FINAL Flashcards
When performing the elbow relocation test, you elicit a positive from the patient which performing the A-P anterior apprehension portion of the test
What does this indicate
Reproduction the pain, confirms anterior instaiblity
Elbow relocation test rules out
Tendinitis (supraspinatus)
Shoulder multi directional instability in the patient will be confirmed with which ortho test
Sulcus sign with load and shift
Repetitive heavy lifting and compressive foreces to the distal end of the clavicle may MOI for which of the following conditions
Osteocytes of the clavicle
A SLAP lesion is associated with _____ and involves a ___ lesion
A labral tear
Bankart lesion
A 60 yo female comes into your office, she is holding her arm to her side, she states her entire shoulder hurts. You find out she fell off a ladder while washign her windows. You perform physical exam and the lift-off sign is positive.
What is your initial impression
Rotator cuff tear
A 60 yo female comes into your office, she is holding her arm to her side, she states her entire shoulder hurts. You find out she fell off a ladder while washign her windows. You perform physical exam and the lift-off sign is positive.
What structure may be involved
Subscapularis tendon tear
A patient comes to you with anterior-lateral shoulder pain. You perform hawkin-kennedy test which is positive. Which confirmation test would you perform next
Impingement sign
Panner’s disease relies on what test to confirm diagnossi
Radiographic views
AVN of the elbow
Loose bodies and osteophytes, a positive valgus overload test of the elbow will give you which diagnosis
Posterior impingement syndrome
Wartenberg sign is involved in which of the following
Cubital tunnel syndrome
If you see a pt with nodular thickening of the tendons into the 4th and 5th fingers MCP an PIP, this presentation would lead you to what impression
Dupuythen’s contracture
Intersection syndrome and dequervain’s tenosynovitis
Only dequarvains
Inflammation of the abductor pollicus longus and extensor pollicus brevis tendons
NSAID too
Most wrist and hand fractures fall with teh zone of vulnerability
Radial styloid process, scaphoid, hamate
Scaphoid fractures are common AVN due to poor blood supply
Proximal pole
A distal radial fracture with dorsal angulation is called
Colle’s fracture
In extremity adjusting, opponens pollicus relative muscle test
Trapezium
Muscle wasting in the hypothenar eminence the hand upon finger extension
Claw hand
Your patient presents with MCP and DIP joints at the second and third digits. But the thir and sedcon digit does not
Hand of benediction
What nerve is involved with MCP and DIP joints at 2-3 digit
Median
Hip fratures most commonly found where in the femur
Femoral neck micro-fractures
Following a traumatic hip dislocation, soccer game you see the player laying on the with hip in flexion/adduction and internal rotation, what direction is the dislocation
Posterior
Which of teh follwoing tests help rule out shoulder tendinitis
Anterior apprehension with relocation test
Which test are positive in labral tear
O’brien sign and anterior slide test
Medial epicondylitis is found with which tests
Golfers elbow test and reverse mills test
Ulnar nerve issues are found with which tests
Froments paper sign and compression test
Radiographic findings for congenital hip dysplasis
Lateral displacement of the femus, increased elevated inclination of teh acetabular roof
Immature apophysis of femur head
Click test is positive in which pathology (ortalani’s)
Congenital hip dysplasia
AVN of teh femoral head can be caused by
Posterior hip dislocations
Impingement of the shoulder is confirmed with what orthopedic test
Neer test
FAJ or FAI patients often complain of low back pain which is localized to all but
Knee joint
Patellar femoral disorders occur from all the pathomechanics except
OA
A 22 yo male was stepped on
Flex knee to 45 degrees and apply ice to bruise
Patella bowstring test is performed with a patient who may have
Synovial knee plica (grinding)
OCD is indicated by which part of the femur
ARTICULAR EPIPHYSIS
Which ortho tests when positive help diagnose ITB syndrome
Ober and noble test
Femoral acetabular impingement is classified by the appearance of the femoral head and the acetabular head. Which form is present when the femoral head and neck relationship are NOT perfectly round
CAM
Femoral acetabular impingement is classified by appearance fo femoral head and acetabular head. Which form is present when there is too much coverage of femoral head by acetabulum
Pincher
Femoral acetabular impingmenet is associated with
Cartilage damage
Labral tear
Which ligament helps to secure the posterior horns of the lateral meniscus
Meniscofemoral
An interruption in the lateral joint capsule occus which strucuters are foudn in that void
Coronary ligament
A meniscual injury taht is considered a red-red tear
Peripheral both medail and/or lateral
Medial meniscus tears are assocaited with
OA
Potential causes of inflammation of synovial plica include
Macrotrauma and/or microtraumna
Loose bodies and/or meniscal tears
OCD
Which evaluations and assessment methods are used for diagnosis DVT
Homan and doppler-ultrasound
A 58 yo female pain in lower leg that gets worse as she exercises and then if she quits it goes away. No back pain. What impression
Claudication
Compartment syndrome once diagnosed has which of the follwoing
Immediate referral for compartment pressure readings
Supination fo the foot involves which tri-plantar motion
Plantarflexion, inversion, adduction
Generally, if you see a fractured second metatarsal the most common
Freiburg’s disease
45% of compartment suyndromes are caused by
Tibial fractures
Managment of compartment syndrome includes
Elevation fo teh foot to level of the heart
A traction apophysis of the 5ht tuberosity seen in younger atheltes is
Islin’s disease
An abnormal bone spur, osteophyte or prominence on the posterior of the calcaneus is called
Haglands deformity
AVNj of navicular
Kohler’s disease
Managemetn of pt with problem include orthotics. Heel out and stretching of the entire posterior anatomy train. What is the problem
Plantar fascitis
Acute pain int eh first metatarsal phalangeal joint could include a diagnosis of all except
Jones fracture
Sesamoiditis, gout, turf toe
Dorsiflexion and eversion would involve which structure
Deltoid ligament
The 6 P’s of acut limb ischemia include all but what
Pressure
A 61 yo pt complains of heel pain. He has been running for 25 years usually 5 miles a day. You examine foot and ankle, press into tissues right over plantar calcaneal tubercle and then decrease to a 4/10 squeezed and pressed again. Initial impression
Fat pad syndrome
If you had a positive navicular drop test, which other
Rigid or supple flat feet
Upper crossed syndrome is characterized by
Anterior head posture and anterior shoulders
Upper crossed syndrome includes which of the following
Facilitated SCM
A 23 yo female pain in front pocket area of thigh. Tight customs for about 10 hours
Meralgia paresthetica
Upper crossed sydnrome results in pain mimicking ___ and decreased function in ___
Angina
Respiration
Lower crossed syndrome is characterized by
Increase in lumbar lordosis and anterior pelvic tilt
When evaluating a patient with possible compartment syndrome, which should be present
Pain and tenderness iwth normal pulses and 40 mmhg above normal pressure for at least 30 more minutes
The plantaris muscle is part of which compartment in the lower leg
Posterior superficial
Causes of tarsal tunnel syndrome include all but
Traction apophysitis off teh medial plantar tubercle of calcaneus
The dreaded black line on the tibia when viewing
Tibial stress fracture
A plantar capsule of the first MTP has been hyper-flexed what is your diagnosis
Turf toe
