Musculoskeletal Exam 2 Flashcards

1
Q

Mallet finger

A

extensor tendon attachment at distal portion of distal phalanx

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2
Q

Jersey finger

A

flexor digitorum profundus avulsion

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3
Q

Gamekeeper’s thumb

A

ulnar collateral ligament at the MCP; valgus stress

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4
Q

de quervain’s tenosynovitis

A

abductor pollicis longus and extensor pollicis brevis tendons that travel through sheath/tunnel

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5
Q

trigger finger - stenosing tenosynovitis

A

thickened flexor tendon gets caught at first annular (A1) pulley (nodules)

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6
Q

Dupuytren’s contracture

A

pretendinous bands of the fascia of the hand

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7
Q

Lateral epicondylitis

A

extensor/supinator muscles that originate of the lateral epicondylar region; reparative tissue formation at extensor carpi radialis brevis

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8
Q

Medial epicondylitis

A

tendinous origin of flexor/pronator muscles

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9
Q

Nursemaid’s elbow

A

Annular ligament and radial head (axial traction)

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10
Q

Cubital tunnel syndrome

A

compression of ulnar nerve in cubital tunnel (posterior aspect of medial epicondyle)

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11
Q

Carpal tunnel syndrome

A

compression of the median nerve as it passes under the transverse carpal ligament

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12
Q

Ganglion cyst

A

common: dorsal wrist ganglia occurring over the scapholunate ligament

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13
Q

Radial nerve palsy

A

compression of the radial nerve as it spirals around the humerus

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14
Q

Colles’ fracture

A

distal radial fracture with dorsal angulation + oftentimes an ulnar styloid fracture

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15
Q

Smith’s fracture

A

distal radial fracture with palmar displacement

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16
Q

Olecranon bursitis treatment

A

Initial: Ice, NSAIDs, Compression
Advanced: Aspirate (cell count, crystals, gram stain) and steroid injection

17
Q

lateral epicondylitis treatment

A

modify or eliminate activities
Apply heat or ice
stretching and strengthening exercises
NSAIDs
Counter force brace below elbow
Betamethasone/bupivacaine injection
Tendon debridement

18
Q

Medial epicondylitis treatment

A

Modify/eliminate activities
Apply ice/heat
Stretch/strengthen muscles
NSAIDs
Injections
Brace below elbow

19
Q

Cubital Tunnel Syndrome treatment

A

Activity modification
nighttime elbow splint to prevent 90 degrees of flexion
Sports elbow protector
NSAIDs
NO CS INJECTIONS
surgical decompression/transposition of the ulnar nerve

20
Q

Carpal Tunnel Syndrome treatment

A

Changes to activity - prevent wrist flexion
Cock-up splint
NSAIDs
Muscle atrophy: CS injection, surgery (transection of carpal tunnel ligament

21
Q

Ganglion cyst treatment

A

Observation
Immobilization/decrease activity
Aspiration (first line)
Surgical removal

22
Q

Wrist sprain treatment

A

Mild: RICE and NSAIDs
Moderate: Immobilization with wrist splint
Severe: Surgery to reconnect ligament to bone

23
Q

Radial Nerve Entrapment treatment

A

Physical therapy
Cock-up splint
Nerve exploration, repair, or graft