Sports Med 1

Question 1

Spear Tackler’s spine results in:

Answer 1

1) Loss of physiologic cervical lordosis
2) Cervical stenosis
3) Arthritic Changes

Question 2

What is a stinger?

Answer 2

Symptoms are burning or skocking pain down the arm.
Cause: Brachial Plexus stretch
May get arm numbness or weakness
* C-5 is most common: Biceps, Deltoid, supraspinatus, infraspinatus

Question 3

Most common level of cervical spine fracture

Answer 3

C5-6 (C4-5 and C6-7) next most common

Question 4

Most common cause of cervical spine fracture

Answer 4

Leading with the head ( called Axial load(

Question 5

Most common cause of lower thoracic spine fracture

Answer 5

Fall, axial load increase

Question 6

Lumbar spine fracture location?

Answer 6

PARS (between the superior and inferior facets)

Question 7

What muscles make up the rotator cuff

Answer 7

SITS

Question 8

Weak empty can test?

Answer 8

Supraspinatus injury

Question 9

Are most shoulder dislocations anterior or posterior?

Answer 9

Anterior- 90%

Question 10

What is a sublexation?

Answer 10

Partial dislocation where humerus was just barely out of the glenoid fossa

Question 11

What is a SLAP tear?

Answer 11

Labral tear

Question 12

Acromiclavicular joint separation cause

Answer 12

Usually a fall on the tip of the shoulder

Question 13

How many grades of AC joint separation are there?

Answer 13

Grade 1- ligaments are just stretched, tender on AC joint b/c of partial tear to AC ligament
Grade 2- tearing of Acromioclavicular ligament, but coracoclavicular still in tact. Clavicle will rise
Grade 3- all ligaments torn
Clavicle will rise all the way up

Question 14

Most frequently fractured bone in the body is

Answer 14

clavicle

Question 15

Criteria for surgery of clavicle fracture?

Answer 15

Must be skeletally mature
Fragmentation of the fracture site is a bad thing
More than 100% displacement
More than 2cm of bone overlap

Question 16

Osteochonditis descicans

Answer 16

Little leaguers elbow. Lateral part of elbow

Question 17

Symptoms of OCD

Answer 17

poorly localized elbow pain, aggravated with use, loose body-catching of elbow

Question 18

Cause of OCD?

Answer 18

articular forces during throwing, compressive loads

Question 19

How much flexion strength do you lose with a proximal biceps rupture>

Answer 19

about 10%

Question 20

What about a distal biceps rupture?

Answer 20

about 15% but you lose 50% of supination strength

Question 21

Pain over the medial side of the elbow?

Answer 21

Ulnar collateral Ligament injury

• pain is intensified with throwing maneeuver
• swelling and bruising occur
• numbness and tingling of ring and little finger
• weakened grip

Question 22

UCL repair?

Answer 22

Tommy John Surgery

Question 23

Scaphoid fracture

Answer 23

Tenderness in the snuff box, often hard to see on x-ray

Question 24

Scaphoid bone is difficult to heal because it is mostly cortical bone, not much marrow capacity

Answer 24

true.

Question 25

Jersey finger symptoms

Answer 25

cant flex the DIP. Usually a tear at the flexor digitorum profundus insertion

Question 26

Mallet finger

Answer 26

Extensor tendon injury . Cant extend the DIP

Question 27

Most common cause of Lumbar spine stress fracture of the PARS

Answer 27

Inappropriate weight lifting in young adolescent males

Question 28

Most common sites of Lumbar disk herniation

Answer 28

L4/L5 and L5/S1

Question 29

Which direction of shoulder dislocation is more common, anterior or posterior?

Answer 29

Anterior>>>>>>>>Posterior

Question 30

What stabilizes the humerus from dislocation?

Answer 30

Anterior Inferior Glenohumeral LIgament

Question 31

Bankart Lesion

Answer 31

Tearing of the anterior inferior glenohumerla ligament from the labrum

Question 32

Non-operative clavicle fracture treatment

Answer 32

Figure 8 harness

Question 33

SLAP tears are what? and are most common in who>

Answer 33

Labral tears right where the biceps tendon attaches to the labrum, most common in athletes who use overhead motion/

Question 34

SLAP tear stands for?

Answer 34

Superior Labrum anterior to posterior

Question 35

Main elbow stabilizer is?

Answer 35

Anterior Bundle ligament

Question 36

See pain /swellingof the wrist in the anatomical snuffbox?

Answer 36

Scaphoid Bone Fracture...Immobilize the pt for three weeks then bring them back for x-ray

Question 37

PIP joint dislocation

Answer 37

Proximal interphalangeal joint dislocation

Question 38

How do you fix a PIP joint dislocation

Answer 38

You have to extend the finger back to slip it into place. Hurts like shit.