UE/LE

Question 0

RTC tears common in younger and older?

Answer 0

younger- supraspinatus

older- subscap (40+) + dislocation

Question 1

RTC actions

Answer 1

Supraspinatus- elevates arm
infraspinatus/teres minor- external rotate
subscapularis- internal rotate

Question 2

Pain characteristics of RTC tear

Answer 2

night pain

deltoid pain

Question 3

Treatment for RTC tears

Answer 3

surgery for acute

Question 4

More common pectoralis tear?

Answer 4

Sternocostal head of pec major (clavicular is rare)

Question 5

Common cause of pec tear?

Answer 5

Bench pressing w pop

Question 6

Pec tear treatment

Answer 6

urgent surgery for younger pt

Question 7

Biceps tears types? treatment for each?

Answer 7

LHB- usu from degeneration, popeye, conservative

Distal biceps- usu males, surgery for younger ASAP

Question 8

AC joint injury grades

Answer 8

Sprain (ligaments intact)

Tear (type III if AC + CC tear)

Question 9

Treatment for AC injury

Answer 9

conservative usu sufficient (cosmetic deformity b/c ligaments do not heal)

Question 10

Lateral epicondylitis- pain with what motion?

Answer 10

wrist extension (ECRB)

Question 11

Medial epicondylitis- pain with what motion?

Answer 11

PT/FCR

wrist flexion

Question 12

Concurrent problem with medial epicondylitis

Answer 12

cubital tunnnel syndrome

Question 13

Tests for carpal tunnel

Answer 13

median n compresion test
tinel’s test
Phalen’s test (wrist flexion)

Question 14

Cubital tunnel syndrome– tests

Answer 14

tinel’s

elbow flexion test

Question 15

classic finding of cubital tunnel syndrome?

Answer 15

intrinsics atrophy

Question 16

Treatment of carpal vs cubital tunnel syndrome

Answer 16

no injections for cubital! (nerve is superficial)

Question 17

Trigger finger AKA?

Answer 17

Stenosing tenosynovitis

Question 18

Trigger finger treatment

Answer 18

steroid injections are really helpful

surgery

Question 19

what is tenosynovitis?

Answer 19

inflmmation of synovium that surrounds tendon

Question 20

De Quervain syndrome?

Answer 20

tenosynovitis of EPB and APL

Question 21

De Quarvain’s pain exacerbate?

Answer 21

thmb flexion w ulnar deviation (Finklestein’s test)

Question 22

SCFE is fx in which zone?

Answer 22

hypertrophic zone of physiis

Question 23

SCFE slips which way?

Answer 23

femur slips anteriorly

Question 24

Types of SCFE

Answer 24

stable- weight bearing | unstable- unable to weight bear; surgical repair (relocation and pin); greater osteonecrosis risk

Question 25

Important clinical finding of SCFE

Answer 25

knee pain!

Question 26

features/risk factors of SCFE

Answer 26

polynesian/AA males; L sided; during puberty

Question 27

Septic hip las

Answer 27

ESR >40, serum WBC>12x109

Question 28

treatment for septic hip

Answer 28

surgical emergency- irrigate and debride

Question 29

Hip dislocations? A or P more common? sign for each

Answer 29

Anterior- shortened, abducted, external rotate | Posterior (common)- flex, adducted, internal rotate

Question 30

Hip dislocation main concern?

Answer 30

AVN- MCF (look for sclerosis and crescent sign in radiograph)

Question 31

cardinal features of OA lower lumbar spine

Answer 31

lower bak pain (hip pain); sharp shock pain; worse with weight bearing and extension check for bursitis near greater trochanter

Question 32

Test to do for OA of lumber spine

Answer 32

straight leg raise

Question 33

Ober test

Answer 33

IT band tightness

Question 34

FABERE test

Answer 34

sacroiliac joint pathology

Question 35

femoral neck fx epidemioogy

Answer 35

usu elderly fall

Question 36

Femoral neck fx types, treatment

Answer 36

``` valgus impacted (shoved in)- stale displaced- surgery (AVN risk) ```

Question 37

Femoral neck stress fx- clinical signs

Answer 37

groin pain w activity; progresses to pain at rest

Question 38

Femoral neck fx types, treatment

Answer 38

compression- inferior neck; will heal | tension - superior neck; pin!

Question 39

what is a pipkin fx?

Answer 39

femoral head fx

Question 40

Basicervical fx? main concern?

Answer 40

base of femoral neck fx | risk for rotation and artery severe

Question 41

Quad contusion- treatment? concerns?

Answer 41

splint in flexion | hemophiliacs, myositis ossificans

Question 42

Quad/patellar tendon rupture- epidemiology, associated injuries, treatment

Answer 42

males 40+ ACL Surgery is urgent but not emergent

Question 43

Tests for ACL

Answer 43

lachman's | pivot shift

Question 44

ACL findings on xray and MRI

Answer 44

Xray- lateral rim tibia fx | MRI- effusion above patella

Question 45

Unhappy triad

Answer 45

ACL, MCL, MM

Question 46

ACL increases risk for?

Answer 46

OA

Question 47

what ligament works with MCL

Answer 47

posterior oblique ligament

Question 48

MCL grading

Answer 48

I/II partial tear- laxity at 30 degrees? | III full tear- laxity with extension

Question 49

LCL workss with what ligaments

Answer 49

popliteus tendon | popliteofibular ligament

Question 50

xray finding of LCL

Answer 50

arcuate sign- avulsed fibullar head

Question 51

Meniscal tear- test

Answer 51

McMurrays (listen for clickingg and popping and locking)

Question 52

Meniscal tear treatment

Answer 52

conservative | surgical repair if possible

Question 53

Patellar dislocation- predisposing abnormalities

Answer 53

``` patella alta (caton-deschamp) trochllear dysplasia ```

Question 54

Patellar dislocation w what ligament tear?

Answer 54

MPFL (medial patellofemoral ligament)

Question 55

Patellar dislocation treatment

Answer 55

straighten and brace

Question 56

Which ligament most common torn forr ankle sprain?

Answer 56

ATFL

Question 57

what joint flexes/dorsifllexs?

Answer 57

talocrural

Question 58

Eversion/inversion joint?

Answer 58

subtalar joint

Question 59

Ankle sprain tests?

Answer 59

``` Anterior drawer: -Dorsiflex- CFL -plantar flex- ATFL Talar tilt test (inverrt foot) -neutral- CFL -plantar- ATFL ```

Question 60

Achilles' tendon rupture

Answer 60

Thompson test- calf squeeze--> no platnar flexion

Question 61

Achilles rupture epidemiology

Answer 61

30-60yo men

Question 62

where does achilles rupture usually occur

Answer 62

non-insertional area (2-6cm from insertion) (least blood supply)

Question 63

Achilles rupture treatment

Answer 63

surgyer (fast recovery) | cast in plantar flexion

Question 64

Quad/patellar tendon rupture- check for?

Answer 64

ACL tear

Question 65

xray- lateral rim of tibia is fractured

Answer 65

ACL tear

Question 66

xray- fibullar head avulsed

Answer 66

arcuate sign- LCL