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Ortho > ULimb > Flashcards

ULimb Flashcards

1
Q

Ulnar nerve palsy
Paper between thumb + index finger -> Pull
@ulnar nerve palsy = unable to hold paper

Flex which muscle at what joint to compensate???

A

Froment’s Sign

FLEX flexor pollicis longus @ ITP joint to compensate

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2
Q

More sensitive than Tinel’s

Assess carpal tunnel – opposite prayer sign

A

Phalen Prayer

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3
Q

Tap over median wrist retinaculum =

tingling over thumb, index, middle finger

A

Tinel Tap

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4
Q

Heberden

A

DIP osteophytes

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5
Q

Bouchard

A

PIP osteophytes

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6
Q

Lateral epicondyle tender
Pain @ elbow extension +
(resisted wrist extension) + SUPination

A

Lateral epicondylitis - tennis

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7
Q

Pain @ elbow extension + PROnation

4-5cm distal to lateral epicondyle

A

Radial tunnel syndrome –
post interosseous

Similar to lateral epicondylitis

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8
Q

Medial epicondyle tender
Pain @ flexion wrist + pronation
Poss 4th 5th finger tingling - ulnar nerve dx

A

Medial epicondylitis - golfers

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9
Q

INTERMITTENT tingling @ 4th 5th finger
Pain @ elbow rest/flexed for ages

Ulnar paradox:
If ulnar damaged at wrist, what happen?

If ulnar damaged at elbow, what happens?

A

Cubital tunnel syndrome -
Ulnar nerve compression

Dx @ wrist = 2 medial lubicrals fucked so
can’t flex MCP and ext D/PIP so there will be lots of clawing

Dx @ elbow = medial aspect of FDProfundus only fucked so there’ll be less clawing cos it’s still got its lateral (median nerve) supply

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10
Q

Posterior elbow swelling
Inflamed – pain, hot, red
Middle aged men

A

Olecranon bursitis

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11
Q

pain and swelling of the shoulder joint. The clavicle is prominent and there appears to be a step deformity.

A

AcromioClavicular Dislocation

3 grades
Intact joint minor tear of ligaments,

<50% Clavicular subluxation +
stretched coracoclavicular ligament’s

> 50% Clavicular subluxation +
complete rupture of coracoclavicular ligament’s

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12
Q 
Ext rotated and abducted
Commonest, Axillary nerve palsy = 
weak delt + badge patch sensory loss
Bankart lesion @ recurrent &amp; 
Hill-Sach defect

Manoeuvre to reduce??

A

GlenoHumeral ANT dislocation

Stinson to reduce!!

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13
Q

Rim’s, light bulb and trough sign

Manoeuvre to reduce??

A

GlenoHumeral POST dislocation

Stinson to reduce!!

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14
Q

Rare AF and after trauma

Manoeuvre to reduce??

A

GlenoHumeral SUP shoulder

Stinson to reduce!!!

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15
Q

Luxatio erecta

A

GlenoHumeral INF dislocation

Stinson to reduce!!

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16
Q

Shoulder initially painful
Followed by joint stiffness
Restricted active and passive ROM –
ext rot most marked restriction

Assoc DM + NON-dom hand

Tx?

A

Frozen adhesive capsulitis -
Pain+freeze, thaw, resolve >2yr

Physio analgesia/csted brace surgery

17
Q

Pop swell click grinding

Pos scarf test

A

Acromioclavicular degen

18
Q 
Shoulder arc pain + weakness
Pain @ palpation
Wasting+tenderness
Passive movements normal
Active abnormal
A

Rotator cuff tear

19
Q

Shoulder arc pain + NO weakness
NO pain @ palpation
NO waste

A

Impingement

20
Q

Extreme pain + reluctant 2 move

Pain @ palpation

A

Calcific tendonitis

21
Q

pain and weakness @ shoulder.
unwell with viral illness and fully recovered
muscle wasting and winging of scapula. Power @ active movements = impaired

A

Parsonage – Turner syndrome

22
Q

HypermoBeighton score 6=kids 5=adults /9

Elastic issue

ARegurg/MProlapse/ADom

Ret angiod streaks, SAH

A

Ehlers Danlos

23
Q

Palate high arch, pectus excavatum, pes cavus

Arm:height>1.05, Aortic sinus dilation, ADom

Lens upward dislocation

Scoliosis/sclera blue

A

Marfans - fibrillin issue

24
Q

Where do the rotator cuff muscles attach?

A

Supraspin, infraspin, teres Minor = GREATER tubercle

Supscapularis = less tubercle

25
Q

Nerve supply to rotator cuff muscles.

A

Supraspinatus= suprascap nerve

Subscap = subscap nerve

Teres minor = axillary nerve

26
Q

Degrees of abduction of shoulder - give muscles and nerves.

A

0-15 = supraspin - suprascap nerve

15-100 = deltoid - axillary nerve

> 90 = trapezius - accessory

> 100 = serratus anterior - long thoracic

27
Q

Painful arc abduction between 60 and 120°

Tender over anterior acromion

A

Supraspinatous tendon -itis

Ortho (7 decks)

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