Orthopaedics 4

Question 1

What are the sx of Erb’s Palsy?
what nerves are damaged?
What muscles are affected?

Answer 1

Most common brachial plexus injury
C5,C6 right where they meet, 2-3cm above clavicle
Sx: upper limb drops beside trunk, internally rotated with flexed wrist
(Erb the waiter)
Muscles effected: biceps, brachialis, coracobrachialis (along musculocuteanous nerve)

Question 2

What are the sx of Klumpke’s palsy?
What nerves are damaged?
There may be an associated ___
What causes it (during birth)?

Answer 2

Paralysis of muscles of the hand and weakness of the wrist and fingers’ flexors
injury of C7,8,T1.
Associated Horner Syndrome
From forceful abduction of shoulders

Question 3

What’s the tx and Carpal tunnel, what muscle is affecting the median n.?

Answer 3

Flexor retinaculum is affecting the median nerve

Tx: cock up spint, NSAIDs.

Question 4

Tx of Olecranon Bursitis (3)

Answer 4

NSAIDs. Antiobiotics if infectious. Warm compresses during first 24-48 hours.

Question 5

12 year old girl has pain in front of her knee. Parents tell her it is just “growing pains.” Exam shows exquisite tenderness along tibial tuberosity (top of tibia)
What is it? Tx?

Answer 5

Osgood-Schlatter disease

Tx: Avoid strenuous activity RICE

Question 6

a High ankle sprain damages what ligament?

Answer 6

Syndesmotic ligament (connects tibula, fibula at ankle)