MSK II

Question 1

capsular pattern of teh shoulder:

Answer 1

ER> abd> flex > IR

Question 2

SA nerve involvement indicated by..

Answer 2

unable to abd arm past 90 deg w pain -UTrap & SCM

Question 3

the long thoracic nerve supplies..

Answer 3

serratus anterior

Question 4

most GH disloc occur..

Answer 4

anteroinferiorly

Question 5

pts who req surgery 2/2 shoulder instability will be in a sling for..

Answer 5

3-4 weeks

Question 6

when can you resume more sport specific training after a surgical intervention for GH instability?

Answer 6

6 weeks (3-4 weeks of immobilization –> 3-4 months until full return)

Question 7

a SLAP lesion is

Answer 7

superior labral anterior to posterior : tear of the rim above the middle of the socket that may also involve the biceps tendon

Question 8

during the acute phase of healing of an AC r SC jt disorder, what motions shoudl be avoided?

Answer 8

shoulder elevation

Question 9

what does the shear test tell you?

Answer 9

if there is an AC or SC jt disorder - shearing of clavicle (prox for SC distal for AC) v scapula

Question 10

what bursa would be affected during Neer’s impingment test and the supraspinatus test?

Answer 10

subdeltoid/subacromial bursa

Question 11

IF there is surgical repair of shoulder impingement, what motions should be avoided in teh acute stage?

Answer 11

shoulder elevation greater than 90 deg

Question 12

what is the test for internal (posterior) impingment?

Answer 12

90 deg abd, full ER & 15-20 deg horiz add

Question 13

what is a predisposing disease for adhesive capsilitis?

Answer 13

DM

Question 14

what is done for a proximal humeral fx?

Answer 14

immobilization typically not req; acetominophen and NSAIDs plus EARLY PROM -for DISTAL humeral fx, often req ORIF

Question 15

capsular pattern of the elbow?

Answer 15

flexion loss greater than extension

Question 16

what ms is typically involved in lateral epicondylitis?

Answer 16

ECRB (not to be confused with RADIAL N ENTRAPMENT, which would p/w paresthesia over radial n distrib & pain over supinator along with TTP lateral epicondyle)

Question 17

during the acute phase of lateral epicondylitis, what type of exercise is emphasized?

Answer 17

eccentric phase

Question 18

what modalities are advisable for lateral epicondylitis?

Answer 18

TENS, cryotherapy, thermotherapy, sound agents, hydrotherapy

Question 19

why are distal humeral fx so complicated/high risk?

Answer 19

can have complications such as loss of motion, myositis ossificans, malalignment, neurovascular compromise, ligamentous injury, and CRPS -there are a LARGE NUMBER of neurovascular structures that pass thru this region (esp when deal;ing with supracondylar fx) -high incidence of MALUNION

Question 20

what is at risk of rupture with a complete elbow dislocation?

Answer 20

UCL

Question 21

Colles’ fx involves:

Answer 21

FOOSH resulting in radial fx, distal aspect of radius displaced dorsally

Question 22

what is a possible complication of Colles fx if there is excessive edema?

Answer 22

median nerve compression

Question 23

what is a Smith’s fx?

Answer 23

distal aspect of radius displaced in volar direction

Question 24

early PT after a Smith’s or Colles’ fx ?

Answer 24

emphasizing return to baseline FLEXIBILITY IS VITAL

Question 25

what is a common complication of a scaphoid fx/

Answer 25

HIGH INCIDENCE of avascular necrosis of the prox fragment of the scaphoid 2/2 poor vascular supply

Question 26

what is Dupuytren’s contracture?

Answer 26

banding on palm and digit flexion contractures - contracture of palmar fascia

Question 27

Boutonniere deformity is the result of ..

Answer 27

rupture of central tendinous slip of extensor hood

-results in ext of MCP & DIP but flex of PIP

Question 28

Swan neck deformity results from..

-compared to Mallet finger?

Answer 28

Swan neck is 2/2 contracture of intrinsic ms w dorsal subluxation of lateral extensor tendons

-flexion of MCP & DIP, ext of PIP

mallet finger: does not involve flexion of MCP, just flexion of DIP 2/2 rupture or avulsion of extensor tendon at its insertion into the distal phalanx

Question 29

gamekeeper’s thumb is..

Answer 29

sprain/rupture of UCL of the MCP jt of 1st digit

Question 30

Boxer’s fx is.. & how long is it immobilized?

Answer 30

fx of 5th metacarpal - casted for 2-4 weeks