UE disorders

Question 1

What direction to most shoulder dislocations/subluxations occur

Answer 1

anterior/inferior (95%)

Question 2

What is a Bankhart lesion?

Answer 2

avulsion of anterior inferior capsule/assocaited tissues

Question 3

What is a Hill-Sachs lesion

Answer 3

posterior humeral head compression fracture.

Question 4

What ligament is often affected with a Bankhart lesion?

Answer 4

inferior glenohumeral ligament

Question 5

s/s of labral tear

Answer 5

Poorly localized shoulder pain which worsens with overhead activity.

weakness

instability

Pain with bicep testing

tenderness to anterior shoulder

Question 6

What are MOI’s for AC/SC joint injuries

Answer 6

fall on adducted shoulder.

High force collisions (football tackles)

Question 7

What is posterior internal impingement of the shoulder?

Answer 7

irritation b/w rotator cuff and greater tuberosity or posterior glenoid and labrum

Question 8

What population is internal impingement more common?

Answer 8

overhead athletes

Question 9

What systemic disorder increases risk for frozen shoulder

Answer 9

diabetes

Question 10

Which muscle is most likely effected in lateral epicondylopathy?

Answer 10

ECRB

Question 11

What muscles are most likely effected in medial epicondylitis

Answer 11

flexor carpi radialis and pronator teres

Question 12

Where might ulnar nerve entrapment occur near the elbow?

Answer 12

cubital tunnel

Question 13

Where might median nerve entrapment occur near the elbow?

Answer 13

pronator teres

Question 14

Where might the radial nerve become entrapped near the elbow?

Answer 14

radial tunnel (supinator muscle)

Question 15

Which direction is the elbow most likely to dislocate

Answer 15

posteriorlaterally

Question 16

Which tendons are involved in de Quarvains?

Answer 16

extensor pollicis brevis and abductor pollicis longus

Question 17

What type of deformity may accompany a Colles fracture?

Answer 17

“dinner fork”– dorsal displacement of distal segment

Question 18

What type of deformity may accompany a Smith’s fracture

Answer 18

“garden spade”–volar displacement of distal segment

Question 19

What is the most commonly fractured carpal

Answer 19

scaphoid

Question 20

What is a Dupuytren’s contracture

Answer 20

banding of the palm and palmar fascia that causes a finger flexion contracture

Question 21

Which gender is more likely to get Dupuytrens

Answer 21

men

Question 22

What is injured leading to a Boutonniere deformity

Answer 22

central tendon of extensor hood

Question 23

What leads to swan neck deformity

Answer 23

contracture of intrinsic muscles with subluxation of lateral extensor tendon.

Question 24

What is ape hand deformity

Answer 24

thenar muscle wasting with first digit in line with 2nd

Question 25

What causes ape hand

Answer 25

median nerve dysfunction