MSK Flashcards
MOST COMMON LOCATION OF BICEPS RUPTURE
PROXIMAL LONG HEAD
SHOULDER ROM COMPONENTS AND RATIO
GLENOHUMERAL:SCAPULOTHORACIC 2:1
MOST COMMON SHOULDER DISLOCATION. MOST COMMON NERVE INJURED
ANTERIOR. AXILLARY LESION
MOST COMMON LOCATION OF HUMERUS FRACTURE
SURGICAL NECK
MOST COMMON DISLOCATION IN CHILDREN. MOST COMMON NERVE AND ARTERY INJURED?
POSTERIOR ELBOW DISLOCATION. MEDIAN NERVE AND BRACHIAL ARTERY.
POSITION OF SHOULDER FUSION
50 DEGREES ABD. 30 DEGREES FOWARD FLEXION. 50 DEGREES INTERNAL ROTATION.
TUBS
TRAUMATIC. UNILATERAL. BANKART LESION. SURGERY.
AMBRI
ATRAUMATIC. MULTIDIRECTIONAL. BILATERAL. REHAB. INFERIOR CAPSULAR SHIFT IF SURGERY NEEDED.
BANKART
LABRAL TEAR OF ANTERIOR GLENOID. COMMONLY SEEN IN ANTERIOR DISLOCATION. XRAY: WEST POINT LATERAL VIEW
SLAP
SUPERIOR GLENOID LABRAL TEAR. OBRIEN’S TEST AND LOAD AND SHIFT TEST.
HILL-SACHS
POSTEROLATERAL HUMERAL HEAD FRACTURE. XRAY: STRYKER NOTCH VIEW
INDICATIONS FOR SURGERY IN BONE CANCER
PAINFUL ACETABULUM. MORE THAN 50% CIRCUMFERENCE. MORE THAN 1.3CM OF FEMORAL NECK. MORE THAN 60% DIAMETER. MORE THAN 2.5CM IN LEx LONG BONES. MORE THAN 1 MONTH LIFE EXPECTANCY IN LEx. MORE THAN 3 MONTHS LIFE EXPECTANCY IN UEx.
MOST COMMON LOCATION FOR HAMSTRING STRAIN
PROXIMAL LATERAL MYOTENDINOUS JUNCTION. ON ECCENTRIC PHASE.
BAKER CYST LOCATION
BETWEEN TENDONS OF SEMIMEMBRANOUS (LATERALLY) AND MEDIAL GASTROC (MEDIALLY)
TENDONS INSIDE CARPAL TUNNEL
FDP, FDS, FPL
COLLE’S FRACTURE
RADIAL FRACTURE WITH DORSAL DISPLACEMENT DISTALLY.
SMITH’S FX
RADIAL FRACTURE WITH VOLAR DISPLACEMENT
KIENBOCKS
LUNATE OSTEONECROSIS. RISK FACTOR: SHORT ULNA. XRAY REVEALS SCAPHOLUNATE COLLAPSE.
OSTRIGONUM
FOOT POSTERIOR IMPINGEMENT ASSOCIATED TO POSTERIOR TALUS OSSIFICATION. SEEN IN BALLERINAS
WHAT INCREASES Q ANGLE?
LATERALIZED TIBIAL TUBEROSITY. TIGHT LATERAL RETINACULUM. EXTERNAL TIBIAL TORSION. GENU VALGUS. FEMORAL ANTEVERSION.
WHICH MUSCLES ORIGINATE FROM ASIS?
SARTORUS AND TFL
WHICH MUSCLE ORIGINATES FROM AIIS?
RECTUS FEMORIS
VALGUS EXTENSION OVERLOAD
OLECRANON OSTEOPHYTOSIS. PRESENTS WITH POSTERIOR ELBOW PAIN AND LIMITED ELBOW EXTENSION. VEO TEST: PASSIVE EXTENSION WITH VALGUS STRESS, REVEALS PAIN IN THE LAST 5-10 DEGREE OF EXTENSION.
MOST COMMON OF MORTALITY AFTER THR?
- CARDIOVASCULAR
2. PULMONARY EMBOLISM
WHICH MUSCLE TESTS?
ELY TEST
THOMAS TEST
OBER TEST
ELY: RECTUS FEMORIS
THOMAS: HIP FLEXORS
OBER TEST: TFL
DUPUYTREN’S CONTRACTURE
CONTRACTION OF PALMAR FASCIA DUE TO FIBROUS PROLIFERATION. FLEXION COMMONLY SEEN AT THE MCP JOINT INVOLVING THE RING FINGER
SKIER’S THUMB OR GAMEKEEPER’S THUMB
DISRUPTION OF THE UCL AFTER FORCEFUL RADIAL DEVIATION OF THE PROXIMAL PHALANX AT THE MCP.
JERSEY FINGER
INJURY TO THE FLEXOR TENDON. PATIENT IS UNABLE TO FLEX THE DIP JOINT. REQUIRES EARLY SURGICAL REPAIR.
MALLET FINGER
RUPTURE OF THE EXTENSOR TENDON.
POSITION OF POSTERIOR HIP DISLOCATION
FLEXION, ADDUCTION AND INTERNAL ROTATION
HIP FRACTURE SURGERY
TIMING FOR PE?
MOST COMMON COMPLICATION?
RISK FOR PULM EMBOLISM IS HIGHER IN THE 2ND AND 3RD WEEK.
HO AFTER THR IS THE MOST COMMON COMPLICATION (<10% LOSE ROM)
INTRACAPSULAR FEMUR FRACTURE
FEMORAL NECK AND INTERTROCHANTERIC
COMMON PRESENTATION OF HIP FRACTURE
HIP PAIN , EXTERNAL ROTATION AND SHORTENED LIMB
MOST COMMON TYPE OF HIP FRACTURE
INTERTROCHANTERIC
HIP PRECAUTIONS
AFTER POSTERIOR APPROACH: AVOID HIP FLEXION >90 DEGREES, EXTREME INTERNAL ROTATION AND ADDUCTION PAST MIDLINE.
AFTER ANTERIOR APPROACH AVOID HIP EXTENSION AND EXTERNAL ROTATION.
FOR 12 WEEKS POST OP
TWO TYPES OF FEMORAL NECK FRACTURE
COMPRESSION: MORE STABLE, INFERIOR ASPECT OF THE FEMUR NECK, NON-WEIGHT BEARING
TRANSVERSE OR TENSION TYPE: UNSTABLE, SUPERIOR ASPECT OF THE FEMUR NECK, TREATED WITH ORIF
ISCHIAL TUBEROSITY AVULSION FRACTURE
OCCURS WITH A FORCEFUL HAMSTRING CONTRACTION WITH KNEE EXTENDED AND HIP FLEXED
WEAVER’S BOTTOM
ISCHIAL TUBEROSITY BURSITIS. INSIDIOUS ONSET.
OSTEITIS PUBIS
CAUSED BY OVERUSE OF THE ADDUCTORS. OAIN REPRODUCED ON RESISTED ADDUCTION. PAIN IN THE GROIN WITH ONE-LEGGED HOPPING
MOST COMMON LOCATION FOR MYOSITIS OSSIFICANS
QUADS
ACL
TIGHTENS IN FULL EXTENSION. IN FLEXION IT DRAWS THE FEMORAL CONDYLES ANTERIORLY. ACL DEFICIENT KNEE CREATE INCREASED PRESSURE ON POSTERIOR MENISCI
MOST COMMON DAMAGED BURSA
HOUSEMAID’S KNEE- PREPATELLAR BURSA
PES ANSERINUS
SARTORIUS, GRACILIS AND SEMITENDINOUS
MORE SPECIFIC ACL TEST?
PIVOT SHIFT TEST
MORE SENSITIVE ACL TEST?
LACHMAN’S TEST
PLICA SYNDROME
REDUNDANT FOLD OF THE SYNOVIAL FOLDING OF THE KNEE. MOST COMMON AT THE MEDIOPATELLAR REGION. ALSO CAN OCCUR IN THE INFRAPATELLAR AND SUPRAPATELLAR REGIONS.
OSTEOCHONDRITIS DISSECANS
REPETITIVE STRESS TO SUBCHONDRAL BONE THAT DISRUPT BLOOD SUPPLY CAUSING AVASCUALR NECROSIS AT THE END OF A LONG BONE. AFFECTS PRIAMRILY ADOLESCENTS. IF THE FRAGMENTS BECOMES DETACHED WILL REQUIRE SURGERY.
POPLITEUS TENDONITIS PRESENTATION
LATERAL KNEE PAIN DURING DOWNHILL ACTIVITIES AND WITH EXCESSIVE PRONATION.
MAIN PREDISPOSING FACTOR FOR MEDIAL TIBIAL STRESS SYNDROME (SHIN SPLINT)
HYPERPRONATION
