MSK

Question 1

Most accurate test for ACL tear?

Answer 1

Lachmann’s test

Question 2

Tests for ACL tear?

Answer 2

Lachmann’s (most accurate), anterior drawer, pivot shift test, Lever test (new)

Question 3

Thompson test

Answer 3

used to dx achilles tendon rupture. pt lies prone with legs flexed to 90 degrees, squeeze calf to elicit dorsiflexion

Question 4

RF for achilles tendon rupture

Answer 4

chronic renal dz, rheum dz, chronic steroid use, fluroquinilone use. male, obese, stop and go sports

Question 5

achilles tendon rupture:

1) best initial management
2) next step?

Answer 5

1) NSAID, split, crutches, no weight bearing

2) refer to ortho or sports med

Question 6

Rapid review:
Patient will be a deconditioned athlete
With a history of fluoroquinolone use
Complaining of “pop” or “snap” and sudden pain in the calf area
PE will show absent plantarflexion upon calf squeeze (Thompson test)
Treatment is posterior splint in plantarflexion, orthopedic consult

Answer 6

Achilles tendon rupture

Question 7

clinical finding for biceps tendon rupture

Answer 7

The clinical finding appears as a deformity in which the biceps tendon retracts and coils, giving the appearance of a palpable mass. The patient will also exhibit weak flexion and supination of the injured arm.
“popeye’s” muscle

Question 8

Rf for biceps tendon rupture

Answer 8

old age, heavy overhead activities, shoulder overuse, tobacco use, corticosteroids