MSK

Question 1

symptom of lateral epicondylitis?

Answer 1

pain over the lateral epicondyle with wrist extension & pronation/supination

Question 2

Waht is lateral epicondylitis?

Answer 2

overuse injury of the tendon insertions connected to the extensor carpi radialis brevis.

Question 3

What muscle is affected in medial epicondylitis?

Answer 3

Pronator teres & flexor carpi radialis

Question 4

Tennis Elbow

Answer 4

Lateral Epicondylitis: repeated supination/pronation and wrist extension

Question 5

Golfer’s Elbow

Answer 5

Medial Epicondylitis: repeated use of wrist flexion & forearm pronation

Question 6

Patellar Tendonitis

Answer 6

inferior patella pain due to over use of patellar tendon. Repeated jumping.

Question 7

Bassett Sign

Answer 7

Knee tender to palpation w knee fully extended but nontender w knee flexed.

Question 8

Steroid injection use in jumper’s knee (patellar tendoinitis)

Answer 8

Contraindication = tendon rupture

Question 9

Biceps Tendonitis

Answer 9

inflammation or irritation of the upper biceps tendon (long head) that runs through the bicipital groove.

Question 10

“Popeye” deformity

Answer 10

Biceps tendon rupture: the muscle bunch up and form a large, painful ball on your upper arm.

Question 11

Biceps Tendonitis sxs

Answer 11

pain in the biceps groove
Anterior shoulder pain
Pain with resisted supination of the elbow

Question 12

Yergason’s test

Answer 12

Biceps Tendonitis: Elbow flexed 90 degrees, wrist supination against resistance
Positive test: Pain reproduced

Question 13

Speed’s test

Answer 13

Biceps Tendonitis: Pain is elicited in the bicipital groove when the patient attempts to forward elevate the shoulder against examiner resistance while the elbow is extended and the forearm supinated.

Question 14

Achilles Tendon Rupture Tx

Answer 14

posterior ankle splint with the ankle in plantar flexion

Question 15

Thompson test

Answer 15

Dx Achilles rupture: weak/absent plantar flexion when calf (gastrocnemius) is squeezed.

Question 16

Hip fractures

Answer 16

shortened and externally rotated left lower extremity

Question 17

Complications of Femoral Neck Fracture

Answer 17

Avascular Necrosis: Insidious onset of a dull ache or throbbing localized to the groin, lateral hip, or buttocks - think trauma, steroid use, or sickle cell

Question 18

Leg shortened, adducted and is internally rotated

Answer 18

Hip Dislocations. Posterior dislocation MC. Risk of sciatic nerve injury.

Question 19

Hip dislocation Tx

Answer 19

Closed reduction attempted <6 hr to reduce risk of osteonecrosis. Failure = open reduction

Question 20

slipped capital femoral epiphysis

Answer 20

head of the femur slips off the neck of the femur inferiorly and posteriorly,

Question 21

Presentation of slipped capital femoral epiphysis

Answer 21

obese 10 to 16 years old, with groin or knee discomfort increasing with activity + a limp

Question 22

Knee dislocation complications

Answer 22

Orthopedic emergency: tibiofemoral dislocations. cannot extend knee.

Popliteal artery injury: absent dorsalis pedis -> dx w CTA
Popliteal nerve: drop foot

Question 23

Lateral Tibial Plateau Fracture

Answer 23

proximal tibal fracture w extension into the joint. -> direct blow to lateral knee

Question 24

kneecap (patella) fracture

Answer 24

Most fractures of the patella result from direct forces, such as a fall onto a flexed knee or the knee striking the dashboard during an MVA

The patient will be unable to straighten and extend the knee

Question 25

patella Alta

Answer 25

Patella Fracture seen on X-ray

Question 26

Patellar dislocation

Answer 26

commonly are lateral, although medial or superior dislocations are described. The patella is displaced from the trochlear groove

Question 27

Patellar subluxation

Answer 27

excessive lateral movement of the patella but remain in the trochlear groove

Question 28

tenderness over the tibial tubercle

Answer 28

Osgood-Schlatter disease: Repetitive traction of the apophysis of the tibial tuberosity results in microtrauma and micro-avulsion

pain w knee extension + prominent tibial tuberosity

Question 29

Cortisone injections in jumper’s knee

Answer 29

contraindicated due to the risk of patellar tendon rupture.

Question 30

Meniscus tear

Answer 30

twisting injuries
Triad:joint line pain, effusion, locking

Question 31

McMurray test

Answer 31

Flexed knee external rotation of tiba (medial meniscus) or interal rotation (lateral meniscus)-> pain = meniscus tear

Question 32

Jones fracture (daner fracture)

Answer 32

fracture of the proximal fifth metatarsal bone

Question 33

pilon fracture

Answer 33

fracture of the distal tibia from impact with the talus
associated with comminution, intra-articular extension, and significant soft tissue injury

Question 34

ankle sprain

Answer 34

ankle sprain is an injury involving the stretching or tearing of the ligaments.
anterior talofibular ligament (ATFL): main stabilizer during inversion.

Question 35

plantar fascia

Answer 35

Pain on the plantar surface, usually at the calcaneal insertion of plantar fascia upon weight bearing, especially in the morning or on the initiation of walking after prolonged rest