Cheung Part 5

Question 1

what is impingement syndrome

Answer 1

inflammation of subacromial bursa and rotator cuff tendons in middle aged persons

Question 2

what are the symptoms of impingement syndrome

Answer 2

lateral shoulder pain with overhead activity

Question 3

what exam results are seen in impingement syndrome

Answer 3

positive hawkins, supraspinatous test

no weakness

Question 4

what test results are seen in impingement syndrome

Answer 4

X-rays negative
MRI shows inflammation but no tear (partial thickness tear is b/c blood flow reaches eddy- some blood from bone some form muscle)

Question 5

what is the treatment for impingement syndrome

Answer 5

PT
steroid injection
surgical decompression

Question 6

what is elbow epicondylitits

Answer 6

degenerative painful condition of the ECRB tendon and/or flexor-pronators

Question 7

wha are the symptoms of elbow epicondyltitis

Answer 7

35-50 year old with pain on either the medal or lateral epicondyle with activity

Question 8

what exam results are seen with lateral (tennis) elbow epicondyltits

Answer 8

pain with resisted extension of the wrist with forearm pronated (extensor carpe radialis brevis)

Question 9

what exam results are seen with medial elbow (golfer) epicondyltitis

Answer 9

pain with resisted flexion of the wrist with forearm pronated (flexor pronators)

Question 10

what is the treatment for elbow epicondylitis

Answer 10

tennis elbow strap
ice
larger grips
steroid injection
surgical debridement

Question 11

what is a meniscal tear and what are the symptoms

Answer 11

fraying or tear of menisci

locking and catching in the knee

Question 12

what exam results are seen in a meniscal tear

Answer 12

McMurrays

joint line tenderness

Question 13

what test results are seen in meniscal tear

Answer 13

Xray negative

MRI shows tear

Question 14

what treatment is there for a meniscal tear

Answer 14

PT

arthroscopic debridement

Question 15

what is olecranon bursitis and what may cause it

Answer 15

inflammation of the olecranon bursa

gout

Question 16

what symptoms are seen in olecranon bursitis

Answer 16

swelling

painful posterior elbow

Question 17

what exam results are seen in olecranon bursitis

Answer 17

mass over tip of elbow, tender, red, hot

Question 18

what tests are done for olecranon bursitis

Answer 18

aspiration for crystals and infection

Question 19

what is the treatment of olecranon bursitis

Answer 19

NSAIDs for acute, ice

surgical removal

Question 20

patellofemoral pain is what

Answer 20

pain around the patella without signs of arthritis, common in teenage during growth spurt

Question 21

what are the symptoms of patellofemoral pain

Answer 21

achy pain anterior knee worse after long periods of sitting (theatre sign) and climbing stairs

Question 22

what exams are done for patellofemoral pain

Answer 22

Q angle (up to 22 in females and 15 in males is acceptable)
patellar apprehension
resisted extension of knee

Question 23

what is the treatment for patellofemoral pain

Answer 23

PT for quad strength

Question 24

what is plantar fasciitis

Answer 24

degenerative tear of plantar facia, more common in women and overweight persons with tight gastroc-soleus tendons

Question 25

what are the symptoms of plantar faciitis and what is seen on physical exam

Answer 25

worse heel pain in AM, insidious onset | tender on medial and lateral calcaneous, tight dorsiflexion

Question 26

what test results are seen in plantar fasciiitis

Answer 26

X-rays show heel spur (NOT CAUSE OF PAIN) but symptom

Question 27

what is treatment for plantar fasciitis

Answer 27

NSAIDs, heel cups, stretches of heel cord injections surgical release

Question 28

rotator cuff tear is of what

Answer 28

supraspinatus (most common)., infraspinatus, subscapularis, or teres minor

Question 29

what are the symptoms of a rotator cuff tear

Answer 29

pain with overhead activity, catching, grating sensation

Question 30

what exam results are seen in a rotator cuff tear

Answer 30

positive drop arm hawkins weak supraspinatous weak external rotation

Question 31

what test results are seen in a rotator cuff tear

Answer 31

X-rays show high riding humeral head | MRI shows discontinuity of tendon

Question 32

what is the treatment for a rotator cuff tear

Answer 32

PT and NSAIDS | repair of tendons (arthroscopically or open)

Question 33

rupture of the proximal biceps tendon is what

Answer 33

rupture of long head of biceps, with labral injury

Question 34

what are the symptoms of a rupture of the proximal biceps tendon

Answer 34

sudden pain | buldge in arm

Question 35

what exam results are seen in a rupture of the proximal biceps tendon

Answer 35

popeye arm | pain with supination

Question 36

what test results are seen in a rupture of the proximal biceps tendon

Answer 36

Xrays negative | MRI shows tear with hematoma

Question 37

what is the treatment for a rupture of the proximal biceps tendon

Answer 37

NSAIDs, PT | occasionally will tenodesis

Question 38

Trochanteric Bursitis is what

Answer 38

inflammation of greater trochanteric bursa from tight IT band

Question 39

what are the symptoms of trochanteric bursitis

Answer 39

lateral hip pain, unable to lie on side

Question 40

what are the exam and test results seen in trochanteric bursitis

Answer 40

point tender over posterior GT Ober's test Xrays negative MRI shows swelling of bursa

Question 41

what is the treatment for trochanteric bursitis

Answer 41

NSAIDs | PT for stretches and strengthening