Sports medicine

Question 1

ACL tear: ACL purpose

Answer 1

primary stabilizer of the knee, preventing anterior tibial translation

Question 2

ACL tear: SX

Answer 2

Popping sounds, hemearthritis, knee instability

associated with meniscal tear

Question 3

ACL tear: Exam

Answer 3

X ray negative

MRI positive

Question 4

ACL tear: TX

Answer 4

PT (hamstring strengthening) or ACL reconstruction

Question 5

Frozen shoulder: Description

Answer 5

Idiopathic loss of shoulder motion, associated with diabetes, 40-60 years.

Question 6

Frozen shoulder: SX

Answer 6

Early freezing with thawing 6-24 months

pain may be associated with this

Question 7

frozen shoulder exam

Answer 7

loss of 50% active and passive ROM

painful deltoid insertion

Question 8

frozen shoulder: Test

Answer 8

x rays are negative

Question 9

frozen shoulder: TX

Answer 9

NSAIDS, injections, ROM with pt

arthroscopic lysis of adhesion of MUA

Question 10

Impingement syndrome

Answer 10

inflammation of the subacromial bursa and rotator cuff tendons in middle aged person

Question 11

Impingement syndrome: SX

Answer 11

lateral shoulder pain with overhead activity

Question 12

Impingement syndrome: Exams

Answer 12

positive hawkins (impinge the supraspinatus tendon), supraspinatus test. No weakness.

Question 13

Impingement syndrome: TX

Answer 13

PT, steroid injection, surgical decompression

Question 14

Elbow epicondylitis: Description

Answer 14

Degenerative and painful condition of Extensor carpi radialis brevis and/or flexor pronators

Question 15

Elbow epicondylitis: SX

Answer 15

35-55 yo with pain on either the medial or lateral epicondyle with activity

Question 16

Elbow epicondylitis: Exams

Answer 16

pain on the epicondyle.

lateral epicondyle with pain with extension of wrist

medial epicondyle with pain with flexion of wrist.

Question 17

Elbow epicondylitis: TX

Answer 17

ice, brace, larger grips for pen or luggage. PT, anti inflam, PT

steroid may help because of paradoxical inflammation to promote bone healing.

surgical debridement

Question 18

Meniscal tear: description

Answer 18

fraying or tearing of menisci

Question 19

meniscal tear: SX

Answer 19

locking and catching of the knee

Question 20

meniscal tear: exam

Answer 20

Mcmurray’s positive

joint line tenderness

Question 21

meniscal tear: Test

Answer 21

x ray negative

MRI show tear

Question 22

meniscal tear: tx

Answer 22

PT

arthroscopic debridement

Question 23

olecranon bursitis: description

Answer 23

inflammation of olecranon bursitis. Gout.

Question 24

Olecranon bursitis: SX

Answer 24

swelling, painful posterior elbow

Question 25

Olecranon bursitis: exam

Answer 25

mass over tip of elbow, tender, red, hot

Question 26

Olecranon bursitis: test

Answer 26

aspiration for crystal or infection

Question 27

Olecranon bursitis: TX

Answer 27

NSAID surgical tx

Question 28

patellofemoral pain: description

Answer 28

pain around the patella without signs of arthritis , common in teenagers with growth spurts

Question 29

patellofemoral pain: SX

Answer 29

achy pain anterior knee worse after long periods of sitting, and climbing stairs

Question 30

patellofemoral pain: exam

Answer 30

Q angle patellar apprehension resisted extension of knee

Question 31

patellofemoral pain: test

Answer 31

xray normal

Question 32

patellofemoral pain: tx

Answer 32

PT for quad strength

Question 33

plantar fasciaitis: description

Answer 33

degenerative tear of plantar fascia, more common in women and overweight persons with tight heel cords

Question 34

plantar fasciaitis: SX

Answer 34

worse heel pain in morning, insidious onset

Question 35

plantar fasciaitis: exam

Answer 35

tender on medial and lateral calceneous, tight dorsiflexion

Question 36

plantar fasciaitis: test

Answer 36

x ray show heel spurs, which is not causing pain but a symptom

Question 37

plantar fasciaitis: tx

Answer 37

NSAID, Heel cups, stretches for heel injections surgical release

Question 38

Rotator cuff tear: description

Answer 38

tear of supraspinatous (most common), infraspinatous, subscapularis, or teres minor acutely in young, chronic degeneration in old

Question 39

Rotator cuff tear: SX

Answer 39

pain with overhead activity, catching, grating sensation

Question 40

Rotator cuff tear: exam

Answer 40

positive drop arm, hawkins, weak supraspinatous, weak external rotation

Question 41

Rotator cuff tear: tests

Answer 41

x rays may show high riding humeral head MRI shows discontinuity of tendon

Question 42

Rotator cuff tear: tx

Answer 42

PT, nsaids repair of tendons

Question 43

Rupture of proximal biceps tendon: description

Answer 43

rupture of long head of biceps, with labral injury

Question 44

Rupture of proximal biceps tendon: SX

Answer 44

sudden pain, bulge in arm

Question 45

Rupture of proximal biceps tendon: exam

Answer 45

popeye arms, pain with supination

Question 46

Rupture of proximal biceps tendon: test

Answer 46

x ray negative MRI show tear with hematoma

Question 47

Rupture of proximal biceps tendon: tx

Answer 47

NSAIDS, PT surgery (tenodesis: staple)

Question 48

trchonateris bursitis: description

Answer 48

inflammation of the great trchonateric bursa from IT band

Question 49

trchonateris bursitis: SX

Answer 49

lateral hip pain, unable to lie on side

Question 50

trchonateris bursitis: exam

Answer 50

point tender over posterior GT ober's test

Question 51

trchonateris bursitis: Test

Answer 51

x ray negative MRI show swelling of BURSA

Question 52

trchonateris bursitis: TX

Answer 52

NSAIDS PT for stretches and strengtething