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Skin MS: Week 4 > UE Clinical > Flashcards

Flashcards in UE Clinical Deck (28):
1

Go completely out of anatomic alignment

Dislocate

2

Go back to anatomic alignment

Reduce

3

Go partially out of anatomic alignment

Subluxate

4

Rotator Cuff: Elevation

Supraspinatus, (Deltoid)

5

RC: Internal Rotation

Subscapularis

6

RC: External Rotation

Teres minor, infraspinatus

7

Most common RC pathologies (3)

Age-related degenerative tears, tendon degenerative process, idiopathic?

8

Less common RC pathologies (2)

Young athletes/laborers, acute injury related

9

Body healing in general

most often - will heal seld
shaft can accept some malalignment
ligaments can reattach to bones
Children heal especially well

10

____________ injuries must be made perfectly straight (or else____)

Articular surfaces - joint pain and permanent damage

11

Indicators of poor healing of rotator cuff pathology

Large, long-standing
Try PT

12

SC dislocation

High energy trauma (secondary injuries also likely)

13

AC dislocation

Mid to high energy
Often treated w/out surgery
"Shoulder separation" w/ coracoclavicular

14

Scapulothoracic dislocation

HIGH energy
Neurologic/vascular injuries and secondary injuries likely

15

Glenohumeral dislocation

Frequent "Shoulder" dislocation

16

Anterior vs. Posterior glenohumeral dislocation

describe position of humeral head w/ glenoid face of scapula

Anterior - most common, imbalance or over pull
Posterior - rare (lose body control - electrocution, seizure)

17

Humerus shaft tolerates _______

angulation or rotation deformity (vs. articular surfaces which do not)

18

Humerus fracture at ________, worry about nerve injury at ________ (4)

neck - axillary
radial - midshaft
medial & ulnar - distally (epicondyles)

19

Lateral epicondyle pain

tennis elbow
extensor tendons

20

Medial epicondyle pain

golfer's elbow
flexor-pronator origin

21

Nursemaid's elbow

dislocation of radial head/humerus
traction/pulling injury (slip out from anular ligament)

22

Adult dislocations

Simple - low energy, timely reduction --> okay, R/U move away from humerus as a unit
Fracture + dislocation - high energy, require surgical repair
Maybe long term problems (pain, stiffness, instability)

23

Changes in bones shape in ______ not tolerated

Forearm (d/t need for mobility in rotation)

24

Most common fracture of forearm

Distal radius

25

Most common fracture of the wrist

Scaphoid

26

Ulnar nerve damage

Sensation
Fine motor control of intrinsic muslces (ulnar sided lumbricals, dorsal interossei, palmar interossei)

Muscle loss annoying
Pathology can occur at wrist or elbow

27

Radial nerve injury

Proximal - wrist drop and thumb can't extend
If after elbow but before branch to posterior interosseous - finger extension, lack of thumb extension (most distal), no change in sensation

28

Dorsal/palmar interossei + lumbricals --> extend fingers at ______ but flex at ______

DIP, PIP extend


Flex at MC