Orthopaedics 3 Flashcards
Raynaud’s syndrome is due to what?
a connective tissue disorder such as: SLE, plymyositis, scleroderma
Carpal tunnel can be tested by testing the strength of what muscle? how?
Abductor policus brevis (innerv by median n)
abduct thumb
What’s going on in Cubital tunnel syndrome?
Median n is caught in elbow (at Guyan canal)
What is TRUE Cubital tunnel syndrome?
how do you tx?
Ulnar n. is caught at elbow (guyan canal).
Tx: correct arm position and NSAIDs.
What nerve is trapped in tarsal tunnel syndrome?
What test would you run if the patient had the sx of tingling in first 3 toes?
Tibial n.
EEG to identify the compressed nerve.
What is Podagra?
acute gout attack of first metatarsophalangeal joint
What is Depuytien’s contracture?
What’s going on to cause it?
What is it associated with? (4 examples)
Males >40 of European decent, painless flexion of 4th, 5th digits. Reduces function of the hand. It curls up & they are unable to strengthen it on the Table Top test.
Due to thickening and contracture of palmar tendon.
Associated with alcoholics, TB, Peyronie’s disease, epilepsy
If a patient has an orthopaedic hand injury, what test evaluates blood supply to the hand?
Allen test
What is tennis elbow?
What exam will dx it? Which muscle?
Lateral epicondylitis.
Sx: diffuse elbow pain.
Exam: have them extend wrist against your hand
Muscle: ECRB and other extensors around it.
Tx: rest
What is golfer’s elbow? What muscles are involved? what exam will dx it?
Medial epicondylitis.
Exam: have them flex wrist aginst your hand
Muscles: flexors
What is Biceps tendonitis?
How do you test for it?
Inflammation of upper biceps tendon due to recurrent microtrauma, overuse, and repetitive overhead activities - baseball, tennis, swimming, weight-lifting.
Sx: anterior shoulder pain, bicipital groove tenderness.
Test: Yergason’s test (speed test) - flex elbow to 90º and examiner resists patient’s attempt to supinate and flex elbow.
Tx: rest, ice
The empty can test is to check what muscle?
Supraspinatous - abduct shoulders to 90º in forward flexion with thumbs down (emptying a can)
How do you check the Infraspinatous and Teres Minor?
by flexing elbow to 90º, patient tries to externally roate arm against your resistance.
How do you perform Drop Arm test? (to detect tears in rotator cuff muscles)
have them fully abduct arm, then ask to slowly lower arm to side.
a tear: arm will drop at the ~90º mark.
Winging of scapula indicates weakness of what muscle?
What nerve is involved (roots too)
What test identifies it?
Tx?
Serratus anterior
Long thoracic nerve (from C5,6,7)
Test: push up against wall and you’ll notice it
Tx: Physical therapy
