Musculoskeletal Part Twelve

Question 1

though potentially not sensitive enough, what diagnostic test is best for bicepital tendonosis

Answer 1

MRI

Question 2

three conditions commonly paired with carpal tunnel syndrome

Answer 2

pregnancy

diabetes

RA

Question 3

long term compression of median nerve results in

Answer 3

atrophy and weakness of thenar muscles AND lateral two lumbricals

Question 4

does proximal humerus fracture require immobilization/surgical repair? why not?

Answer 4

it does not because it is a fairly stable fracture

Question 5

Volkmann’s ischemia is the result of

Answer 5

problems following supracondylar fractures with neuro and vascular

Question 6

MOI posterolateral dislocation of elbow

Answer 6

FOOSH with elbow hyperextended

Question 7

tendons involved with de Quervanin’s

Answer 7

APL

EPB

Question 8

splinting the elbow (in combo with PT) may be helpful with

Answer 8

regaining loss of motion for capsular restrictions

Question 9

de Quervain’s occurs as a result of

Answer 9

repetitive microtrauma

complication of swelling during pregnancy

Question 10

what is weakened with de Quervain’s

Answer 10

grip and pinch strength

Question 11

osteochondritis dissecans affects….

Answer 11

capitulum

radial head

Question 12

what does dinner fork deformity result from

Answer 12

colles fracture

Question 13

at night, what can help entrapped nerves

Answer 13

protective padding

night splints

(anything to maintain slackened position)

Question 14

what is important EARLY for proximal humerus fractures and why

Answer 14

early PROM to prevent capsular adhesions

Question 15

most common wrist fracture

Answer 15

Colles Fracture

Question 16

what is Panner’s disease

Answer 16

localized avascular necrosis of capitulum

Question 17

what is osteochondritis dissecans

Answer 17

osteochondral bone fragment becomes detached from articular surface

forms loose body in joint

Question 18

capsular pattern elbow

Answer 18

flexion > extension

Question 19

UCL injury follows

Answer 19

repetitive valgus stresses to medial elbow with overhead throwing

Question 20

someone with lateral epicondylitis should avoid gripping/lifting things with…

Answer 20

palm down

Question 21

why can supracondylar fractures be extremely important

Answer 21

lots of neurological and vascular structures passing through (radial nerve)

Question 22

two motions most associated with those with medial epicondylitis

Answer 22

strong hand grip

excessive pronation

Question 23

MOI greater tuberosity fractures

Answer 23

fall onto the shoulder

Question 24

what two other diseases is adhesive capsulitis paired with

Answer 24

diabetes

thyroid

Question 25

what tendons are involved with medial epicondylitis

Answer 25

pronator teres

Flexor carpi radialis

Question 26

how long are Colles Fractures immobilized for

Answer 26

5-8 weeks

Question 27

the elbow most commonly dislocates in what direction

Answer 27

posteriorly (posterolateral specifically)

Question 28

who is more susecptible to greater tuberosity fractures

Answer 28

middle-aged and older adults

Question 29

what is osteochondritis dissecans caused by

Answer 29

repetitive compressive forces between radial head and humeral capitellum

Question 30

why are rotator cuff tendons susceptible to tendonitis

Answer 30

relatively poor blood supply near insertion of muscles

Question 31

where would there be pain for de Quervain’s

Answer 31

anatomical snuff box

Question 32

are anterior and radial head dislocations common

Answer 32

no (1-2%)

Question 33

what muscle would have pain with radial nerve entrapment

Answer 33

supinator

Question 34

do greater tuberosity fractures require immobilization for healing

Answer 34

NOPE

Question 35

what is lateral epicondylitis

Answer 35

chronic degeneration of ECRB at proximal attachment to lateral epicondyle of humerus

Question 36

what should be avoided with osteochondritis dissecans

Answer 36

throwing

UE loading activies (gymnastics)

Question 37

what two things must be ruled out with lateral epicondylitis

Answer 37

c-spine

radial nerve entrapment

Question 38

in PT, following resolution of pain and inflammation, what should be focused on with UCL injuries

Answer 38

strengthening of elbow flexors

Question 39

the distal branch of the radial nerve (______ nerve) can become entrapped in the radial tunnel

Answer 39

posterior interosseous nerve

Question 40

motions most restricted with adhesive capsuliitis

Answer 40

ER most

ABD = flexion

IR least

Question 41

following surgical repair of shoulder impingement, what motion should be avoided

Answer 41

elevation over 90

Question 42

what type of humerus fracture requires ORIF to ensure absolute alignment

Answer 42

lateral epicondyle

Question 43

internal (posterior) impingement is….

Answer 43

irritation between:

rotator cuff and greater tuberosity

or

posterior glenoid and labrum

Question 44

counterforce bracing is commonly used with lateral epicondylitis.. why tho

Answer 44

reduces forces along ECRB

Question 45

with a complete elbow dislocation, what ligament will rupture

Answer 45

UCL

Question 46

with excessive edema from Colles Fracture, what can result in what

Answer 46

median nerve compression

Question 47

what else may result from posterior elbow dislocation

Answer 47

avulsion of medial epicondyle

Question 48

aside from the rotator cuff tendons, what else can the subacromial/subdeltoid bursas be impinged beneath

Answer 48

the acromial arch

Question 49

MOI proximal humeral (humeral neck) fractures

Answer 49

FOOSH with older osteoporotic women

Question 50

initial emphasis for lateral epicondylitis should include

Answer 50

eccentric exercise