MSK Flashcards
1
Q
MC type shoulder dislocation
A
anterior
- fall on abducted, externally rotated arm
2
Q
Features of an anterior dislocation
A
- palpate humeral head
- loss of deltoid contour
- “squared off shoulder”
3
Q
Anterior shoulder disloation
- imaging
A
Axillary and “Y” view
4
Q
Two complications of anterior shoulder dislocation
A
- Hill-sachs lesion: groove on humeral head: compression fracture from impact against glenoid
- Bankart lesion: glenoid inf erior rim fracture
5
Q
Avascular Necrosis
- RF
A
- Steroid use (MC)
- etoh
- SLE
- trauma/injury that interrupts blood supply
6
Q
Avascular Necrosis
- clinical
A
- often asx
- pain
7
Q
Avascular Necrosis
- dx
A
- MRI most sensitive
- XR can dx later stages
8
Q
Trigger finger
- aka
A
stenosing flexor tenosynovitis
9
Q
Trigger finger
- mgmt
A
- activity modification
- immobilization of MCP joint via splint
- NSAIDs
- steroid injection
- sx
10
Q
Ankylosing spondylitis
- dx XR views
A
- pelvic xray to visualize the SI joints and bamboo spine
11
Q
Ankylosing spondylitis
- mgmt
A
- NSAIDs
- exercise
- TNF inhibitors or sulfasalazine if resistant to above
12
Q
de Quervain stenosing tenosynotvitis
- tendons
A
- abductor pollicis longus
- extensor pollicis brevis
