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IPAP JUNIOR SEM. > Ortho Block II > Flashcards

Ortho Block II Flashcards

1
Q

Upper extremity shoulder rupture is common in what pts

A

Older with RTC Dz or young weight lifters/ throwers

( young more uncommon)

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2
Q

Popeye deformity is a sign of

A

Proximal biceps tendon rupture

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3
Q

PE findings in a proximal bicep rupture

A
  • palpable deformity proximally
  • Tenderness in the bicipital groove
  • resisted bicep flexion worsens the deformity
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4
Q

Tx approach to Proximal biceps tendon rupture

A

Non op: ROM/ Strengthening

Op for young athletes/ young worker

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5
Q

Referral criteria for Proximal Biceps Tendon rupture

A

Young athletes
Young laborers
Concominant rotator cuff tear

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6
Q

What is the most common position for shoulder dislocation

A

Anterior DC is the most common

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7
Q

What is a TUBS instability

A

Traumatic, unilateral, Bankart, surgical

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8
Q

What is a AMBRI shoulder dislocation

A

Atraumatic, multi directional, bilateral, rehabilitate, inferior capsule

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9
Q

What are the 2 most common causes of Posterior shoulder Dislocation

A

Seizures and Electric shock

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10
Q

What are the ADE of shoulder dislocations

A

Axillary nerve injury
Chronic Instability
Glenohumeral OA

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11
Q

Posterior Dislocations present in what position

A

Adducted and internally rotated

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12
Q

What 3 test are used to evaluate shoulder instability/ dislocation

A 
Sulcus sign (inferior) 
 apprehension (anterior) 
 jerk Test ( posterior)
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13
Q

What is the best MRI to order for shoulder instability

A

MRI with arthogram

Shows the Capsule, the laboral and the RTC

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14
Q

TX approach to Shoulder instability

A

NON op: acute reduction with sedation

AMBRI- rehab
TUBS- surgical op

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15
Q

Red flag referral foo shoulder instability

A

Irreducible

TUBS

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16
Q

What is a slap tear

A

Superior labrum anterior to posterior tear of the shoulder

The “slap” anchors the long head of the biceps

17
Q

What is the best test to evaluate for a SLAP tear

A

O’Brien test

18
Q

What is the gold standard to evaluate for a SLAP tear

A

MRI with arthrogram

19
Q

What is the TX approach to slap tears

A

NSAIDS rehab, limit aggravation

Rehab failure= surgical repair

20
Q

What are two uncommon bone formations that can lead to thoracic outlet syndrome

A

Cervical rib at C7 or long transverse process of C7

21
Q

What are the clinical S/s of thoracic outlet syndrome

A

Neurologic:

  • Diffuse, non-specific complaints of the entire UE
  • Ulnar neuropathy

Vascular:

  • Swelling and discoloration
  • Fatigue and weakness
  • Worse when arm overhead
22
Q

What is the ADE of thoracic outlet syndrome

A

Chronic HEadache

Or loss of overhead ROM

23
Q

What is the PE approach to Thoracic outlet syndrome

A 
Check for a Bruit or MAss 
Evaluate distal pulses bilaterally 
Check Distal nerve function 
(Ulnar nerve) 
Roos Test- Aka Elevated arm stress test
24
Q

When should you order an EMG in thoracic outlet syndrome

A

TO r/o ulnar nerve entrapment

25
Q

What is the TX approach to Thoracic outlet syndrome

A

Non op: 3-6 months pt

Op: to remove variant bone formation or tumor

26
Q

What are the ADE of Tx for thoracic outlet syndrome

A

Complex regional pain syndrome (use gabapentin)

Intercostal neuroma, frozen shoulder
Brachial plexus injury
PTX

27
Q

A brachial plexus injury at birth manifests as what disorder

A

Neonatal Brachial plexus palsy

28
Q

What is the most common palsy’s in neonatal brachial plexus palsy

A 
Most common is erbs ( C5-6) 
Lumped palsy ( C8-T1)
29
Q

What are the clinical S/s of neonatal brachial plexus palsy

A

Psuedo paralysis

Increased irritability associated with a clavicle/ numerous Fx

30
Q

A baby with no spontaneous movement with decreased reflexes suspect?/

A

Neonatal brachial plexus palsy

31
Q

Waiters tip position in a baby is a sign of.. ?

A

Erbs palsy ( neonatal brachial plexus palsy )

Shoulder adducted and IR, elbow extended, forearm pronated, wrist flexed

32
Q

What is horners syndrome

A

A sign of poor palsy prognosis in a baby

  • loss of sweating on the face
  • Ptosis
  • miosis
33
Q

What is the Tx approach to neonatal brachial plexus palsy?

A

Non-operative-
Monitor nerve function
Prevent contractures/deformities
Physical therapy

Operative-
Surgical to address imbalance

34
Q

What is Torticollis

A

Congenital- Unilateral sternocliomasiod contracture at birth
(Most common)

Acquired- eyes (nystagmus, superior oblique palsy), spine (atlantoaxial rotatory displacement), trauma, infection, neoplasms

35
Q

How does AARD present in torticollis

A

Atlantic axial rotary displacement

Tilt will be the same as torticollis with a spasm on the unaffected side

36
Q

What is the referral criteria for Torticollis

A

All pts with acquired and CMT for PhyTx

37
Q

Tx approach to Torticollis

A

Non-operative-
Congenital= stretching
Acquired= treat reason

IPAP JUNIOR SEM. (43 decks)

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