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NMS Diagnosis (1.2) > Joint Conditions > Flashcards

Joint Conditions Flashcards

1
Q

Thumb Joint Conditions (“RUM”)?

A 
Radial = Extension
Ulnar = Adduction, Froment's (abduct/addict fingers)
Median = Flexion, Opposition (Pollicis), Abduction
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2
Q

Wrist Joint Conditions?

A

Rheumatoid arthritis (RA)
Carpal Tunnel
Ganglion Cyst

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3
Q

Age of Onset: 25-55yo with female/male ratio 3:1
Joints involved: Hand, foot, wrist, knee, elbow, GH, AC, and atlantoaxial/cervical spine.
Features:
- Subcutaneous nodules often extensor surfaces
- Deformities such as Boutonnière, swan-neck, phalangeal deviation, arthritis mutations
- Morning stiffness lasts more than one hour
- Swelling of PIP, MCP, and wrist
- (+) for Rheumatoid Factor
- XRay reveal erosions or periarticular osteopenia or both
- Atlantoaxial instability due to ligament erosion special concern!

A

Rheumatoid Arthritis

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4
Q

PPW complaint of pain and numbness/tingling in the palmar surface of the thumb and radial two and one-half fingers; symptoms worse at night. Pt typically complains of clumsiness with precision gripping.
(+) Tinel’s, Phalen’s, Compression Test

A

Carpal Tunnel Syndrome

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5
Q

PPW complaint of dorsal wrist pain. Passive dorsiflexion often makes it worse. Pt may have small tender nodule or knot. Hx of repetitive wrist activity occupationally or with sports. Age under 35yo.
MC location Dorsal Scapholunate ligament or metacarpal heads

A

Ganglionic Cyst

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6
Q

Elbow joint condition that affects the wrist extensors?

A

Tennis elbow or Lateral epicondylitis

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7
Q

Elbow joint condition that affects the wrist flexors?

A

Little Leaguer’s Elbow or Medial epicondylitis

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8
Q

Elbow joint condition that affects kids 2-4yo, subluxation of radial head, pulled elbow?

A

Nursemaid’s elbow

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9
Q

Elbow joint condition that allows supination and pronation?

A

Radial head

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10
Q

Elbow joint condition with Intra-articulate effusion

  • Child = supracondylar
  • Adult = radial head
A

Posterior Fat Pad

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11
Q

Elbow joint condition with Sail Sign?

A

Anterior fat pad

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12
Q

Hip joint condition that alters biomechanics during bicycling or running (lateral knee); (+) Obers test

A

TFL syndrome

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13
Q

Hip joint condition that causes hip to ‘click’ when bicycling or doing stairs.

A

Trochanteric Bursitis

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14
Q

“Runners Knee”; repetitive microtrauma; micro-tears

A

Chondromalacia Patellae

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15
Q

“Jumpers Knee”; repetitive microtrauma; harsh impact

A

Patellar tendinitis

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16
Q

Knee ‘Clicks’ when twisted; heel points to side you are testing

A

Meniscus injuries

17
Q

Medial knee bursa (Sartorius, Gracilis, semi-Tendinosis)

A

Pes anserine

18
Q

First muscle to atrophy with knee joint condition?

A

Quadriceps (Vastus Medialis)

19
Q

Knee joint condition that occurs with twisting injury; most dangerous because connected to vessels causing swelling

A

ACL

20
Q

Posterior knee pain

A

Popliteal aneurysm and Bakers Cyst (RA)

21
Q

Infrapatellar fat pad

A

Hoffa sign

22
Q

No ROM in shoulder

A

Adhesive Capsulitis

23
Q

Pinpoint pain in shoulder

A

Bursitis

24
Q

Pain in Supraspinatus of shoulder

A

Tendinitis

25
Q

Fx of humeral head

A

Hill Sach’s

26
Q

Torn gleno-labrum in shoulder?

A

Bankart

27
Q

4 muscles of Rotator Cuff

A

Supraspinatus
Infraspinatus
Teres Minor
Subscapularis

28
Q

Rotator cuff muscle with 15-30 degrees Abduction

A

Supraspinatus

29
Q

Rotator cuff muscle(s) responsible for External Rotation

A

Infraspinatus and Teres Minor

30
Q

Rotator cuff muscle responsible for internal rotation

A

Subscapularis (lesser tubercle)

31
Q

What’s not part of Deltoid ligament?

A

Any answer with Fibula in it

32
Q

Inversion ankle sprain affects what ligament?

A

Anterior Talofibular ligament

33
Q

Pain in calves, tenderness, mild swelling; Considered Minor Compartment Syndrome

A

Shin Splints

34
Q

Effects both upper and lower extremities; swollen, shiny calf, paresthesia, weakness
Emergency: fasciotomy

A

Compartment Syndrome aka Neurovascular Entrapment

35
Q

Burning Pain in Foot

A

Causalgia

36
Q

3 types of burning pain in foot (causalgia)

A
  1. Morton’s Neuroma (dorsum, squeeze)
  2. Tarsal Tunnel (heel - toe)
  3. Vitamin B5 deficiency (panethenic acid)
37
Q

3 types of non-burning pain in foot?

A
  1. Fasciitis
  2. Metatarsalgia
  3. Osteoarthritis (OA)
38
Q

S-I Joint Conditions: Unilateral or Bilateral?

  • AS?
  • RA?
  • OA?
  • OCI?
A

RA and OA are Unilateral

AS and OCI are Bilateral

39
Q

Inflamed pubic symphysis caused by sit-ups, pregnancy, or pelvic subluxations

A

Osteitis Pubis

NMS Diagnosis (1.2) (20 decks)

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