Orthopaedics: Sports

Question 1

ACL tear symptoms (3):

Answer 1

• Popping sound
• Hemarthrosis
• Knee instability

Question 2

ACL tear exam (2):

Answer 2

• Positive Lachman’s

- Positive anterior draw

Question 3

Frozen shoulder:

Answer 3

Idiopathic loss of shoulder motion, associated with DM

Question 4

Frozen shoulder exam (2):

Answer 4

• Loss of 50% of active and passive ROM

- Painful deltoid insertion

Question 5

Impingement syndrome (2):

Answer 5

• Inflammation of subacromial bursa and rotator cuff tendons in middle aged persons
• Lateral shoulder pain with overhead activity

Question 6

Impingement syndrome exam (3):

Answer 6

• Positive Hawkins
• Supraspinatous tests
• No weakness

Question 7

Elbow epiconylitis:

Answer 7

Degenerative painful condition of the ECRB tendon and/or flexor-pronators

Question 8

Meniscal tear exam (2):

Answer 8

• McMurray’s positive

- Joint line tenderness

Question 9

Olecranon bursitis (2):

Answer 9

• Swelling, painful posterior elbow

- Mass over tip of elbow, tender, red, hot

Question 10

Plantar fasciitis (2):

Answer 10

• Degenerative tear of plantar fascia

- Worse heel pain in morning, insidious onset

Question 11

Rotator cuff tear (2):

Answer 11

• Tear of supraspinatous, infraspinatous, subscapularis or teres minor
• Pain with overhead activity, catching, grating sensation

Question 12

Rotator cuff tear exam (4):

Answer 12

• Positive drop arm
• Positive Hawkins
• Weak supraspinatous
• Weak external rotation

Question 13

Rotator cuff tear X-ray:

Answer 13

May show high riding humeral head

Question 14

Trochanteric bursitis (2):

Answer 14

• Inflammation of greater trochanteric bursa from tight IT band
• Lateral hip pain, unable to lie on side