Orthopaedics and Rheumatology

Question 1

Cozen’s test - if +ve…

Answer 1

Flex elbows at 90 degrees, make a fist, deviate wrist radially.

+ve (pain/ symptoms elicited) suggests epicondylitis

Question 2

Radial nerve neuropathy findings

Answer 2

Wrist drop - weakness of finger and wrist extensors

Triceps weakness (if lesion high up arm)

Question 3

Short head of biceps rupture findings

Answer 3

Severe pain
Flexor weakness
Hx of strenuous activity e.g. weight lifting
Popeye sign =- large bulge in belly of biceps

PRESERVED SUPINATION

Question 4

Long head of biceps rupture findings

Answer 4

Sudden pain
Weakness of flexion at elbow
Weakness of supination
Popeye sign - bulge in belly of bicpes

Question 5

Risks if mid-shaft humeral fracture

Answer 5

Radial nerve palsy

- Brachioradialis weakness (contributes to elbow flexion)

Question 6

Ewing’s sarcoma X-ray findings

Answer 6

Lytic lesion
‘Onion skin’ periosteal reaction

Child, bone pain, fatigue/ lethargy, systemic features

Question 7

Osteosarcoma Xray findings

Answer 7

Periosteal reaction with sunburst appearance

Child