Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MSK > Upper Extremity > Flashcards

Upper Extremity Flashcards

1
Q

Rotator Cuff Characteristics

A
  1. occurs with overhead overuse (throwing athletes)
  2. underlying GH instability, poor muscle strength, training errors
  3. common cause is impingement of the supraspinatous tendon as it passes beneath the subacromial arch
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Rotator Cuff Clinical Features

A
  1. dull, aching shoulder
  2. pain caused by inflammation, fibrosis, tears
  3. pain exacerbated by ABD arm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Rotator Cuff Diagnostic Studies

A
  1. radiographs r/o calcific tendonitis

2. arthrography/MRI to r/o tears

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Rotator Cuff Treatment

A
  1. Stop aggravating factors
  2. NSAIDs (alleviate inflammation, pain)
  3. cortisone injection
  4. PT
  5. arthroscopic subacromial decrompression
  6. surgery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Shoulder Dislocation Characteristics

A
  1. fall on outstretched hand

2. dislocation most common

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Should Dislocation Clinical Features

A
  1. loss of shoulder contour

2. careful neovascular assessment needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Shoulder Dislocation Diagnostic Studies

A
  1. Xray (AP and Y view)
  2. Hill-Sachs lesions (humeral head deformities)
  3. MRI: Bankart Lesions (tear of glenoid labrum)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Shoulder Dislocation Treatment

A
  1. post-reduction films
  2. immobilization with sling (velpeau sling)
  3. therapy should being sooner for older patients (3 weeks for 40 and under, 1 week for over 40)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Adhesive Capsulitis characteristics

A
  1. Frozen Shoulder

2. inflammatory process following injury or spontaneous (increased risk with diabetes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Adhesive Capsulitis Diagnostic

A

Arthrography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Adhesive Capsulitis Treatment

A
  1. NSAIDs
  2. passive ROM
  3. manipulation under anesthesia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Clavicle Fracture Characteristics

A
  1. most common fracture in children and adolescents

2. fall on outstretched arm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Clavicle Fracture Clinical Features

A
  1. visible deformity

2. brachial plexus injuries? (pain, weak, reflex/sensory abnormalities)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Clavicle Fracture Imaging

A
  1. AP view xray
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Clavicle Fracture Treatment

A
  1. Children: figure-8 sling 4-6 weeks

2. Adults: sling for 6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

AC Separation Characteristics

A

tearing of AC and/or coracoclavicular ligaments

17
Q

AC Separation Imaging Studies

A
  1. Bilateral AP xray
18
Q

AC Separation Treatment

A
  1. Conservative for mild-moderate (managed with sling and anesthesia)
  2. Surgery for more severe
19
Q

Carpal Tunnel Syndrome Characteristics

A

Compression of median nerve

20
Q

Carpal Tunnel Syndrome Clinical Feature

A
  1. night pain, numbness, paresthesias (sparing little finger), clumsiness, weakness
  2. thenar atrophy
  3. Tinel sign (tingling with percussion over volar aspect)
  4. Phalen test (sxs with full flexion of test for >1 min)
21
Q

Carpal Tunnel Syndrome Diagnostic Studies

A
  1. EMG

2. Nerve conduction

22
Q

Carpal Tunnel Treatment

A
  1. activity modification
  2. volar wrist splint
  3. NSAIDs
  4. steroid injection
  5. surgery to decompress nerve
23
Q

Lateral Epicondylitis Characteristics

A
  1. tennis elbow

2. tendinous insertion of extensor carpi radialis brevis

24
Q

Lateral Epicondylitis Clinical Features

A

pain when lifting objects (esp. in pronation)

25
Q

Lateral Epicondylitis Treatment

A
  1. activity modification
  2. counterbalance braces
  3. pick up objects in supination
  4. PT
  5. steroid injections
  6. NSAIDs
  7. surgery for patients who fail 6 months of treatment
26
Q

Olecranon Bursitis Characteristics

A
  1. acute injury or repetitive trauma to olecranon bursa

2. can occur from infection from S. aureus

27
Q

Olecranon Bursitis Clinical Features

A
  1. swelling overlying the olecranon process, usually painless
  2. ROm preserved
28
Q

Olecranon Bursitis Treatment

A
  1. ace wrap compression
  2. aspiration of bursa if infected
  3. NSAIDS, warm compresses
  4. surgical removal
29
Q

Scaphoid Fracture Characteristics

A

most commonly fracture carpal bone

30
Q

Scaphoid Fracture Clinical Features

A

pain over anatomic snuffbox

31
Q

Scaphoid Fracture Imaging

A
  1. long-arm thumb spica cast until bone scan/MRI
32
Q

de Quervain disease Characteristics

A

thumb extensor/abductor stenosing tenosynovitis

33
Q

de Quervain disease Clinical Features

A
  1. pain/tenderness at wrist and base of thumb
  2. swelling/thickening of tendon sheath
  3. Finkelsteins test
34
Q

de Quervain Treatment

A
  1. thumb spica splint
  2. NSAIDs
  3. PT
  4. steroid injection
  5. surgical decompression

MSK (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions