Ouch!

Question 1

Prolonged use of crutches

“Crutch palsy”

Answer 1

Radial nerve injury

Inability to extend wrist

Question 2

Nursemaid’s elbow

Answer 2

Radial head subluxation

Annular ligament displacement

Question 3

Unhappy Triad (football injury)

Answer 3

Force from lateral side damages MCL, ACL, & lateral meniscus

Question 4

FOOSH!

Answer 4

Rule out scaphoid fracture!

Question 5

Carpal tunnel syndrome

Answer 5

Median nerve compression

Question 6

Delivery trauma

Answer 6

Erb-Duchenne palsy (waiter’s tip)

Tear/traction of upper trunk of brachial plexus (C5 & C6 roots)

Question 7

Nerve injury during mastectomy

Answer 7

Long thoracic nerve

Innervates serratus anterior

Winged scapula, lymphedema

Question 8

Old lady slips & falls in the bathroom

Answer 8

Femoral neck fracture

*Beware avascular necrosis if blood supply is disrupted (Medial femoral circumflex artery)

Question 9

Sudden upward jerk of the arm (Ie a kid falling out of a tree catches herself with one arm)

Answer 9

Lower trunk of brachial plexus injury (median & ulnar nerves) leading to hand clumsiness

Question 10

Shoulder dislocation

Answer 10

Axillary nerve injury causing weakness in deltoid & teres minor