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Clinical Pathology > NMS III FINAL > Flashcards

NMS III FINAL Flashcards

1
Q

Panner’s Disease is AKA

A

OCD of elbow

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2
Q

Def of OCD of the elbow

A

Avascular necrosis of the capitellum joint surface; inflammation d/t to fissures in the articular cartilage and bone followed by fragmentation

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3
Q

Common gender of OCD

A

MALE 10:1

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4
Q

Etiology of OCD of elbow

A

repetitive valgus stress to the medial elbow causes compression of the capitellum against the radial head

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5
Q

What other condition should a young male with medial epicondylosis be examined for?

A

OCD of the elbow laterally

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6
Q

Risk factors of OCD of elbow

A

Instability and Medial epicondylitis

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7
Q

Direction of movement that is most affected with OCD elbow?

A

Dec AROM especially extension

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8
Q

Common sign and sx of OCD elbow

A

gradual lateral elbow pain with or without crepitus and catching

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9
Q

What stage of OCD involves a capitellum that is fragmented?

A

stage III

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10
Q

T/F The correct vector of manipulation OCD elbow is varus stress.

A

FALSE: MANIPULATION IS CONTRAINDICATED!

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11
Q

Most important stabilizers of the elbow

A

MCL and LCL

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12
Q

Structures of the elbow (4)

A

MCL/UCL, RCL/LCL, Annular ligament, joint capsule

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13
Q

Boutonniere Deformity DEF

A

Forced flexion causing extensor tendon rupture at the PIP

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14
Q

Mallet Finger DEF

A

forced flexion causing extensor tendon avulsion at the DIP

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15
Q

Most common affected finger of Mallet finger

A

3rd digit

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16
Q

Important DDX of a mallet finger

A

RA (swan neck deformity looks like mallet)

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17
Q

Which of the following is non tender? Heberdens, haygarth, or bouchard

A

heberdens and bouchards, HAY GARTH is TENDER

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18
Q

Location of:
Heberdens:
Bouchards:
Haygarths:

A

Heb=DIP
Bou=PIP
HAY=MCP

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19
Q

Madelung deformity=

A

genetic disorder incolving a radial growth plate disturbance

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20
Q

seal fin deformity assoc with what condition

A

RA

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21
Q

madelung predisposes you to what condition?

A

keinbocks disease and TFC tears

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22
Q

another name for Dupuytrens contracture

A

hypertrophic nodular fibroplasia

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23
Q

Those with what condition have a RR ratio of 4 of getting dupuytrens contracture?

A

diabetes

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24
Q

What condition can also be seen coinciding with frozen shoulder?

A

Dupuytrens contracture

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25
Q

What condition involves contracture of forearm in flexion and is d/t supracondylar fracture, acute compartment syndrome, and tight cast?

A

volkmans ischemic contracture

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26
Q

WHat is the common age group for volkmans ischemic contracture

A

Children

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27
Q

6 P’s of Volkmanns ischemic contracture and acute compartment syndrome?

A

pain paresthesia paralysis pallor pulseless paresis

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28
Q

ape hand involves what nerve involvment

A

median nerve neuropathy

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29
Q

What is the cause of ape hand

A

neurotmesis: most severe nerve damage

30
Q

Is ape hand irreversible

A

yes if there is full damage, early signs of damge are reversible

31
Q

what nerves are involved in claw hand fingers?

A

ulnar, median, radiculopathy, or plexopathy

32
Q

Jersey finger/sweater sign MOI

A

forced finger extension causing rupture of the FDP

33
Q

WHat is the jersey finger/sweater sign?

A

inability to flex the finger when making a fist

34
Q

Game keepers thumb PT will complain of BLANKK thumb pain where Dequervanies will complain of BLANKKK thumb pain

A

Lateral Thumb Pain=Dequervaines

Medial Thumb Pain=Gamekeepers

35
Q

What ligament is sprained in gamekeepers thumb

A

MCL/UCL of MCP of thumb

36
Q

MOI of Gamekeeprs

A

Hyperabduction/Hyperextension of thumb

37
Q

If they point to lateral and medial sides of the thumb what condition could it be?

A

BOTH dequervaines and gamekeepers

38
Q

How should you perform stress testing to check for gamekeepers?

A

0/30 degrees abduction stress test

39
Q

weakness with pain=

A

Musculotendionous

40
Q

wekaness without pain

A

neuro

41
Q

T/F It is relatively easy to differentiate sprain/strain in case of medial thumb pain

A

FALSE

42
Q

Gamekeepers thumb will test - or + in isometric muscle testing?

A

+

43
Q

stener lesion

A

a torn UCL and volar plate causing singnificant instability

44
Q

Should you adjust the thumb in game keeprs thumb

A

probably not, mobilizayion good though

45
Q

DEF of ganglion cyst

A

a swelling or bulge overlying a joint (arthrosynovitis) or tendon (tenosynovitis)

46
Q

Which type of cyst is more common? worst sxs?

A

tenosynovial is more common, arthrosynovial is worst

47
Q

ganglion cyst most common gender

A

women 3:1

48
Q

where is a ganglion cyst most common?

A

wrists

49
Q

treatment for ganglionic cyst

A

watchful waiting, protect rest splint nsaids

50
Q

which type of ganglionic cyst has a higher recurrence rate?

A

arthrosynovivits

51
Q

surgery is most likely a treatment for what type of ganglionic cyst?

A

arthrosynovial ganlgionic cyst

52
Q

how does arthrosynovial ganglionic cyst compare to tenosynovial

A

arthro is larger, softer, and more painuful and requires surgery more likely

53
Q

carpal boss

A

small protuberance of bone frequently at the base of the 2nd and 3rd CMC joint.

54
Q

DEF of LAteral epicondylosis

A

lateral elbow pain due to degenerative tendinopathy, periostitis, and probably adhesions at the lateral epicondyle of the humerus and lateral joint capsule

55
Q

the muscle most commonly involved is the

A

Extensor carpi radialus brevis

56
Q

what test can be done to dx lateral epicondylosis?

A

long finger test

57
Q

what is the most common elbow condition?

A

lateral epicondylosis?

58
Q

age of lateral epicondlyosis

A

40-60

59
Q

etiology of lateral epicondylosis

A

repetitive overuse involving wrist extension/flexion, gripping, finger movements, pronation and supination

60
Q

risk factors of lateral epicondylosis

A

correlated with aging (2x increase in men, 4x increase in females >40), frequency and amount of time spent playing tennis

61
Q

is forehand or backhand more provocative of lateral epicondylosis? why?

A

forehand because of the eccentric load being placed on the elbow at the poin tof impact

62
Q

sxs of lat epicondylosis

A

lateral elbow pain and stiffness, worse in the AM, weakness and pain during gripping

63
Q

medial epicondylosis

A

medial elbow pain tendinopathy of the common flexor tendon at its attachment to the medial epicondyl

64
Q

typical age of med. epiconylosis

A

older than 40

65
Q

race that is more common in medial epicondylosis

A

whites (golf)

66
Q

medial elbow pain in children makes you think of what other diagnosis?

A

salter harris fracture from traction apophysitis of medial epicondyl

67
Q

TF children will be able to pin point a specific point of pain, where as adults are more generalized.

A

F. Children are generalized and adults can be specific

68
Q

orthos for ME

A

reverse cozens and revese mills

69
Q

orthos for LE

A

cozens and mills

70
Q

sxs of ME

A

medial elbow pain, insidious onset, pain after rest, pain during exerccise

Clinical Pathology (10 decks)

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