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Flashcards in Ortho Deck (60):
1

Deltoid Myotome

C5-Abduction

2

Biceps Myotome

C6-Flexion

3

Triceps Myotome

C7-Extension

4

Interossi Myotome

C8-PAD & DAB

5

Bicep DTR

C5 and part of C6

6

Brachioradialis DTR

C6

7

Triceps DTR

C7

8

What is Spurling Test?

Compression Test (press down on head)
-positive test is a recreation of cervical radiculopathy symptoms

9

What is Jefferson Fracture?

Disruption of C1 Ring
-may be a burst type w/ comminution
**best seen on odontoid view**

10

What is Hangman's Fx

C2 vertebral body fracture w/ anterior subluxation
(not usually compatible w/ life)

11

Pain in pt w/ scoliosis?

PAINLESS: if pain then should do MRI

12

Tx of scoliosis

20 degrees or less = conservative
40 degrees or more = surgical

13

About compression fractures

Most common at T10-L2 levels
-wedge shaped and stable
-pain w/ movement but better w/ rest
-suspect if 2in height loss in elderly

14

First thing to order w/ acute lower back pain

X-ray

15

Tests for Lumbar radiculopathy

--Straight leg raise
-Laseagues Sign (worse w/ ankle dorsiflexion)
-Cross over straight leg raise (predicts disc hern)

16

L3-L4 level causing radiculopathy = nerve and symp

L4
-sensory to posterolateral thigh, ant knee, medial leg
-motor to quads, hip abductors

17

L4-L5 level causing radiculopathy = nerve and symp

L5
-sensory to anterolateral leg, dorsum of foot, big toe
-motor EHL, EDL, EDB, gluteus medius

18

L5-S1 level causing radiculopathy = nerve and symp

S1
-sensory lateral malleolus, lateral foot, heel
-motor: peroneals, gastroc soleus, glut maximus

19

Quad myotome

L4 - extension of knee

20

Anterior tibialis myotome

L5 - heel walking

21

Gastrocnemius myotome

S1 - toe walking

22

Patellar reflex nerve?

L4

23

Achilles reflex nerve?

S1

24

What is spondylolysis

Pars interarticularis defect or stress fracture
**gymnasts and football linemen**
-scotty dog on x-ray w/ collar fx

25

What is spondylolisthesis

Anterior slippage of vertebral body on inferior counterpart
-most likely fatigue fracture as adolescent that didn't heal
-Degenerative slip
**if <50% slippage = conservative tx successful

26

What nerve do you assess when shoulder dislocation

Axillary (C5,C6) paralysis of trees minor & deltoid w/ loss of sensation of lateral upper arm

27

Bankart Lesion

Detachment of anterior inferior labrum from glenoid rim
(occurs in dislocation of shoulder)

28

Hill Sachs Lesion

Defect to posterolateral human head when the humal head is abraded by the anterior rim of the glenoid
(occurs in dislocation of shoulder)

29

What positioning causes shoulder dislocation?

Abduction and extension

30

AC joint separation aka sprain

point tenderness over tip of shoulder
**can lift arm above shoulder but painful**

31

Rotator Cuff Muscles =

Supraspinatus (Ext Rot and abd) **most commonly inj**
Infraspinatus (Ext Rot and abd)
TERES MINOR (ext rot and abd)
Subscapularis (INTERNAL rotation)

32

Yergason's test

popping and grinding w/ supination
Occurs in biceps tendonitis

33

Most common peds fx

Clavicle fx (figure 8 brace)

34

Lateral Epicondylitis =

Overuse injury to extensor supinator muscle group (LES)

35

Medial Epicondylitis =

Overuse injry to flexor pronator muscle group (MFP)

36

Radial head fracture PE

decreased pronation and supination

37

Median nerve =

-Sensory to 1st-4th digits
-Motor to thenar muscle

38

DeQuervain Tenosynovitis =

Stenosing tenovitis of 1st dorsal compartment of wrist
+ finkelsteins test
Tx: thumb spica cast and splint immobilization

39

Smith's Fracture

Flexion fracture of radius (volar)
Tx: sugar tong splint (need ORIF more often)

40

Colles Fracture

Extension fracture of radius
Tx: sugar tong splint (don't need surgery as often)

41

Monteggias Fracture

Remember MUGR
=proximal ulnar fracture; dislocation of radial head

42

Galeazzi's Fracture

Remember MUGR
=distal radius fracture; radioulnar subluxation

43

Blood supply to scaphoid

Retrograde flow vi a branch from the radial artery

44

Tx of anatomical snuff box pain

treat as fracture and immobilize; repeat x-ray in 2 weeks

45

Boxer's Fracture =

Fracture through neck of 5th metacarpal neck
(rotational deformity is not acceptable)
Tx: Ulnar gutter immobilzation

46

Jersey Finger =

DIP joint force into extension
-inability to flex DIP joint
-no resistance to passive extension

47

Mallet Finger =

Inability to actively extend DIP joint
-caused by axial load compression
-ruptures thin extensor tendor

48

Boutonniere Deformity

Inability to extend PIP joint; secondary hyperextension at DIP joint

49

Swan Neck Deformity

Hyperextension of PIP joint w/ flexion of DIP joint

50

Gamekeeper's Thumb

Injury to ulnar collateral ligament of thumb at MCP joint resulting in instability of MCP joint and decreased thumb grip strength

51

About trochanteric bursitis

Area where gluteus medius inserts and IT band passes over
-point tnderness, pain w/ walking or running, inability to sleep on side

52

Hip Dislocation Presentation

Limb shortened and internally rotated
**90% posterior**

53

Hip Fracture Presentation

Shortened leg, typically in external rotation

54

Tests for Meniscal Injury

McMurray
Apley (prone and press down/axial loading)
Triad = joint line pain, effusion, locking

55

Patellofemoral Pain Synd Presentation

Pain w/ stair walking, standing from seated position (women)
**vastus medialis weakness**
**x-ray to include sunrise/merchant view

56

LisFranc Injury

Fracture/dislocation of 1st/2nd TMT joint (mid foot swelling/pain)
(MVA, fall from height, stepping off curb, stepping into hole)

57

Test for Achilles tendon injury

Thompson Test
-prone and squeeze calf muscle

58

March Fracture

Stress reaction/fracture of metatarsal (usually the 3rd)
-caused by vertical and/or medial-lateral force when foot inverted w/ heel raised

59

Most common primary malignant tumor

Osteosarcoma
-10 to 25y/o
-affects long bones (B>G)

60

What is a chondrosarcoma

Cartilage based tumor
-35-50y/o
-Males> females