Rheumatology/Orthopedics and Sports

Question 1

Anterior knee pain, tenderness, erythema, localized swelling. Repetitive kneeling.

Dx and MCC (bacteria)

Answer 1

Prepatellar bursitis due to Staph aureus.

Question 2

clinical features of what:

decreased sensation, motor weakness w/in hours, paralysis (late, decreased distal pulses

Answer 2

compartment syndrome

Question 3

Four common characteristics of compartment swelling

Answer 3

Pain out of proportion to injury
*Pain increased on passive stretch
Rapidly increasing and tense swelling
*Paresthesia (early)

Question 4

what is diagnostic test for compartment syndrome?

Answer 4

tissue compartment pressure greater than 30mm Hg

Question 5

thessaly test (stand on 1 leg with knee F 20degreees –> iIR and ER flexed knee)

McMurary test (passive F/E knee while holding knee in IR or ER)

What is a positive test and what does it indicate?

Answer 5

pain, clicking, catching = MENISCAL TEAR

Question 6

FOOSH in child - what fracture and what are the two MC injuries?

Answer 6

supracondylar fracture of humerus (proximal to elbow)

entrapment of median nerve and brachial artery

Question 7

midshaft humeral fracture. limited extension of wrist

what nerve

Answer 7

radial nerve

Question 8

When is surgery considered for a younger pt with meniscal tear?

Answer 8

If symptoms last >3-4 weeks. Do MRI first.

Question 9

Pain when lifting arm above head. Passive flexion of shoulder with thumb pointing toward floor - pain at 60 degrees of flexion. Dx?

Answer 9

Inflammation of rotator cuff tendon

Question 10

Define difference between rotator cuff impingement or tendinopathy VS tear

Answer 10

abduction, ER pain and subacromial tenderness

abduction, ER pain and subacromial tenderness AND ER weakness

Question 11

Axillary nerve function

Answer 11

shoulder abduction (teres minor and deltoid)