Pathologies - Shoulder & Elbow Flashcards Preview

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Flashcards in Pathologies - Shoulder & Elbow Deck (29):
1

A presentation of this pathology is clear crops of vesicles along the course of a cutaneous nerve.

Herpes Zoster aka Shingles

2

This pathology involves the upper brachial plexus (C5-C6) and is caused from a forceful depression of the shoulder during birth.

Erb's Palsy aka Erb-Duchenne Paralysis

3

A common nick name or aka for Erb's Palsy

"Waiter's Tip" position of the arm

4

T or F

Nerve pain is not associated with Herpes Zoster

False!

Severe neuralgic pain

5

T or F
Erb's Palsy involves the lower brachial plexus

False!

Upper

6

Describe the arm and hand position of someone with Erb's Palsy

Arm internally rotated and adducted

7

T or F

Erb's Palsy is a result of forceful elevation of the shoulder during birth.

False

Depression of shoulder!

8

What shoulder complex pathology involves the lower brachial plexus?

Klumpke's Palsy

9

MOI for Klumpke's Palsy

Stretching or tearing inferior part of the brachial plexus as a result of forceful pulling of the upper arm during birth

10

Klumpke's Palsy involves impairment of what motions of the wrist?

Wrist flexion and movements of the intrinsic muscles of the hand.

11

Aka for Scheuermann's Disease

Juvenile Kyphosis

12

How many vertebrae must be wedged anteriorly to form the kyphosis in Scheuermann's Disease?

3 Continuous wedged anteriorly more than 5 degrees

13

What are the Characteristic radiographic findings of a young person with Scheuermann's Disease

Anterior vertebrae wedging
Irregular Vertebral end plates
Loss of intervertebral disc height.

14

Describe Sprengel's Deformity

- congenital abnormality
- partially undescended scapula
- develops prior to the 3rd month of skeletal development

15

T or F

Sprengel's Deformity has a 2:1 female predominance

True

16

T or F

Some 60-80% of cases of scoliosis occur in females

True

17

aka for Costochondritis

Tietze's Syndrome

18

T or F

Costochondritis is visible on films

False!

X-ray findings are lacking

19

Describe the adhesive process of Frozen Shoulder

An inflammation of the synovial layers causing an outpouring section of exudate, which contains proteins. The microscopic fibres attach to adjacent synovial layers which, then multiply, thicken and shorten

20

T or F

Scapular Winging is due to paralysis of the rhomboids

False!

Serratus Anterior

21

What nerve is affected in Scapular Winging?

Long Thoracic Nerve

22

What is Little Leaguer's Elbow?

Avulsion of the medial epicondyle
Usually found in a child or adolescent and is usually associated with sports requiring strong throwing motions.

23

This condition is a fracture of the ulna near the junction of its proximal and middle thirds associated with a dislocation of the radial head.

Monteggia Fracture

24

Describe the Type 1 Monteggia Fracture

The radial head is dislocated anteriorly, with palmar angulation of the fractured shaft of the ulna

25

T or F

A pulled elbow results due to the ulna slipping out from under the medial collateral ligament

FALSE!!
Pulled Elbow = a lesion due to the RADIAL head slipping out from under the annular ligament, trapping the ligament in the radiohumeral articulation

26

How does a patient usually present when they are suffering from Olecranon Bursitis

With elbow held in semi-flexion position

27

How does one develop Olecranon Bursitis?

A fall on the tip of the elbow or direct blow to the olecranon can cause swelling.

28

OA and DJD are primarily disorders of...

Hyaline cartilage and subcondral bone

29

T or F

Women are affected by OA an DJD more than men

False!

Both equal