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MSK Week 3 > Upper Limb Clinical Conditions > Flashcards

Upper Limb Clinical Conditions Flashcards

1
Q

what happens to clavicle in AC joint dislocation?

A

clavicle will be prominent sticking out along the shoulder

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2
Q

do shoulder or hip dislocations require more energy?

A

hip

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3
Q

what is most common direction for shoulder dislocation?

A

anterior

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4
Q

what position is arm in for anterior shoulder dislocation?

A

abducted and externally rotated

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5
Q

name two ways posterior shoulder dislocations can occur

A

trauma, seizures

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6
Q

what nerve is most commonly injured with shoulder dislocations?

A

axillary nerve

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7
Q

what does anterior shoulder dislocation look like clinically?

A

lengthened humerus, squaring of shoulder contour

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8
Q

how do we get winged scapula?

A

long thoracic nerve damage…

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9
Q

what usually causes winged scapula?

A

iatrogenic or trauma to long thoracic nerve

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10
Q

what is adhesive capsulitis?

A

painful loss of shoulder motion

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11
Q

what are three common causes of adhesiv capsulitis?

A

diabetes, breast/lung surgery, extended use of sling

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12
Q

what is the physical finding of adhesive capsulitis?

A

loss of motion of shoulder specifically external rotation

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13
Q

what is a very common cause of shoulder pain that is associated with the rotator cuff?

A

subacromial bursitis

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14
Q

what can occur with subacromial bursitis?

A

calcific teninitis

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15
Q

what muscle is most commonly affected with calcific tendinitis from subacromial bursitis?

A

supraspinatus

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16
Q

what fracture can lead to radial nerve damage?

A

mid humeral shaft

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17
Q

what does radial nerve damage lead to?

A

wrist drop

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18
Q

what is most common issue with median nerve?

A

carpal tunnel syndrome

19
Q

in carpal tunnel what fingers have diminished sensations?

A

thumb and first two digits

20
Q

why does carpal tunnel get worse at night?

A

flexion causes more issues with carpal tunnel and normal night time position is wrist flexion

21
Q

cubital tunnel syndrome is a compression of what nerve?

A

ulnar

22
Q

what is symptom of cubital tunnel syndrome?

A

tingling or numbness in ring and small finger

23
Q

when can cubital tunnel syndrome be worse?

A

at night because of elbox flexion

24
Q

how does supracondylar fracture happen?

A

fall on an outstretched hand

25
Q

what is a common pediatric fracture of the arm

A

supracondylar fracture of humerus

26
Q

what is an issue with supracondylar fracture?

A

Volkmann Ischemic Contracture

27
Q

what is Volkmann Ischemic Contracture?

A

muscle necrosis of the forearm flexors

28
Q

name the four Ps of Volkmann Ischemic Contracture

A

pain
parasthesias
pallor
pulselessness

29
Q

what is another name for distal radius fracture?

A

colles fracture

30
Q

what part of radius is commonly fractured?

A

distal radius

31
Q

what is the common finding for scaphoid bone fracture?

A

tenderness in the anatomical snuff box

32
Q

what is a complication that can occur with scaphoid fracture?

A

tenuous blood supply leads to avascular necrosis

33
Q

lateral epicoondylitis is associated with what sport?

A

tennis

34
Q

medial epicoondylitis is associated with what sport?

A

golf

35
Q

what motions hurt in lateral epicondylitis?

A

wrist/finger extension

36
Q

what motions hurt in medial epicondylitis?

A

flexors of wrist

37
Q

which of lateral and medial epicondylitis is more common?

A

lateral by far

38
Q

where does trigger finger occur?

A

in the annular ligaments of the flexor sheath…tendons inflamed and get stuck in the annular ligaments

39
Q

dequervians tenosynovitis is inflammation of what two tendons?

A

APL and EPB

40
Q

where does pain occur with dequervians tenosynovitis?

A

radial sided wrist pain

41
Q

what can you do to elicit pain in dequervians tenosynovitis?

A

ask patient to flex thumb then push toward ulnar side

42
Q

what are two common causes of dequervians tenosynovitis?

A

repetitive use and post partum

43
Q

what joints in fingers does osteoarthritis generally affect?

A

distal joints of the fingers

MSK Week 3 (10 decks)

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