Orthopedics Flashcards
(45 cards)
Osteoarthritis
Pain exacerbated by movement, relieved by rest. AM stiffness less than 30 minutes, tenderness to palpation, crepitus, osteophytes, joint space narrowing
Rheumatoid arthritis
Autoimmune disease, symmetric peripheral polyarthritis, morning stiffness greater than 30 min
What joints are usually affected with RA?
MCP and PIP joints
How long should sx be present with RA?
6 weeks
Risk factors for gout
High purine diet, diuretic use, ASA use, low fluid intake, alcohol overuse
Lateral deltoid shoulder pain dif dx
Impingement syndrome, SA bursitis, rotator cuff tendonitis or tear
Lateral shoulder pain
chronic or non-traumatic shoulder impingement syndrome, subacromial bursitis
Test for ritator cuff pain
Painful arc sign, drop arm test, weakness in external rotation
Painful arc test
Pain with active abduction beyond 90 degrees
Drop arm test
Start with patient abducted 90 degrees, slowly lower arm, pt will be unable to lower slowly or smoothly
Anterior shoulder pain
AC, GH OA, AC separation`
Posterior shoulder pain
cervical strain, cervical rediculopathy
What structure is compressed with carpal tunnel?
Median nerve
Positive Finkelstein means?
DeQuervain’s tenosynovitis
Snuffbox tenderness
Consider scaphoid fx, dull pain
Dupuytens contracture
Inherited but may be related to alcoholic cirrhosis
Muscle injury called?
strain
Ligament injury called?
sprain
Anterior groin pain indicates?
OA of the hip
When should you consult ortho with a sprain?
Grade III, eversion sprain, if not improved 3 weeks in
Local point tenderness of heel indicates
Plantar fasciitis
A/P stability - acute knee pain
Anterior drawer test, posterior drawer test, Lachman test
Torn meniscus
McMurray’s test
Systemic reaction - erosion or scale on the penis and crusting scaling papules on the soles and palms
Reiter’s syndrome (arthritis, uvitis, urithritis)
