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PANCE Review > PANCE - MSK review > Flashcards

PANCE - MSK review Flashcards

1
Q

MC type of shoulder dislocation

A

anterior

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2
Q

anterior shoulder dislocation presentation

A

ABducted, externally rotated, and extended arm

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3
Q

assoc injuries of ANTERIOR shoulder dislocation

A

axillary nerve injury***
- MOST IMPORTANT
- loss of sensation in shoulder badge distribution
- access for axillary nerve dysfxn before AND after reduction

hill-sachs lesion
- cortical depression in humeral head due to glenoid rim

bankart lesion
- injury of the anterior (inferior) glenoid labrum

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4
Q

dx of anterior shoulder dislocation

A

XR of shoulder

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5
Q

tx of anterior shoulder dislocation

A

reduce and immobilize w sling

access for axillary nerve dysfunction before and after reduction!

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6
Q

POSTERIOR shoulder dislocation presentation

A

ADDucted and internally rotated

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7
Q

SITS muscles

A

Supraspinatus

Infraspinatus

Teres MINOR

Subscapularis

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8
Q

rotator cuff PE test

A

empty can test (AKA job’s test)
- gold standard bc isolates the supraspinatus

neer test

hawkings test

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9
Q

adhesive capsulitis presentation

A

reduced passive AND active ROM

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10
Q

adhesive capsulitis RF

A

DM

hypothyroidism

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11
Q

dx of adhesive capsulitis

A

clinical dx
- confirmed w > 50% reduction in BOTH passive and active ROM in > 2 planes
*esp external rotation and ABduction

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12
Q

tx of adhesive capsulitis

A

gentle ROM exercises*

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13
Q

supracondylar humerus fracture

A

fracture of distal humerus

MC in children 2-7 y/o

MC type of pediatric elbow fx

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14
Q

supracondylar humerus fracture mechanism of injury

A

FOOSH w elbow hyperextended

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15
Q

complications of a supracondylar humerus fracture

A

volkmann ischemic contracture
- claw like deformity –> fixed flexion of hand, fingers, & wrist

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16
Q

dx of supracondylar humerus fracture

A

XR
- posterior fat pad sign

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17
Q
  • are sometimes the ONLY sign of a radial head fx
A

FAT PADS

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18
Q

monteggia fracture (MUGR)

A

proximal ulnar fracture w radial head dislocation

19
Q

monteggia fracture (MUGR) tx

A

open reduction for ulna & closed reduction for radius

20
Q

galeazzi fracture (MUGR)

A

radial midshaft fracture w distal ulnar joint dislocation

21
Q

galeazzi fracture (MUGR) tx

A

open reduction for radius & closed reduction for ulna

cast forearm in supination to reduce distal ulnar joint

22
Q

lateral epicondylitis (tennis elbow)

A

overuse injury of common EXTENSOR tendon and EXTENSOR carpi radialis brevis due to repetitive wrist EXTENSION

23
Q

lateral epicondylitis (tennis elbow) PE

A

localized tenderness over LATERAL epicondyle

pain w resisted wrist EXTENSION

24
Q

medial epicondylitis (golfer’s elbow)

A

overuse injury of the proximal tendons of the pronator teres and FLEXOR carpi radialis due to repetitive forearm pronation and wrist flexion

*golfers are PROs that like to FLEX

25
Q

medial epicondylitis (golfer’s elbow) PE

A

pain w resisted wrist FLEXION

26
Q

RF for carpal tunnel

A
  • 3rd trimester of preg
  • DM 1 & 2
  • hypothyroidism
27
Q

De Quervain tenosynovitis patho

A

thickening of the abductor pollicis longus (APL), extensor pollicis brevis (EPB), and tunnel in 1st extensor compartment

*apples with extra peanut butter are delicious = APL & EPB - de quervain

28
Q

tx of De Quervain tenosynovitis

A

thumb spica splint x 3 weeks

29
Q

L1 findings

A

1 = I

pain, paresthesia, and sensory loss in INGUINAL region

30
Q

L2, L3, L4 findings

A

seen in older pt w spinal stenosis

anterior aspect of thigh into knee

31
Q

L5 findings

A

MC radiculopathy of lumbar spine!

lateral aspect of the leg into the foot
*top of foot! esp between 1st & 2nd toes

reduced dorsiflexion
reduced toe extension
reduced foot inversion and eversion

NORMAL reflexes

32
Q

S1 findings

A

posterior aspect of leg into the foot from the back

reduced leg extension (gluteus maximus)

reduced plantar flexion

sensation loss in lateral aspect of foot

ankle reflex lost!

33
Q

S2, S3, S4 findings

A

sacral or butt pain that radiates down posterior aspect of leg OR into perineum

urinary & fecal incontinence

sexual dysfxn

34
Q

weak ankle dorsiflexion and loss of knee jerk

A

L4

35
Q

walking on HEELS is HARDER than walking on toes

A

L5

36
Q

walking on TOES is HARDER than walking on heels

A

S1

37
Q

upper extremity weakness, decreased sensation and reflexes, positive spurling test, pain at rest

A

posterolateral herniation at C5-C6 or C6-C7

38
Q

loss of sensation in middle finger

A

C7

39
Q

loss of sensation along ulnar aspect of forearm

A

T1

40
Q

loss of sensation at radial aspect of forearm, thumb, and index finger

A

C6

41
Q

weakness of finger abductors

A

T1

42
Q

weakness of finger flexors

A

T8

43
Q

weakness of deltoid, supraspinatus, and infraspinatus

A

C5

44
Q
A

PANCE Review (7 decks)

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