UPPER Extremity Flashcards

1
Q

Radial head entrapment is often called

A

Nursemaids elbow

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2
Q

Locking or crepitus of the elbow in a young patient means

A

Osteochondroma desiccans

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3
Q

What tests lateral epicondilitis

A

Mills, cozens

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4
Q

Reverse mills and tinsel’s test

A

Medial epicondylitis

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5
Q

Major muscle involved with lateral epicondylitis

A

Extensor carpi radialis brevis

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6
Q

What is a chisel fx

A

Occurs at the radial head and is cortical disruption

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7
Q

What is monteggia fx

A

Ulnar shaft fx with associated proximal dislocated radius

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8
Q

Galeazzi fx is

A

Fracture at distal radius and dislocated distal radial ulnar articulation

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9
Q

Green stick/torus fx is

A

Incomplete fx

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10
Q

Colles fx is

A

Distal radial fracture with dorsal and radial angulation

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11
Q

Smiths fx is

A

Distal radial fracture with volar/palmer angulation

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12
Q

Smiths fx also has

A

Distal fragment is anteriorly displaced

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13
Q

What is the MC carpal fx

A

Scaphoid during FOOSH

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14
Q

Where is the MC scaphoid fx at

A

The waist

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15
Q

Best xray view for suspected xray fracture

A

ULNAR flexion/deviation radiograph

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16
Q

What is the MC site of an occult fx

A

Scaphoid

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17
Q

How do u know the scaphoid is having AVN after a fx

A

It will become more dense esp at the proximal pole

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18
Q

Kienbock’s disease is

A

AVN of the lunate

19
Q

Increased space between lunate and scaphoid is called

A

Terry Thomas sign

Aka David letterman’s sign

20
Q

During scapholunate disassociation the scaphoid does what

A

Becomes more vertical and appears as a “signet ring sing”

21
Q

Pie sign is associated with

A

Anterior lunate dislocation

22
Q

De Quervain’s Tenosynovitis is ortho tested using

A

Finkelstein’s

23
Q

Flick sign is associated with

A

CTS, is what patient will do if they have it is flick their wrist and hand

24
Q

Median nerve/pronator syndrome is trapped

A

By the pronator teres

25
Q

Most proximal spot of entrapment of median nerve

A

Ligament struthers

26
Q

Tunnel of guyon is

A

Where the groove between the pisiform and hook of hamate where the ulnar nerve can become compressed

27
Q

Handlebar palsy involves what nerve

A

Ulnar N

28
Q

Mallet finger is

A

Avulsion of the extensor digitorum tendon

29
Q

What is boxers fracture

A

Of the 5 metacarpal head

30
Q

What is baseball or Mallet finger

A

Avulsion of the extensor tendon at its insertion on the dorsal surface of the base of the distal phalanx

31
Q

What is bennet’s fracture

A

Oblique intra articular fx at the base of the thumb with radial deviation of the distal fragment

32
Q

What is Rolandos fracture

A

Intrarticular comminuted fracture at the base of the 1st metacarpal with radial displacement

33
Q

Gamekeepers thumb is

A

Disruption of the ulnar collateral ligament of the 1st MCP articulation

AKA skier’s thumb

34
Q

Psoriatic arthritis is

A

Marginal erosion of the DIPS and PIPS

Seronegative

ASYMMETRICAL

35
Q

Mouse ears. Or pencil and cup indicates

A

Psoriatic arthritis

36
Q

Sausage digit or cocktail sausage digit indicates

A

Psoriatic arthritis

37
Q

Where does Rheumatoid likely attack

A

BILATERAL MCP and PIP

Female 20-40

38
Q

Bakers cyst is

A

Enlargement of the gastrocnemius bursa

39
Q

Boutonnière deformity

A

PIP flexion DIP extension

40
Q

Felty’s syndrome is

A

Leukopenia, splenomegaly and RA

41
Q

Haygarth’s nodes are

A

Soft tissue swelling of MCP

42
Q

Rat bite erosions are found with

A

Early RA

43
Q

Heberdens nodes occur where

A

DIPS