NMS III FINAL Flashcards by Cooper Adams

Panner’s Disease is AKA

OCD of elbow

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Def of OCD of the elbow

Avascular necrosis of the capitellum joint surface; inflammation d/t to fissures in the articular cartilage and bone followed by fragmentation

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Common gender of OCD

MALE 10:1

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Etiology of OCD of elbow

repetitive valgus stress to the medial elbow causes compression of the capitellum against the radial head

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What other condition should a young male with medial epicondylosis be examined for?

OCD of the elbow laterally

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Risk factors of OCD of elbow

Instability and Medial epicondylitis

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Direction of movement that is most affected with OCD elbow?

Dec AROM especially extension

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Common sign and sx of OCD elbow

gradual lateral elbow pain with or without crepitus and catching

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What stage of OCD involves a capitellum that is fragmented?

stage III

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T/F The correct vector of manipulation OCD elbow is varus stress.

FALSE: MANIPULATION IS CONTRAINDICATED!

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Most important stabilizers of the elbow

MCL and LCL

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Structures of the elbow (4)

MCL/UCL, RCL/LCL, Annular ligament, joint capsule

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Boutonniere Deformity DEF

Forced flexion causing extensor tendon rupture at the PIP

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Mallet Finger DEF

forced flexion causing extensor tendon avulsion at the DIP

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Most common affected finger of Mallet finger

3rd digit

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Important DDX of a mallet finger

RA (swan neck deformity looks like mallet)

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Which of the following is non tender? Heberdens, haygarth, or bouchard

heberdens and bouchards, HAY GARTH is TENDER

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Location of:
Heberdens:
Bouchards:
Haygarths:

Heb=DIP
Bou=PIP
HAY=MCP

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Madelung deformity=

genetic disorder incolving a radial growth plate disturbance

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seal fin deformity assoc with what condition

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madelung predisposes you to what condition?

keinbocks disease and TFC tears

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another name for Dupuytrens contracture

hypertrophic nodular fibroplasia

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Those with what condition have a RR ratio of 4 of getting dupuytrens contracture?

diabetes

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What condition can also be seen coinciding with frozen shoulder?

Dupuytrens contracture

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What condition involves contracture of forearm in flexion and is d/t supracondylar fracture, acute compartment syndrome, and tight cast?

volkmans ischemic contracture

WHat is the common age group for volkmans ischemic contracture

Children

6 P's of Volkmanns ischemic contracture and acute compartment syndrome?

pain paresthesia paralysis pallor pulseless paresis

ape hand involves what nerve involvment

median nerve neuropathy

What is the cause of ape hand

neurotmesis: most severe nerve damage

Is ape hand irreversible

yes if there is full damage, early signs of damge are reversible

what nerves are involved in claw hand fingers?

ulnar, median, radiculopathy, or plexopathy

Jersey finger/sweater sign MOI

forced finger extension causing rupture of the FDP

WHat is the jersey finger/sweater sign?

inability to flex the finger when making a fist

Game keepers thumb PT will complain of BLANKK thumb pain where Dequervanies will complain of BLANKKK thumb pain

Lateral Thumb Pain=Dequervaines | Medial Thumb Pain=Gamekeepers

What ligament is sprained in gamekeepers thumb

MCL/UCL of MCP of thumb

MOI of Gamekeeprs

Hyperabduction/Hyperextension of thumb

If they point to lateral and medial sides of the thumb what condition could it be?

BOTH dequervaines and gamekeepers

How should you perform stress testing to check for gamekeepers?

0/30 degrees abduction stress test

weakness with pain=

Musculotendionous

wekaness without pain

neuro

T/F It is relatively easy to differentiate sprain/strain in case of medial thumb pain

FALSE

Gamekeepers thumb will test - or + in isometric muscle testing?

stener lesion

a torn UCL and volar plate causing singnificant instability

Should you adjust the thumb in game keeprs thumb

probably not, mobilizayion good though

DEF of ganglion cyst

a swelling or bulge overlying a joint (arthrosynovitis) or tendon (tenosynovitis)

Which type of cyst is more common? worst sxs?

tenosynovial is more common, arthrosynovial is worst

ganglion cyst most common gender

women 3:1

where is a ganglion cyst most common?

wrists

treatment for ganglionic cyst

watchful waiting, protect rest splint nsaids

which type of ganglionic cyst has a higher recurrence rate?

arthrosynovivits

surgery is most likely a treatment for what type of ganglionic cyst?

arthrosynovial ganlgionic cyst

how does arthrosynovial ganglionic cyst compare to tenosynovial

arthro is larger, softer, and more painuful and requires surgery more likely

carpal boss

small protuberance of bone frequently at the base of the 2nd and 3rd CMC joint.

DEF of LAteral epicondylosis

lateral elbow pain due to degenerative tendinopathy, periostitis, and probably adhesions at the lateral epicondyle of the humerus and lateral joint capsule

the muscle most commonly involved is the

Extensor carpi radialus brevis

what test can be done to dx lateral epicondylosis?

long finger test

what is the most common elbow condition?

lateral epicondylosis?

age of lateral epicondlyosis

40-60

etiology of lateral epicondylosis

repetitive overuse involving wrist extension/flexion, gripping, finger movements, pronation and supination

risk factors of lateral epicondylosis

correlated with aging (2x increase in men, 4x increase in females >40), frequency and amount of time spent playing tennis

is forehand or backhand more provocative of lateral epicondylosis? why?

forehand because of the eccentric load being placed on the elbow at the poin tof impact

sxs of lat epicondylosis

lateral elbow pain and stiffness, worse in the AM, weakness and pain during gripping

medial epicondylosis

medial elbow pain tendinopathy of the common flexor tendon at its attachment to the medial epicondyl

typical age of med. epiconylosis

older than 40

race that is more common in medial epicondylosis

whites (golf)

medial elbow pain in children makes you think of what other diagnosis?

salter harris fracture from traction apophysitis of medial epicondyl

TF children will be able to pin point a specific point of pain, where as adults are more generalized.

F. Children are generalized and adults can be specific

orthos for ME

reverse cozens and revese mills

orthos for LE

cozens and mills

sxs of ME

medial elbow pain, insidious onset, pain after rest, pain during exerccise

NMS III FINAL Flashcards

(70 cards)