Some common orthopedic terms include: abduction (the movement of a body part away from the midline), adduction (movement of a body part toward the midline), dorsiflexion (movement upward of the hand or foot), extension (movement of the joint ), flexion (bending the joint so its angle is lessened), hyperextension (an extension beyond what is normal), inversion (movement of the ankle forward) pronation (movement so as to place the palm facing down), rotation (movement of one bone turning on another), torsion (moving the bone on its axis) and valgus (causing outward turning of the foot and varus (causing inward turning of the foot).
The following are common orthopedic disorders. Rotator cuff tendonitis, caused by repeated overuse, diagnosed by sign of impingement, x-ray, MRI w/o tear and treated with rest, ICE/Heat, NSAIDs and cortisone injections. Acromioclavicular (AC) joint inflammation caused by repetitive overhead activity, diagnosed by impingement sign, X-ray and MRI, is treated by rest, heat/ice, NSAIDs, cortisone injection and arthroscopic depression. Adhesive capsulitis (AC Frozen shoulder) caused by no shoulder movement due to pain, diagnosed by a physical exam, is treated by ROM Exercises, pain management and manipulation under anesthesia. Ligament disorders range from anterior cruciate, to posterior cruciate, to median cruciate, to lateral cruciate (tears), diagnosed by physical exam, joint effusion, decreased ROM, edema, tests, X-ray and MRI, are treated by splint w/PT, reconstruction, repair (meniscus) and sometimes surgery.
Other orthopedic injuries include meniscus tear, hip fracture, ankle sprain, arthritis of joint, and various other fractures.
The Case Management process entails case selection, assessment, planning and implementation, and evaluation. The selection process considers:
a) does pain exceed injury
b) does disability exceed what is expected
c) will patient be out of work for over 4-6 weeks
d) is surgery recommended
e) in hip surgery cases, is the client over 70
f) is diabetes present?
Assessment considers:
a) history of injury
b) medical treatment to date
c)current diagnosis
d) treatment plan & recommendations
e)is the patient treating with an appropriate provider
f) is the treatment plan appropriate
g) is the patient improving
h)level of pain
i) presence of complications and more.
Planning and implementation consider a second opinion if appropriate, see to it that there is appropriate treatment for any medical conditions that may cause complications, coordinate the return to work of the patient, coordinate the return to PT or OT if needed, and ensure that there is a timely movement through the rehab process.
The evaluation component asks whether the patient is progressing in rehab, if the recovery is as expected, if complications are being avoided, if the effects of concurrent medical conditions are minimized, whether the treatment plan and provider are appropriate, and is the patient coping with functional changes, among other things.
http://casemanagerexam.com
