Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MSK > UE part 2 trigger > Flashcards

UE part 2 trigger Flashcards

1
Q

what humeral fx is MC in children

A

type A supracondylar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what Xray view is used for radial head visualization

A

oblique (radcap view, 45degre)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What humeral fracture is MC overall

A

type C intercondylar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

weakness with flexion and adduction of the wrist suggests disruption of what nerve

A

ulnar

radial = extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what nerves/arteries do supracondylar humeral fractures typically affect

A

radial artery/median nerve

epicondylar fx = ulnar and radial nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

when do you see fat pad sail signs? what do they indicate

A

distal humeral fractures.

indicates intra articular bleeding or occult fx.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what type of distal humeral fracture must have NO angulation or displacement in order to avoid doing ORIF.

A

Type A supracondylar.

Type B can have displacement of <2mm and still use conservative tx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the difference in splinting for Type A and B distal humeral fractures

A

A - long arm cast at 90d (at neutral position i assume)
B - long arm cast at 90d either pronated (medial condylar fx) or supinated (lateral condylar fx)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the MC nerve affected in olecranon fxs?

A

ulnar

look it just runs right over it!:)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

tx is long arm posterior splint with neutral forearm and to squeeze a rubber ball 5 mins/day.

A

olecranon fx with <2mm displacement

if >2mm then ORIF
if open then IV abx and consult ortho

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

pain/tenderness along lateral aspect of elbow. Limited ROM especially w pronation/supination.

A

radial head/neck fx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Sling with AROM after 24-48 hrs flexion, ext, pronation and supination. FU w ortho in 1 week

A

mason T1 radial head/neck fx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Sling and splint with ortho follow up in 2-3 days to discuss ORIF is tx for what type of radial head/neck fx

A

mason type 2-3 radial head/neck fx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what type of radial head/neck fx requires immediate ortho consultation

A

type IV (fx+ dislocation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

arm held semi-flexed adducted and pronated with refusal of ROM and tenderness over radial head

A

nursemaids elbow (radial subluxation0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

elbow pain with wrist extension and supination is suggestive of what

A

lateral epicondylitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

point tenderness 1 cm distal to the epicondyle

A

medial or lateral epicondylitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

pain in the elbow with wrist flexion and pronation is suggestive of what

A

medial epicondylitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

when can you use a counterforce brace as treatment

A

epicondylitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

when do you get imaging for olecranon bursitis

A

only when there has been trauma involved

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

if we aspirate a large and non septic olecranon bursitis and cultures come back negative what is the next step

A

reaspirate and reculture.
if negative again and persistent swelling then aspirate again and give 1 mL corticosteroid injection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

when do we use bactrim (alt keflex) as a treatment for UE problems

A

mild septic olecranon bursitis in an immunocompetent patient

23
Q

what would suggest that septic bursitis is severe

A

Systemic toxicity
Rapid progression in 48hrs
Unable to tolerate PO
Close indwelling medical device
Immunosuppressed

im gonna forget that bolded one i just know it

if they have any of these then we tx w vanc and add cipro or piptaz if trauma occurred

24
Q

if a patient has traumatic septic olecranon bursitis and a prosthetic humeral head what is the treatment

A

vanc + (piptaz or cipro)

because close indwelling med device = severe

25
Q

midshaft radial fx with unstable distal radioulnar joint is known as what

A

dorsal galeazzi fracture

26
Q

dislocation of radial head with associated proximal ulnar fx and unstable proximal radioulnar joint is known as what

A

monteggia fx

27
Q

take a sec and just memorize this.

its forearm fractures and what makes them:
1. emergent (<1hr)
2. urgent (<24hrs)
3. priority (24-72 hrs)

A

okie dokie

28
Q

Long-arm posterior splint with neutral forearm + slight wrist extension + 90d elbow for 1-3 weeks then a functional forearm brace for 4-6 weeks.

A

simple isolated non proximal ulnar shaft fx

29
Q

Isolated radial fx, Combined radial + ulnar fx, and Galeazzi or Monteggia fx all require what kind of splinting

A

sugar tong splint

30
Q

what supplies this area

A

ulnar nerve

31
Q

wrist pain and swelling along the radial aspect with tenderness to the anatomical snuff box and a weakened/painful grip

A

scaphoid fx.

32
Q

tx for scaphoid fx

A

thumb spica splint/cast w imaging and ortho referral

33
Q

the physis is the more common area of 5th phalange injury in what demographic

A

children

in adults its the distal phalanx

34
Q

malrotation of the 5th digit (or of any digits i suppose) suggests what

A

boxers fx

35
Q

what is the treatment for a fracture of the 3rd metacarpal neck with a 25 degree angulation

A

radial gutter splint for 2-3 weeks

  • if >30d then reduce it prior to splinting
  • use radial gutter for 2nd and 3rd
  • use unar gutter for 4th and 5th
  • use buddy tape/aluminum splint for phalangeal
36
Q

when would you use a thumb spica with 30 degrees of wrist extension

A

non displaced fx of 1st metacarpal or phalange

37
Q

hyperflexion of the DIP leads to what diagnosis

A

mallet finger

38
Q

pt presents with pain in the distal 2nd digit. PE shows a flexed DIP with inability to actively extend. PROM is intact. what is likely diagnosis and what is tx

A

mallet finger (DIP hyperflexion injury)

splint of DIP in full extension for 4-8 weeks. DO NOT REMOVE SPLINT

39
Q

what causes swan neck deformity and what is it

A

PIP stuck in hyperextension with DIP stuck in flexion.

caused by inadequately treated mallet finger

40
Q

forced flexion of PIP resulting in rupture of central extensor tendon is known as what?

A

boutonniere deformity.

41
Q

forced radial abduction of the 1st MCP resulting in rupture of the UCL is known as what

A

gamekeepers thumb

42
Q

when would you splint PIP in extension but leave DIP free for 4-8 weeks?

A

boutonniere deformity

43
Q

Inflammation of tendon sheath covering extensors and ABductors of the thumb

A

de quervains tenosynovitis

44
Q

pt presents with aching pain and point tenderness along radial wrist radiating up the arm. on PE you see a thickened 1st dorsal compartment. what is the likely diagnosis and how do you treat it

A

de quervains tenosynovitis

thumb spica splint, activity mod, NSAIDS. if doesnt work then cortsteroid injections or surgery

note: would also see + finkelsteins on this!

45
Q

+ finkelstein test

A

De Quervain’s Tenosynovitis

46
Q

pt presents with complaints of a painful nodule on her palmar aspect of the hand. She reports its worse at night and often causes catching/locking of her third and fourth digit. what is the likely diagnosis and what is the tx?

A

trigger finger
1. NSAIDS
2. corticosteroid injection
3. surgery if all else fails

47
Q

pt presents with a hx of DM, epilepsy and COPD. reports hes a construction worker who uses a jackhammer daily. hes a chainsmoker and loves an alcoholic beverage. He complains of inability to fully extend his 4th digit. on exam you see a nodule on the palm but the pt denies it being painful. his 4th digit is stuck in a 35 degree flexion.

dx and tx?

A

dupuytrens

surgery for this pt! indicated if fixed flexion is >30

if its <30 then do night splinting to slow progression

48
Q

brachial plexus injuries involving C8-T1 can cause what presentation

A

PAM horners syndrome
(ptosis, anhidrosis, miosis)

49
Q

a pt reports to your office after falling from a tree and catching herself w her left hand on a tree branch. she then gently lowered herself to the ground. she is now experiencing sharp burning pain win her LUE as well as ptosis. what is the dx and tx? what additional PE exam would increase worry?

A

dx: brachial plexus syndrome of C8-T1.
tx: conservative (strengthening, stretching, PROM to reduce stiffness.)
PE: worrisome to see ipsilateral leg spasticity or weakness because it suggests spinal cord injury

50
Q

making an “ok” symbol w your hand uses what nerve root

A

C6

51
Q

what nerve root controls wrist flexion and finger extension

A

C7

finger flexion is C8

52
Q

pt presents with aching pain along her entire LUE with associated paresthesias. She reports increasing fatigue and weakness of the arm as well as exacerbation of symptoms when she lifts her arm above her head. What is likely the Dx and what is the pathology behind it? How else could this present

A

dx: thoracic outlet syndrome
patho: compression of brachial plexus/subclavian vessels as they exit the space between superior shoulder girdle and 1st rib

If vascular structures were compressed it would present with intermittent swelling and discoloration of the extremity!

53
Q

pt presents with pain and swelling along the medial 1st MCP joint. on PE you see weak pincer function.
what exam would you do to diagnose this? what is the dx?

A

dx: gamekeepers thumb
diagnostic: stress test of MCP joint after anesthesia. 1st phalange finger series.

MSK (27 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions