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Bone > Cheung Part 3 > Flashcards

Cheung Part 3 Flashcards

1
Q

cubital tunnel syndrome is due to what

A

compression of the ulnar nerve at elbow (b/w medial epicondyle and olecranon)

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2
Q

what are the symptoms of cubital tunnel syndrome

A

numbness and tingling to the 4th and 5th digits

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3
Q

what exams should be done for cubital tunnel syndrome

A

flexion elbow test

tinels at elbow (taping on elbow shoots pain to digits)

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4
Q

what EMG results are seen in cubital tunnel syndrome

A

reduction of 30% velocity

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5
Q

what is the treatment for cubital tunnel syndrome

A

behavior modification surgical transposition

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6
Q

carpal tunnel syndrome is due to what

A

compression of the median nerve at the wrist

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7
Q

what are the symptoms of carpal tunnel syndrome

A

numbness and tingling to the 1-3rd digits

NIGHT PAIN

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8
Q

EMG results in carpal tunnel syndrome show what

A

30% reduction in velocity

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9
Q

what is the reattempt for carpal tunnel syndrome

A

night splints
steroid injections
carpal tunnel release

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10
Q

what is contained in the carpal tunnel

A

median nerve
flexor pollicis longus
flexor digitorum profundus
flexor digitorum superficialis

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11
Q

what exam results are seen in carpal tunnel

A

postitive phalens
tinels (taping sends shooting pain)
compression test

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12
Q

what is trigger finger

A

inflammation of flexor tendon gets it snapping through pulleys in hand

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13
Q

what are the symptoms of trigger finger

A

catching of finger when actually flexing finger

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14
Q

what exam results are seen in trigger finger

A

palpable knot that moves with tendon at distal palm

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15
Q

what treatments are there for trigger finger

A

NSAIDs
steroid injections
A1 pulley release

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16
Q

what is mallet finger

A

laceration of extensor tendon at base of the DP

inability to straighten fingertip

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17
Q

what tests are done for mallet finger

A

Xray may show avulsion fracture at base of DP

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18
Q

what is the treatment for mallet finget

A

Stack splinting for 6 weeks

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19
Q

what is dequervian tenosynovitis

A

swelling and inflammation of the tendons that run though the 1st dorsal compartment (APL,. EPB)
forms a border of the anatomic snuff box

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20
Q

what are the symptoms of de quervian tenosynovitis

A

pain over radial styloid

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21
Q

what exam is done for dequervian tenosynovitis

A

Finklestein’s test

22
Q

what is Dupuytren disease

A

nodular thickening of palmar fascia (northern european descent)

23
Q

what are the symptoms of dupuytren disease

A

painless nodules that eventually draw the 4th and 5th digits

24
Q

what exam is done for dupuytren disease

A

cords may form, causing flexion of the digits, table top test (can’t flatten hand on table)

25
Q

what is the treatment for dupuytren disease

A

splinting
collagenase injections
fasciotomies

26
Q

what is the cause of 80% of low back pain

A

no cause

27
Q

low back pain radiates where

A

buttocks

28
Q

what exams are done for LBP

A

diffuse LBP to palpation, stiff ROM

relexes and neuro exam is normal

29
Q

what is a herniated nucleus pulposis

A

extrusion of center of disc posteriorly, comprising nerve roots
most common at L4-5 and L5-S1

30
Q

what are the symptoms of herniated nucleus pulposis

A

usually abrupt, may be insidious
unilateral radicular pain
worse with activity

31
Q

what tests are done for a herniated nucleus pulposis

A

X-rays may demonstrate narrowed disk space

MRI is diagnostic

32
Q

what is spondylothisthesis

A

forward slippage of lumbar vertebral body

33
Q

what are the symptoms of spondylolisthesis

A

back pain when bending

may cause claudication

34
Q

what is the exam for spondylolisthesis

A

dermatomal weakness, may feel spinous process stepoffs

35
Q

what tests are done for spondylolisthesis

A

flexion/extension

X-rays of spine show slippage

36
Q

what treatments are there for spondylolisthesis

A

NSAIDs

surgical fusion

37
Q

slippage of a disc is more likely to occur with what kind of spinal defect

A

pars (where the transverse process meets the body)

38
Q

what is spondylosis

A

degenerative changes in the facets or discs leading to osteophytes and possible nerve compression

39
Q

what are the symptoms of spondylosis

A

achy pain in spine

worse with ROM

40
Q

what exam results are seen in spondylosis

A

tender to palpation, stiffness, radicular or myelopathy may be present

41
Q

what test results are seen in spondylosis

A

X-rays shows osteophytes and sclerosis

MRI can show pinched nerve

42
Q

what is the treatment for spondylosis

A

NSAIDS
steroids
traction
surgical decompression and fusion

43
Q

the bottom half of the ear is what dermatome

A

C2

44
Q

the neck under the ear is what dermatome

A

C3

45
Q

there dermatome covering the lower neck is what

A

C4

46
Q

the dermatome going from the deltoid to the thumb is what

A

C6

47
Q

the dermatome covering most of the front of the bicep down to the wrist is what

A

C5

48
Q

the dermatome covering the front bottom half of the bicep is what (when arm is stretched out with thumb up)

A

T1

49
Q

the dermatome covering the bottom of an outstretched arm with thumb up down to pink is what

A

C8

50
Q

the dermatome covering the middle portion of the back of the arm down to the 2nd and 3rd digits is what

A

C7

51
Q

the dermatome covering the back bottom half of the arm and 4th and 5th digits is what

A

C8

Bone (19 decks)

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