Musculoskeletal Assessment-Video

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Muranga University College *

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Nursing

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Nov 24, 2024

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Running head: MUSCULOSKELETAL ASSESSMENT 1 Mrs. X’s Musculoskeletal Assessment Mary Ann Gathaiya

MRS. X’S MUSCULOSKELETAL ASSESSMENT 2 Mrs. X’s Musculoskeletal Assessment Subjective Data As a result, the writer has concentrated on Mrs. X, a 40-year-old entrepreneur who lives with her family, which includes one husband and three children. She claims that her mobility is fine, and that nothing has changed in the previous three years. She has no family history of musculoskeletal or joint disorders. She did, however, suffer a radius fracture when she was 10 years old. In her family history, her maternal and paternal grandparents (ages 65 to 75) experienced osteoarthritis for 5 to 10 years. Her parents and siblings have never suffered from musculoskeletal disorders. She claims to walk outside or use a treadmill three to four times a week for 30 to 40 minutes for her workout. Her daily multivitamin and calcium-fortified orange juice are part of her diet. There was no substantial weight gain or decrease. For occasional headaches, he takes aspirin or Tylenol. Denies the existence of pain or weakness. Objective Data Gait • The gait is described as stable and unaltered. There are no issues with muscular weakness, tremor, or mobility. Her stride is characterized by a regular smooth rhythm, symmetry in her steps/arm swing, and fluid swaying motions. • No shaky/exaggerated gait; limp/irregular stride; arms swing unrelated to walking; failure to keep a straight posture; asymmetry, and so on. Alignment, contour, symmetry, size, and gross abnormalities are all checked on the axial and appendicular skeletons.  Mrs. X stands erect, and her body is relatively symmetric; the spine is straight with normal curvatures; hips, knees, and ankles in a straight line; the feet are flat on the floor.

MRS. X’S MUSCULOSKELETAL ASSESSMENT 3  No irregular posture, asymmetry, or misalignment found. Temporomandibular joint, • Muscles are strong and symmetrical, and movement is symmetrical, painless, and smooth. • Makes a 4 cm gap between the upper and lower teeth while opening the mouth. • 1.5 cm of lateral jaw movement in either direction • Equally strong jaw and mouth movement against opposition. • No, problems opening the mouth; discomfort or crepitus; jaw locking, and so on. Shoulders, Shoulders are the same height, and the clavicles and scapulae are the same size and position. Asymmetrical, nontender, and firm sternoclavicular and acromioclavicular joints. Full range of motion, equivalent muscular strength, and bilaterally strong. • Using the Neer Impingement sign, I'll use one hand to support Mrs. X's scapula while passively extending her arm while it rotates internally. She did not complain of pain in this posture, indicating that there was no impingement. Furthermore, no rotator cuff damage has been discovered. Wrists and hands  Size and shape are symmetrical, with no deformities, and there is no swelling.  Hands are warm and soft, with nontender and smooth interphalangeal joints.  Wrists and hands have a full range of motion (ROM).

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MRS. X’S MUSCULOSKELETAL ASSESSMENT 4  No discomfort, numbness, or tingling during the Phalen's test.  Wrists and fingers have strong and equal muscles. Hips Hips are firm, stable, and non-tender, with full range of motion on both sides. Knee  Muscle strength equivalent to resistance; patella is bilaterally centrally positioned; no discomfort or edema.  There is no edema or fluid in the joint.  When upright, knees should be aligned, and muscular strength should be equivalent to the resistance.  The valgus/varus stress testing reveals no instability in the knee due to medial or lateral movement. When completing the valgus test, I will extend her leg and use one hand as a pivot on her knee. The second hand will be put on the foot, causing it to be abducted. After that, an attempt will be made to drive the knee into valgus. Her knee does not open up on the medial side, indicating no injury to the medial ligament or cruciate ligament.  Again for Varus test, I'll apply force in the opposite direction to her knee. There is no lateral joint broadening, hence there are no lateral ligament or posterior cruciate ligament deficits.  There was no "thud" or "click" felt during the McMurray test, and no discomfort, indicating that there were no tears in the posterior (rear) part of the knee.  Mrs. X will lie down on the couch supine. I'll also put her knee in a 20-30 degree flexion. Then I'll put one hand on her tibia and the other on her thigh. When I lift the tibia anteriorly, I see that an intact ACL stops the tibia from moving forward on the femur.

MRS. X’S MUSCULOSKELETAL ASSESSMENT 5 Feet and ankles There is no swelling, soreness, or discomfort, and the joints are firm and nontender, with complete range of motion and equivalent muscular strength to resistance. Spine  The spine is midline, with concave cervical and lumbar curves and a convex thoracic curvature. Levels include iliac crests and gluteal folds. There is no inflammation, heat, oedema, muscular spasm, or other symptoms because the vertebral processes are aligned, uniform in size, stable, and nontender.  Examining her muscles for symmetry and size  Her muscles are symmetric bilaterally and there is no atrophy; fasciculations; abnormal posture; asymmetry; misalignment Her muscles are also smooth and solid.  Feeling for soreness, heat, and oedema in her bones and muscles.  Her bones and muscles aren't sore; there's no edema; her tissues should feel solid; and there aren't any temperature changes. Tenderness, heat oedema, or atrophy are not present.  Examining her range of motion in all of her major joints  Each joint's entire range of motion is determined without crepitus, deformity, contracture, or discomfort. Crepitus, deformity, contracture, discomfort, joint instability, weakness, increased/decreased range of motion, and other symptoms are absent.

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