R/O - Soft tissue injuries of the extremities

Question 1

which injury involves muscle / tendon?

Answer 1

sTrain

Question 2

which injury involves ligaments?

Answer 2

sPrain

Question 3

when is laxity a problem?

Answer 3

if it is painful

Question 4

where is the referred pain for long head of the biceps brachii tendon?

Answer 4

anterior shoulder

Question 5

yergasons test tests for pathology of the ______

Answer 5

biceps tendon (long head)

Question 6

speeds test tests for ___________

Answer 6

bicipital tendonitis or superior labral tears

Question 7

what are the most common lateral shoulder tears?

Answer 7

• supraspinatus

- infraspinatus

Question 8

what are the most common anterior shoulder tears?

Answer 8

subscapularis

Question 9

patte’s test tests for ___________

Answer 9

infraspinatus / teres minor

Question 10

neers and hawkins tests test for _________

Answer 10

subacromial bursitis

Question 11

tennis elbow is aka:

Answer 11

lateral epicondylitis

Question 12

• pain and decreased grip strength with resisted supination
• pain with resisted wrist extension
• maximum tenderness to palpation 1 cm distal to lateral epicondyle

Answer 12

lateral epicondylitis

Question 13

golfers elbow is aka:

Answer 13

medial epicondylitis

Question 14

• insidious onset over common flexor mass
• tenderness to palpation over common flexor mass
• pain with resisted pronation and wrist flexion

Answer 14

medial epicondylitis

Question 15

what is the mechanism of mallet finger?

Answer 15

object striking the finger, creating forceful flexion of extended DIP

Question 16

• tender at dorsal aspect of DIP

- no active extension at DIP

Answer 16

mallet finger

Question 17

what imaging do you need for mallet finger?

Answer 17

AP / lateral / oblique

Question 18

what is the injury / pathology in jersey finger? what is the mechanism?

Answer 18

• flexor digitorum profundus tendon injury

- athlete’s finger catches on another player’s clothing causing forced extension of the DIP during active flexion

Question 19

what is the mechanism of central slip extensor tendon injury?

Answer 19

PIP joint forcibly flexed while actively extended

Question 20

• tenderness at dorsal PIP joint

- inability to actively extend

Answer 20

central slip extensor tendon injury

Question 21

what is the injury / pathology of a jammed finger? what is the mechanism?

Answer 21

collateral ligament injury due to forced ulnar or radial deviation causing partial or complete collateral ligament tears

Question 22

what is the mechanism of volar plate injury?

Answer 22

forceful hyperextension of finger, usually at PIP

Question 23

skiers thumb is due to injury of what structure?

Answer 23

ulnar collateral ligament

Question 24

what is a steners lesion?

Answer 24

• proximal end of UCL becomes trapped outside of adductor aponeurosis
• present with joint instability and tender mass

Question 25

• pain over lateral hip
• insidious onset after extreme hip flexion
• tenderness to palpation over greater trochanter

Answer 25

trochanteric bursitis

Question 26

acute trochanteric bursitis associated with pain over or just posterior to trochanter

Answer 26

snapping hip

Question 27

internal snapping hip involves what muscle?

Answer 27

iliopsoas

Question 28

what is the pathology in snapping hip?

Answer 28

iliopsoas tendon rubbing over iliopectineal eminence of the pelvic brim

Question 29

deep anterior snapping sensation with hip flexion, worsened with box jumps, running stairs

Answer 29

internal snapping hip

Question 30

tenderness along lateral femoral condyle

Answer 30

IT band friction syndrome

Question 31

the medial meniscus is ____ shaped and the lateral meniscus is _______ shaped

Answer 31

• C

- O

Question 32

what is the mechanism for the unhappy triad?

Answer 32

valgus stress to flexed and rotated knee

Question 33

what is osteochondritis dessican?

Answer 33

• fragmentation of articular cartilage

- can lead to necrosis

Question 34

what is osgood schlatter’s?

Answer 34

overuse injury with avulsion of the patellar tendon leading to pain

Question 35

what is a bakers cyst? what is the cause?

Answer 35

• posterior popliteal cyst

- complication of chronic inflammation of the knee

Question 36

anterior drawer testing of the ankle tests for what structure?

Answer 36

ATF

Question 37

talar tilt tests the integrity of what structure?

Answer 37

calcaneal fibular ligament

Question 38

ottawa ankle criteria - perform ankle / foot x ray series if:

Answer 38

• ankle: tenderness over posterior edge or tip of LM or MM

- foot: tenderness over navicular or base of 5th metatarsal