Ortho/ Rheum Flashcards
AC Joint Grading
I- TTP at AC joint
II- instability w/ stress testing
III- deformity w/ prominence of clavicular head
SITS MOA
Ext Rotation & Abduction
EXCEPT
Subscapularis - internal rotation
Which nerve should be assessed in humeral fx?
Radial
(& Vascular integrity)
Sling and swath 4-6wks
ORIF
Medial Epicondylitis
GOLFER’s Elbow/ Little League Elbow
Flexor m.
Lateral Epicondlyitis
“Tennis hits to lateral edges”
Tennis Elbow
Extensor m.
Fat Pad/ Sail Sign
Elbow Fx
Sugar tong
deQuervain’s Tenosynovitis
+Finkelstein Test
pain @ dorsal radius
Tx: Rest, thumb spica/ splint
Skier/Gamekeeper Thumb
UCL
Tx: Thumb spica 4-6wks or ORIF
Collex fx tx
Sugar tong splint followed by long/short arm cast 4-6wks
Boxer Fx tx
Ulnar Gutter
Schaphoid Fx Tx
Non-displaced- thumb spica
Displaced- Surgical fixation
When should necks be x-rayed in accidents that cause “whiplash”?
Nexus Criteria No ... "FIND" -focal neurological deficit -intoxication -mid-line tenderness -distracting, painful injury
-Normal alertness
Extension injury to neck
Hangman’s
Vertical compression injury
Jefferson
Unstable
Ant + Post arches + disruption of transverse ligament
DTR’s
Biceps
Brachioradialis
Triceps
C5
C6
C7
Straight Leg Test
Lasegue’s Lift
Bowstring Test
flex knee press on popliteal area
Which meniscus is more commonly injured
MCL > LCL
*“Locked” knee with inability to flex/extend
McMurray/ MRI
RICE –> Brace –> Refer if not improving to surgery
Ottawa Ankle Rules
1) lateral malleolus
2) medial malleolus
3) base of 5th metatarsal
4) Navicular
5) Unable to WB after injury + 4 steps during evaluation
6) Drunk/ AMS
What is the MC fx treated by orthopaedists?
Ankle
What is the MC LE fx in sports?
Ankle
Most frequently ruptured tendon?
Achilles
“hit by a baseball bat”
Splint in “equine” position –> Surgical repair
