Exam 3 Flashcards
this sign results from weakness of the gluteus medius and minimus, leading to contralateral pelvis drop
trendelenburg sign
this type of fx commonly occurs when the sole of the foot is heavily compressed and if there is disruption of the interosseous ligament, avascular necrosis results
talus fx
this is the MC tarsal fx
calcaneal fx
avulsion fx of 5th metatarsal cause
stress placed on fibularis brevis tendon during muscle contraction
this injury is common in athletes and dancers due to hyperdorsiflexion
dislocation of 1st metatarsal
gout commonly affects which toe?
big toe
cause of IT band syndrome
excessive friction while sliding over lateral femoral epicondyle
where is pain MC in IT band syndrome?
lateral knee pain
list 4 RFs for compartment syndrome
1- <35 yrs old
2- male
3- fx of tibial diaphysis
4- fx of distal radius
5 Ps of exertional compartment syndrome
Pain
Pallor
Paresis (foot drop)
Paresthesia
Pulseless (variable)
which nerve injury may lead to foot drop?
deep common peroneal nerve–> paralysis of dorsiflexors of foot
4 s/s of PAD
1- claudication
2- ulceration
3- rest pain
4- gangrene
where may femoral hernias occur through?
saphenous opening
if femoral neck fx is _________ (lateral or medial) to attachements–> avascular necrosis
medial
this injury leads to a flexed and internally rotated hip
traumatic hip dislocations
the medial meniscus and the ____ are attached, making them vulnerable to injury via compression, shearing and rotational forces
MCL
what 3 structures are involved in O’Donoghue unhappy triad?
1- ACL
2-MCL
3- meniscus
cause of O’Donoghue unhappy triad (ACL, MCL, meniscus)
lateral force applied to the knee while the foot is fixated on the ground
this condition is commonly due to excessive kneeling and is seen in wrestlers
prepatellar bursitis
*MC bursitis of the knee
this bursitis causes pain along the medial knee
pes anserine bursitis
this condition occurs when there is deviation of the patellar (typically laterally–> medial pain)
subluxation of the patella
inversion of the ankle commonly results in injury to what?
anterior talofibular ligament (ATFL)
severe inversion of the ankle may lead to what additional 2 injuries besides the ATFL?
calcaneofibular ligament tear
lateral malleolus fx
eversion of the ankle may lead to what injury?
medial malleolus fx (due to strength of the deltoid ligament)
this injury is often due to forceful plantarflexion with the knee extended
(an audible or palpable pop is common)
achilles tendon rupture
this condition is commonly due to repetitive pulling of the tibialis posterior tendon as one pushes off during running
shin splints
this is the MC fractured bone
clavicle
carpal tunnel results due to compression of what nerve?
median nerve
injury of this nerve leads to impaired flexion of PIP joints in 1st-3rd fingers
median nerve injury
injury to this nerve results in paresthesia and impaired DIP flexion of medial palm and medial 1.5 fingers
ulnar nerve
injury to this structure is a result of excess increase in angle between the neck and shoulder
C5 and C6 of brachial plexus
Erb-Duchene palsy in newborns
appearance of C5 and C6 brachial plexus injury
abducted shoulder
medially rotated arm
extended elbow
this injury is commonly caused by prolonged hyperabduction during over the head manual tasks (painting a ceiling) and leads to pain radiating down the arm, paresthesia and weakness of the hand
brachial plexus cord compression
where is the cord compressed in brachial plexus cord compression?
coracoid process and pectoralis minor tendon
MC rotator cuff muscle tear
supraspinatus
what tendon may be secondarily affected from a supraspinatus tear due to its proximity
biceps tendon
long head of biceps brachii tendon rupture may lead to __________ deformity
Popeye’s deformity
tennis elbow results from repetitive use of what muscles?
superficial extensor muscles
this is the MC carpal bone fx and is commonly due to falling on outstretched hands
scaphoid fx
(at risk of avascular necrosis due to retrograde blood supply)
this injury is due to extreme flexion of the DIP joint (may lead to tendon rupture)
mallet/ baseball finger
in this finger deformity, there is hyperextension of the PIP and flexion of the DIP
swan neck deformity
this finger deformity often results from rupture of extensor tendon of the PIP joint leading to PIP flexion and DIP extension
(associated with rheumatoid arthritis)
boutonniere deformity
this is a fixed flexion deformity of the finger due to issue with flexor pulleys of the finger
trigger finger
this injury of the elbow is common in children and is radial head subluxation
nursemaid’s elbow
small bowel obstruction
large bowel obstruction
pneumoperitoneum
hiatal hernia
apple core sign–> colon cancer
what kind of fx is this?
butterfly comminuted fx
what kind of fx is this?
segmental comminuted fx
what kind of fx is this?
comminuted fx
what kind of fx is this?
greenstick
lisfranc injury (dorsal dislocation of 2nd metatarsal)
Jones fx (fx of 5th metatarsal)
this is a fx of the lower end of the fibula and medial malleolus of the tibia
Pott’s fx
this injury includes:
- distal fibular fx above lateral malleolus
- medial malleolus fx
- posterior malleolus fx
- rupture of tibiofibular ligament
dupuytren fx
Colles’ fx
smith’s fx
what is the nerve that supplies the external hip rotators?
obturator nerve
list the 6 external hip rotators
1- piriformis
2- superior gemellus
3- obturator internus
4- inferior gemellus
5- obturator externus
6- quadratus femoris
what nerve supplies the hip abductors?
superior gluteal nerve
what 4 muscles are a part of the hip abductors?
gluteus maximus
gluteus medius
gluteus minimus
tensor fascia lata
what nerve supplies the anterior compartment of the thigh?
femoral nerve
what 2 types of muscles are included in the anterior compartment of the thigh?
hip flexors
knee extensors
list the 5 hip flexors
psoas
iliacus
rectus femoris
pecineus
sartorius
(RIPPS)
list 4 knee extensors
rectus femoris
vastus medialis
vastus lateralis
vastus intermedius
(quads)
what nerve supplies the medial compartment of the thigh?
obturator nerve
what type of muscles are in the medial compartment of the thigh?
hip adductors
list 4 hip adductors
obturator externus
adductor brevis
adductor longus
adductor magnus
what nerve supplies the posterior compartment of the thigh?
sciatic nerve
what type of muscles are included in the posterior compartment of the thigh?
hip extensors and knee flexors (hamstrings)
list the hip extensors and knee flexors of the posterior compartment of the thigh
biceps femoris
semitendinous
semimembranous
what nerve supplies the anterior compartment of the leg?
deep fibular nerve
what type of muscles are included in the anterior compartment of the leg?
dorsiflexors
list 4 dorsiflexors of the anterior compartment of the leg
tibialis anterior
extensor digitorum longus
extensor hallucis longus
fibularis tertius
what nerve supplies the lateral compartment of the leg?
superficial fibular nerve
what are the functions of the muscles in the lateral compartment of the leg?
plantarflexion and eversion
what 2 muscles are in the lateral compartment of the leg?
fibularis longus
fibularis brevis
what nerve supplies the posterior compartment of the leg?
tibial nerve
what is the function of the muscles in the posterior compartment of the leg?
plantarflexion
what 3 muscles are included in the posterior superficial compartment of the leg?
gastrocenemius
soleus
plantaris
what 4 muscles are included in the posterior deep compartment of the leg?
popliteus
tibialis posterior
flexor digitorum longus
flexor hallucis longus
label the tarsal bones
cuniforms (medial, intermediate, lateral)
navicular
cuboid
talus
calcaneus
list the carpal bones
Scaphoid
Lunate
Triquetrum
Pisiform
Hamate
Capitate
Trapezoid
Trapezium
the flexors of the arm are supplied by which nerve?
musculocutaneous nerve
the extensors of the arm are supplied by which nerve?
radial nerve
the anterior compartment of the forearm is supplied by what nerve(s)?
medial and ulnar nerves
the superficial muscles of the anterior compartment of the forearm serve what function?
wrist felxion
the deep muscles of the anterior compartment of the forearm serve what function?
wrist and finger flexion
pronation
the posterior compartment of the forearm is supplied by which nerve?
radial nerve
the muscles of the posterior compartment of the forearm do what functions?
extension and supination