Sports Medicine & MSK Disorders

Question 1

Splinting for tendonopathies for more than — weeks can cause significant loss of ROM

Answer 1

2

Question 2

Ottawa knee rules

Answer 2

1. > 55 yoa
2. tenderness at fibular head
3. isolated tenderness of patella
4. inability to flex knee to 90 degrees
5. inability to bear weight for 4 steps immediately after injury and in exam room

Question 3

Ottawa ankle rules

Answer 3

1. bone tenderness over posterior edge/tip of lateral malleolus
2. bone tenderness at posterior edge/tip of the medial malleolus
3. inability to bear weight immediately and in exam room

Question 4

Ottawa Foot rules

Answer 4

1. bone tenderness at the base of the 5th metatarsal
2. bone tenderness at navicular
3. inability to bear weight immediately and in exam room

Question 5

Diagnosis and treatment of SLAP lesion

Answer 5

superior labrum from anterior to posterior tear. Common throwing injury, gives the sense of catching or popping of the shoulder with loss of force and pain. MRI to diagnose. First line therapy is insides and physical therapy. Surgical repair for severe symptoms that fail conservative management.

Question 6

AC joint separation duration of feeling?

Answer 6

46 weeks for type one separation, about eight weeks for type two separation and up to 12 weeks with type three, may need surgery

Question 7

Compressed and cubital tunnel syndrome?

Answer 7

Ulnar nerve

Question 8

What nerve is compressed in carpal tunnel syndrome?

Answer 8

Median nerve

Question 9

Treatment for mallet finger

Answer 9

Continuous extension splinting for at least six weeks followed by four weeks of nighttime splinting

• this is basically the opposite of jersey finger. If it anytime during the first six weeks finger is flexed this can cause a disruption in the healing so it’s important to keep the finger extended

Question 10

Jersey finger treatment

Answer 10

Surgical repair

Question 11

Diagnosis of scaphoid fracture’s

Answer 11

X-ray on presentation of snuffbox tenderness. About 10% of these will be negative initially so x-rays need to be repeated in 10 to 14 days to check for fracture. If tenderness persists however x-rays continue to be negative can get an MRI for further evaluation. Most of these will require surgical fixation

Question 12

Side effects of chromium supplementation

Answer 12

Thought to increase lean muscle mass but can also cause liver and kidney dysfunction in addition to rhabdomyolysis. No evidence that there’s actually any benefit to the supplementing this

Question 13

Lumbar Disc Herniation will start to improve in —- weeks and usually resolves by — weeks.

Answer 13

6 weeks & resolves by 12 weeks (usually)

Question 14

4 risk factors for adhesive capsulitis

Answer 14

diabetes, parkinsons, cardiac disease & thyroid dysfunction

Question 15

What the most sensitive test for carpal Tunnel syndrome?

Answer 15

Flicks Sign

Question 16

Treatment of Plantar fasciitis

Answer 16

Rest, massage, stretching. Can use night split for 3 weeks(B) & OTC orthotics(B)

Question 17

When would you refer a kid for developmental dysplasia of the hip?

Answer 17

if symptoms persist for 2 months

Question 18

Club foot requires surgical correction at….

Answer 18

9-12m

Question 19

MC bone tumor in kids

Answer 19

Osteosarcoma

Question 20

MC BENIGN bone tumor in kids

Answer 20

nonossifying fibroma

Question 21

Internal tibial torsion should resolve by age…

Answer 21

8

Question 22

Femoral anteversion should resolve by age…

Answer 22

9-10

Question 23

1 line and 2nd line for dx fracture? what is the 1st imaging is negative?

Answer 23

1st line xray. If neg but high suspicion repeat in 7-14 days. If still negative can get MRI w/o contrast

Question 24

Treatment for clavicle fractures

Answer 24

figure 8 sling

Question 25

Concern for saphoid fracture but negative xray..whats the next step?

Answer 25

repeat xray in 2 weeks - if displaced needs surgical evaluation

Question 26

Treatment of jersey finger

Answer 26

surgical correction within 10-12 days

Question 27

Treatment of boutonniere deformity

Answer 27

(aka jammed finger) splinting of PIP joint in extension for 6 weeks followed by night splinting for 4-6 weeks

Question 28

Treatment of mallet finger

Answer 28

split DIP in full extension for 8 weeks

Question 29

Most common nerve injured with distal radius fracture

Answer 29

Median N

Question 30

Which two fractures require a CT to rule out fracture on?

Answer 30

Displace intra-articular distal radius fracture and tibial plateau fracture

Question 31

For how long should a kid with mono avoid contact sports? When can he resume full activity?

Answer 31

3 weeks. 21 days after dx!