Nonarticular rheumatism

Question 1

Functions of the rotator cuff?

Answer 1

• internal and external rotation

- fixes humeral head in the glenoid fossa

Question 2

What is the mst common cause of shoulder pain?

Answer 2

Rotator cuff tendinitis…this is actually an impingement syndrome

Question 3

A calcific deposit is more likely to be seen at the insertion point of the supraspinatus tendon in what type of rotator cuff tendinitis?

Answer 3

Acute

Question 4

Acute rotator cuff tendinitis is more common in whom?

Answer 4

younger pts

Question 5

Key finding of ratoator cuff tendinitis is?

Answer 5

pain with abduction, esp in the 60-120 degree range

Question 6

Bicipital tendonitis

Answer 6

Anterior shoulder pain, palpation will elicit pain, in prolonged cases full tendon rupture can occur producing popeyes sign

Question 7

Adhesive capsulitis most often seen when

Answer 7

prolonged immobilization of the arm.

Question 8

Adhesive capsulitis is often associated with?

Answer 8

Diabetes

Question 9

What is a cervical radiculopathy

Answer 9

basically just a pinched nerve in the cervical region. can present with shoulder symptoms

Question 10

Brachial Neuritis

Answer 10

usually presents post viral.

Very painful and after the pain subsides it generally leaves atrophy and weakness

Question 11

nerve entrapment syndromes

Answer 11

produce referred pain

Question 12

olecranon bursitis

Answer 12

often infection

• may be secondary to gout or trauma
• note that the olecranon bursa does not generally communicate with the true elbow joint

Question 13

Lateral epicodylitis also called

Answer 13

tennis elbow

Question 14

tennis elbow is generally due to?

Answer 14

degeneration of the common extensor tendon, particularly the extensor carpi radialis brevis

Question 15

medial epicondylitis

Answer 15

golfers elbow

Question 16

medial epicondylitis generally involves what tendon?

Answer 16

the flexor carpi radialis

Question 17

Ulnar nerve entrapment produces

Answer 17

tenderness on the medial side of the elbow and numbness and paresthesia of the little finger and medial side of the fourth digit

Question 18

If a pt has pain in the palm with flexion start thinking about?

Answer 18

flexor tenosynovitis

Question 19

What are ganglia?

Answer 19

Muin filled cysts arising from joint capsules

Question 20

Why is tendinitis of the extensor pollicis longus worrisome?

Answer 20

Risk of tendon rupture

Question 21

What is De Quervain’s disease?

Answer 21

inflammation of the extensor pollicis brevis and abductor pollicis longus

Question 22

De Quervain’s disease is most common in who

Answer 22

WOMEN

Question 23

Carpal Tunnel involves compression of what nerve?

Answer 23

Median

Question 24

What systemic conditions is CTS associated with>

Answer 24

heart failure, multiple myeloma, tuberculosis, pregnancy, diabets, obesity, RA, gout

Question 25

In the hip, trochanteric bursitis is often associated with what findings?

Answer 25

Lateral thign pain ending in the knee

Question 26

Meralgia paresthetica

Answer 26

L2-L3 entrapment, lateral femoral cutaneous nerve. Causes diffuse lateral thigh pain

Question 27

Common causes of meralgia paresthtica?

Answer 27

pregnancy obesity diabetes

Question 28

Achilles Tendinitis

Answer 28

know it

Question 29

Plantar fascitis

Answer 29

know

Question 30

pes planus

Answer 30

flat foot, loss of the arch on the medial side of the foot, hereditary

Question 31

What tendon may rupture as a result of pes planus?

Answer 31

posterior tibialis

Question 32

What is Morton’s Neuroma

Answer 32

entrapment of the interdigital plantar nerves

Question 33

WHere does morton’s neuroma most commonly occur?

Answer 33

in between the 3rd and 4th digits

Question 34

Fibromyalgia

Answer 34

widespread pain for more than 3 mos, it is bilateral and upper and lower