Upper Limb Clinical Conditions

Question 1

what happens to clavicle in AC joint dislocation?

Answer 1

clavicle will be prominent sticking out along the shoulder

Question 2

do shoulder or hip dislocations require more energy?

Answer 2

hip

Question 3

what is most common direction for shoulder dislocation?

Answer 3

anterior

Question 4

what position is arm in for anterior shoulder dislocation?

Answer 4

abducted and externally rotated

Question 5

name two ways posterior shoulder dislocations can occur

Answer 5

trauma, seizures

Question 6

what nerve is most commonly injured with shoulder dislocations?

Answer 6

axillary nerve

Question 7

what does anterior shoulder dislocation look like clinically?

Answer 7

lengthened humerus, squaring of shoulder contour

Question 8

how do we get winged scapula?

Answer 8

long thoracic nerve damage…

Question 9

what usually causes winged scapula?

Answer 9

iatrogenic or trauma to long thoracic nerve

Question 10

what is adhesive capsulitis?

Answer 10

painful loss of shoulder motion

Question 11

what are three common causes of adhesiv capsulitis?

Answer 11

diabetes, breast/lung surgery, extended use of sling

Question 12

what is the physical finding of adhesive capsulitis?

Answer 12

loss of motion of shoulder specifically external rotation

Question 13

what is a very common cause of shoulder pain that is associated with the rotator cuff?

Answer 13

subacromial bursitis

Question 14

what can occur with subacromial bursitis?

Answer 14

calcific teninitis

Question 15

what muscle is most commonly affected with calcific tendinitis from subacromial bursitis?

Answer 15

supraspinatus

Question 16

what fracture can lead to radial nerve damage?

Answer 16

mid humeral shaft

Question 17

what does radial nerve damage lead to?

Answer 17

wrist drop

Question 18

what is most common issue with median nerve?

Answer 18

carpal tunnel syndrome

Question 19

in carpal tunnel what fingers have diminished sensations?

Answer 19

thumb and first two digits

Question 20

why does carpal tunnel get worse at night?

Answer 20

flexion causes more issues with carpal tunnel and normal night time position is wrist flexion

Question 21

cubital tunnel syndrome is a compression of what nerve?

Answer 21

ulnar

Question 22

what is symptom of cubital tunnel syndrome?

Answer 22

tingling or numbness in ring and small finger

Question 23

when can cubital tunnel syndrome be worse?

Answer 23

at night because of elbox flexion

Question 24

how does supracondylar fracture happen?

Answer 24

fall on an outstretched hand

Question 25

what is a common pediatric fracture of the arm

Answer 25

supracondylar fracture of humerus

Question 26

what is an issue with supracondylar fracture?

Answer 26

Volkmann Ischemic Contracture

Question 27

what is Volkmann Ischemic Contracture?

Answer 27

muscle necrosis of the forearm flexors

Question 28

name the four Ps of Volkmann Ischemic Contracture

Answer 28

pain parasthesias pallor pulselessness

Question 29

what is another name for distal radius fracture?

Answer 29

colles fracture

Question 30

what part of radius is commonly fractured?

Answer 30

distal radius

Question 31

what is the common finding for scaphoid bone fracture?

Answer 31

tenderness in the anatomical snuff box

Question 32

what is a complication that can occur with scaphoid fracture?

Answer 32

tenuous blood supply leads to avascular necrosis

Question 33

lateral epicoondylitis is associated with what sport?

Answer 33

tennis

Question 34

medial epicoondylitis is associated with what sport?

Answer 34

golf

Question 35

what motions hurt in lateral epicondylitis?

Answer 35

wrist/finger extension

Question 36

what motions hurt in medial epicondylitis?

Answer 36

flexors of wrist

Question 37

which of lateral and medial epicondylitis is more common?

Answer 37

lateral by far

Question 38

where does trigger finger occur?

Answer 38

in the annular ligaments of the flexor sheath...tendons inflamed and get stuck in the annular ligaments

Question 39

dequervians tenosynovitis is inflammation of what two tendons?

Answer 39

APL and EPB

Question 40

where does pain occur with dequervians tenosynovitis?

Answer 40

radial sided wrist pain

Question 41

what can you do to elicit pain in dequervians tenosynovitis?

Answer 41

ask patient to flex thumb then push toward ulnar side

Question 42

what are two common causes of dequervians tenosynovitis?

Answer 42

repetitive use and post partum

Question 43

what joints in fingers does osteoarthritis generally affect?

Answer 43

distal joints of the fingers