Ortho 3 Flashcards
what causes a “lightbulb sign” of shoulder on X ray
POSTERIOR shoulder dislocation
how is a posterior shoulder dislocation held
in internal rotation and adducted position
do you need to take Biphosphonates before or after food ?
BEFORE _ on an empty stomach
which test confirms injury to the supraspinatus
the empty can test
how do you manage a tendinopathy
NSAID for three days
then PRN
what antibiotic is associated with achilles tendinopathy and tendon rupture
CIPROFLOXACIN
what causes hip pain in children after a recent infection
transient synovitis of the hip
self resolves
what is the gold standard for confirming rotator cuff tears
MRI
how does Beurger’s disease appear on duplex
CORKSCREW collateral vessels
what ABPI are compression stockings CI for
if ABPI <0.8 > risk of precipitating limb ischaemia
how does radial tunnel syndrome present
similar to lat epicondylitis
pain 4-5 cm distal to lat epicondyle
due to compresson of the posterior interosseuss branch of the radial nerve
how does cubital tunnel syndrome present
compression of the ulnar nerve
so parasthesia of 4th and 5th fingers
worse on elbow flexion
how does de quervains tenosinovitis present
tenderness over radial syloid ad radial side of wrist
painful abduction of the thumb
Finkelstein’s positive: pulling the thumb in longitudinal traction is painful
how does meralgia parasthetica present
parasthesia / anasthesia in distribution of lateral femoral cutaneous nerve (L2 and L3)
SO upper lateral thigh burning, tingling but NO MOTOR WEAKNESS
how does plantar fascitiss present
pain of heel and sole of foot
worse after inactiviyt (e.g. sleeping), better with exercise
