand deformity following accident in which both hands were thrust through a glass window: Nerve Injury Momentary stabbing pain in groin and ipsilateral buttock as well as loss of ambulation following a fall that yanks the ipsilateral extended leg into excessive abduction and flexion: Muscle Injury PART VI: Foot Pain and swelling of hallux as well as difficulty running following forceful and excessive forefoot extension: Turf Toe Syndrome Painful pebble sensation over ball of foot that radiates into toes: Interdigital Neuroma Medial calcaneal heel pain upon weight bearing on an intrinsic foot deformity: Plantar Fascitis/Heel Spur Pain and swelling of hallux as well as difficulty running following forceful and excessive forefoot extension: Dancer's Tendinitis PART VII: Ankle Painful and unstable upper ankle following jump-landing and excessively forceful inversion moment that causes the foot to roll inward: Ankle Sprain Pain and paresthesia over medial foot and sole following excessive walking that is relieved by sitting: Tarsal Tunnel Syndrome Pain, crepitus, and snapping over the lateral malleolus following ankle injury: Peroneal tendon instability Slim young woman with painless, sudden foot drop following cross-legged posture: Peroneal Nerve Entrapment

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• Ortopedia e fracturas
• Fisioterapia
• Médico administração e gestão