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Flashcards in Ortho Deck (49):
1

radial valgus trauma to the thumb resultin gin injury to the lateral collateral ligament at the 1st MCP

gamekeeper thumb

2

object strieks end of finger leading to forced flexion and pain at dorsal DIP. can't extend joint

mallet finger

3

painful locking/ snapping of PIP during flexion. can be due to trauma, DM, gout, RA

trigger finger

4

most useful study for stress fracture

bone scan

5

rare, benign neoplasm in epiphysis of long bones in young males

chondroblastoma

6

what does weakness with empty can test indicate?

supraspinatus tear

7

what does pain will frull flexion of shoulder (Neers) indicatae

impringement

8

most common fractures in elderly

hip, wrist, shoulder

9

dent in the humeral head w/ shoulder dislocation

hill-sach deformity

10

glenoid labrum is avulsed due to shoulder dislocation

bankart lesion

11

occurs with fall directly on to shoulder or FOOSH. will have elevated clavicle, and point tendnerness

AC joint separation

12

films to get with AC joint separation to rule out fracture

load bearing X-rays

13

shoulder pain with overhead activity or at night when laying on arm.

rotator cuff tendopathy

14

RTC tear with pain and weakness with elbow adduction and resist on external rotation of arm

infraspinatus

15

RTC tear with pain on external rotation

teres minor

16

RTC tear with painfull empty can test

supraspinatus

17

x-ray shows subacrominal spur. Has pain with reaching, lifting, overhead motions

impringement

18

pain with wrist flexion and pronation.

medial epicondylitits

19

lateral elbow and forearm pain with resisted finger extension and wrist extension

lateral epicondylitits (tennis elbow)

20

most common UE injury in infants and young children. radial head realeased form annular ligamennt

radial head subluxation

21

what are anti-citrullinated peptide antibodies specific for?

rheumatoid arthritis

22

what can a rupture of a baker's cyst cause?

crescentic hematoma over medial malleolus

23

what does elevated 24 hour urinary excretion of hydroxyproline reflect?

increased bone resoprtion taht occurs in paget's disease of the bone

24

what levels are elevated in sarcoidosis

elevated ACE, calcium and ESR

25

antibodies found in Sjogrens

Anti ro and Anti La

26

"glass in knee" sensation. Egg shaped swelling over patella. Tx with aspirate and steroid injection (abx if cellulitits before aspirating)

prepatellar bursitits

27

most common complication associated with fractures of the proximal humerus

brachial plexus injury

28

type of shock associated with a long bone fracture

hypovolemic

29

where is point tenderness with plantar fascitits

point tenderness at the medial calcaneal tubercle

30

Tx for SCFE

surgical pinning. Eipihysis is fracture and must be held in place

31

Tx for NSAID-resistant axial disease in ankylosing spondylitits

etancercept and other TNF inhibitors

32

most common cause of septic arthritis in children

H . flu

33

presents with altered mental status, petechial rash and SOB following a long bone fracture

fat embolism

34

Flex the knee to 30 degrees and place anterior force on the tibia to look for laxity that suggests ACL injury

Lachmans

35

Flex and rotate neck in direction of the questionable nerve root compression. + if pain is reproduced

Spurling test

36

x-ray manifestation of cervical strain

straightening or reversal of normal lordosis

37

most common location of cervical herniate nucleus pulposus

C5-C6 or C6-7

38

Fracture though the pedicles of C2 with anterior slip of C2 on C3.

hangmans fracture of C2

39

Burst fracture by C1, best seen with open mouth view.

Jefferson fracture (C1)

40

what are the 5 unstable neck fractures?

jefferson
hangman's
flexion/ extension tear drops
bilateral locked facets

41

nerve root evaluated by ankle reflex and sensation at the posterior calf and lateral foot

S1

42

What can S1 radiculopathy cause

weakness of planter flexion

43

most common location of lumbar herniated nucleus pulpousus

L4-L5

44

what can causes progression kyphosis of the spine

Tb of the spine ((pott's dz)

45

presents with pain with walking that is better while lying or sitting. Symptoms while biking or standing. Due to narrowing of the lumbar space

Spinal stenosis

46

knee pain with activities, sensation of "glass in knee"

pre-patella bursitits

47

most common tarsal fracture

calcaneous fracture

48

most common sprain of the ankle

lateral from inversion fo the foot

49

when should a fasiotomy be performe din compartment syndrome

>35-40 (normal pressure is 0-8)