Basic UL MSK Exam Flashcards

1
Q

sprain = ?

A

ligament injury

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2
Q

strain = ?

A

muscle injury

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3
Q

tedonitis/tendinosis = ?

A

tendon injury

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4
Q

strength grading scale?

A

0-5, 5 is normal. 3 = only against gravity; 2= not against gravity

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5
Q

reflex grading scale?

A

0-4, 4 = clonus, 1 = hypoactive

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6
Q

normal capillary refill time?

A

< 2 seconds = normal

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7
Q

pulse intensity grading?

A

0 = absent, 4 = bounding, 3 = normal

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8
Q

abduction?

A
  1. mid-deltoid, supraspinatus
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9
Q

adduction?

A
  1. pec major, lats
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10
Q

flexion?

A
  1. anterior deltoid, coracobrachialis
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11
Q

extension?

A
  1. lats, teres major, posterior deltoid
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12
Q

external rotation?

A
  1. infraspinatus, teres minor
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13
Q

internal rotation

A
  1. pec major, lats, teres major, subscapularis
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14
Q

scapular elevation

A

traps, levator scauplae

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15
Q

scapular retraction

A

rhomboids

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16
Q

scapular protraction

A

serratus anterior

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17
Q

functional = ?

A

120 abduction

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18
Q

painful arc of abduction 80-150?

A

c/w rotator cuff problems

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19
Q

painful arc of abduction > 150

A

c/w AC pathology

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20
Q

rotator cuff muscle tests?

A

supraspinatus. infraspinatus & teres minor. subscapularis

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21
Q

supraspinatus test?

A

full can test

22
Q

subscapularis test?

A

liftoff test

23
Q

joint stability test?

A

apprehension test

24
Q

areas of sensation to test for shoulder probs?

A

axillary nerve (lateral shoulder), musculocutaneous nerve (lateral forearm)

25
Q

functional elbow ROM?

A

30-130 extension/flexion; 50 pronation/supination.

26
Q

UCL test?

A

valgus stress

27
Q

valgus = ?

A

part of the body distal to the deformed part is deviated away from the body/midline

28
Q

varus = ?

A

part of the body distal to the deformed part is deviated toward the body/midline

29
Q

tinel’s sign?

A

tapping over median nerve in carpal tunnel

30
Q

phalen’s sign?

A

holding wrists back to back in full flexion

31
Q

AC sprain etiology

A

fall directly onto shoulder

32
Q

AC sprain presentation

A

pain with overhead motions, deformity of superior shoulder

33
Q

AC sprain exam:

A

pain and deformity at AC joint, pain with cross body adduction of arm, painful arc of abduction over 150.

34
Q

AC injury grading? Grades I-IV

A

grade I: AC lig stretch
grade II: AC lig tear, CC lig stretch
grade III: AC and CC complete tears
grade IV: complete AC and CC tears + clavicular displacement

35
Q

shoulder dislocation etiology

A

usually anterior. forced extension, abduction, external rotation of arm OR direct blow to post shoulder

36
Q

shoulder dislocation exam?

A

arm held in slight abduction and external rotation. resistance to abduction and internal rotation. prominent acromion. humeral head anterior to acromion, adjacent to coracoid. positive apprehension test. anterior laxity.

37
Q

initial treatment for acute dislocation

A

non-operative. immobilize with sling. or surgical for athlete.

38
Q

rotator cuff history?

A

pain with overhead motions

39
Q

rotator cuff impingement signs? (+)

A

neer’s test (pain when arm is elevated thru forward flexion); empty can test, hawkins test (pain with resisted external rotation w elbow flexed and across body)

40
Q

rotator cuff weakness sign?

A

weakness to abduction (if complete tear) (drop arm test)

41
Q

painful abduction between what degrees and why?

A

80-120. below 30 = supraspinatus.

42
Q

adhesive capsulitis (frozen shoulder) etiology

A

complication of injuries (dislocation, rotator cuff tendinitis, reflex sympathetic dystrophy and fractures

43
Q

medial epicondylitis (golfer’s) etiology

A

overuse of wrist flexors (esp pronator teres and flexor carpi radialis)

44
Q

medial epicondylitis (golfer’s) exam

A

tenderness over medial epicondyle, pain with resisted wrist flexion and forearm pronation

45
Q

lateral epicondylitis (tennis)

A

overuse from repetitive extension (esp extensor carpi radialis brevis)

46
Q

lateral epicondylitis (tennis) stx?

A

pain over lateral elbow, radiating into forearm. later weakness.

47
Q

lateral epicondylitis (tennis) signs

A

tenderness over lateral epicondyle, pain with resisted wrist dorsiflexion & middle finger extension

48
Q

scaphoid fracture etiology, exam?

A

FOOSH. tenderness in anatomic snuffbox.

49
Q

carpal tunnel syndrome etiology + stx

A

irritation of median nerve in carpal tunnel. tingling & pain in median nerve distribution, esp at night

50
Q

carpal tunnel syndrome exam findings

A

tinel’s sign, phalen’s sign, sensory loss of radial 3.5 fingers, thenar eminence atrophy (late), loss of 2-pt discrimination (late, most sensitive)

51
Q

wrist ganglion etiology, stx

A

overproduction of fluid by joint of tendon sheath (filled w thick gelatinous material). lump firm & mobile (wrist, hand, foot & ankle). pain (if any) from compression