R/O - Soft tissue injuries of the extremities Flashcards
which injury involves muscle / tendon?
sTrain
which injury involves ligaments?
sPrain
when is laxity a problem?
if it is painful
where is the referred pain for long head of the biceps brachii tendon?
anterior shoulder
yergasons test tests for pathology of the ______
biceps tendon (long head)
speeds test tests for ___________
bicipital tendonitis or superior labral tears
what are the most common lateral shoulder tears?
- supraspinatus
- infraspinatus
what are the most common anterior shoulder tears?
subscapularis
patte’s test tests for ___________
infraspinatus / teres minor
neers and hawkins tests test for _________
subacromial bursitis
tennis elbow is aka:
lateral epicondylitis
- pain and decreased grip strength with resisted supination
- pain with resisted wrist extension
- maximum tenderness to palpation 1 cm distal to lateral epicondyle
lateral epicondylitis
golfers elbow is aka:
medial epicondylitis
- insidious onset over common flexor mass
- tenderness to palpation over common flexor mass
- pain with resisted pronation and wrist flexion
medial epicondylitis
what is the mechanism of mallet finger?
object striking the finger, creating forceful flexion of extended DIP
- tender at dorsal aspect of DIP
- no active extension at DIP
mallet finger
what imaging do you need for mallet finger?
AP / lateral / oblique
what is the injury / pathology in jersey finger? what is the mechanism?
- flexor digitorum profundus tendon injury
- athlete’s finger catches on another player’s clothing causing forced extension of the DIP during active flexion
what is the mechanism of central slip extensor tendon injury?
PIP joint forcibly flexed while actively extended
- tenderness at dorsal PIP joint
- inability to actively extend
central slip extensor tendon injury
what is the injury / pathology of a jammed finger? what is the mechanism?
collateral ligament injury due to forced ulnar or radial deviation causing partial or complete collateral ligament tears
what is the mechanism of volar plate injury?
forceful hyperextension of finger, usually at PIP
skiers thumb is due to injury of what structure?
ulnar collateral ligament
what is a steners lesion?
- proximal end of UCL becomes trapped outside of adductor aponeurosis
- present with joint instability and tender mass
- pain over lateral hip
- insidious onset after extreme hip flexion
- tenderness to palpation over greater trochanter
trochanteric bursitis
acute trochanteric bursitis associated with pain over or just posterior to trochanter
snapping hip
internal snapping hip involves what muscle?
iliopsoas
what is the pathology in snapping hip?
iliopsoas tendon rubbing over iliopectineal eminence of the pelvic brim
deep anterior snapping sensation with hip flexion, worsened with box jumps, running stairs
internal snapping hip
tenderness along lateral femoral condyle
IT band friction syndrome
the medial meniscus is ____ shaped and the lateral meniscus is _______ shaped
- C
- O
what is the mechanism for the unhappy triad?
valgus stress to flexed and rotated knee
what is osteochondritis dessican?
- fragmentation of articular cartilage
- can lead to necrosis
what is osgood schlatter’s?
overuse injury with avulsion of the patellar tendon leading to pain
what is a bakers cyst? what is the cause?
- posterior popliteal cyst
- complication of chronic inflammation of the knee
anterior drawer testing of the ankle tests for what structure?
ATF
talar tilt tests the integrity of what structure?
calcaneal fibular ligament
ottawa ankle criteria - perform ankle / foot x ray series if:
- ankle: tenderness over posterior edge or tip of LM or MM
- foot: tenderness over navicular or base of 5th metatarsal
