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2 MJM > 21 Upper limb trauma > Flashcards

21 Upper limb trauma Flashcards

1
Q

What is the treatment advice for bursitis?

A 
RICE
rest
ice
compression
elevation
ALSO ANTI-INFLAMMATORIES
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2
Q

What bursae might be irritating by heavy overhead lifting (abduction)

A

subacromial bursae

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3
Q

What might cause olecranon bursitis?

A

friction
trauma
infection

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4
Q

What is tennis elbow called, and what causes it?

A 
lateral epicondylitis (humerus)
repeated extension of wrist with elbow pronated
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5
Q

What is golfer’s elbow called?

A

medial epicondylitis

repeated use of superficial flexors of forearm

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6
Q

What might happen if you applied force downward over the tip of the shoulder?

A

acromioclavicular subluxaiton (shoulder separation)
arm hangs low
bulge at shoulder as clavicel displaced upwards

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7
Q

What nerve might be injured in a shoulder dislocation?

A

axillary nerve - regimental badge sensory loss

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8
Q

What is nursemaid’s elbow?

A

radial head slips out of annular ligament when child lifted by arm

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9
Q

Which to nerves are at risk of a supracondylar fracture of the distal humerus?

A

radial and medial nerve (as well as brachial artery)

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10
Q

What is a monteggia fracture?

A

fracture of proximal ulna and dislocation of proximal radius

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11
Q

What is a Galeazzi fracture?

A

dislocation of distal ulna with fracture of distal radius

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12
Q

How might distal radial fractures present?

A

colles (posterior wrist protrusion)

smith (anterior wrist protrusion)

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13
Q

How might a colles fracture happen?

A

fall on outstretched hand

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14
Q

How might a smith fracture happen?

A

fall on flexed hand

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15
Q

What is Erb’s palsy?

A

upper brachial plexus injury in childbirth

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16
Q

What is Klumpke’s palsy?

A

lower brachial plexus injury in childbirth

17
Q

Which nerve is affected by saturday night palsy?

A

radial nerve

18
Q

Which nerves cause hand of benediction, clawhand, and wrist drop?

A

benediction - median nerve
clawhand - ulnar nerve
wrist drop - radial nerve

19
Q

Which nerve is compressed in carpal tunnel syndrome?

A

median nerve

20
Q

What is tinel’s sign?

A

in those with carpal tunnel syndrome, tapping over the ventral aspect of the wrist produces parasthesia

21
Q

What is Guyon’s canal syndrome?

A

ulnar entrapment - handle bar neuropathy

22
Q

How would you test for ulnar, radial, and median nerves?

A

ulnar - peace out sign
radial - thumbs up
median - clenched fist

23
Q

What is DeQuervain’s tenosynovitis?

A

overuse syndrome of thumb tendons, pain along radial aspect of wrist

24
Q

How would you test for DeQuervain’s tensosynovitis?

A

Finkelsteins’s test

25
Q

What does the Allen’s test look for?

A

collateral circulation from ulnar artery

2 MJM (28 decks)

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