UPPER Extremity Flashcards
Radial head entrapment is often called
Nursemaids elbow
Locking or crepitus of the elbow in a young patient means
Osteochondroma desiccans
What tests lateral epicondilitis
Mills, cozens
Reverse mills and tinsel’s test
Medial epicondylitis
Major muscle involved with lateral epicondylitis
Extensor carpi radialis brevis
What is a chisel fx
Occurs at the radial head and is cortical disruption
What is monteggia fx
Ulnar shaft fx with associated proximal dislocated radius
Galeazzi fx is
Fracture at distal radius and dislocated distal radial ulnar articulation
Green stick/torus fx is
Incomplete fx
Colles fx is
Distal radial fracture with dorsal and radial angulation
Smiths fx is
Distal radial fracture with volar/palmer angulation
Smiths fx also has
Distal fragment is anteriorly displaced
What is the MC carpal fx
Scaphoid during FOOSH
Where is the MC scaphoid fx at
The waist
Best xray view for suspected xray fracture
ULNAR flexion/deviation radiograph
What is the MC site of an occult fx
Scaphoid
How do u know the scaphoid is having AVN after a fx
It will become more dense esp at the proximal pole
Kienbock’s disease is
AVN of the lunate
Increased space between lunate and scaphoid is called
Terry Thomas sign
Aka David letterman’s sign
During scapholunate disassociation the scaphoid does what
Becomes more vertical and appears as a “signet ring sing”
Pie sign is associated with
Anterior lunate dislocation
De Quervain’s Tenosynovitis is ortho tested using
Finkelstein’s
Flick sign is associated with
CTS, is what patient will do if they have it is flick their wrist and hand
Median nerve/pronator syndrome is trapped
By the pronator teres
Most proximal spot of entrapment of median nerve
Ligament struthers
Tunnel of guyon is
Where the groove between the pisiform and hook of hamate where the ulnar nerve can become compressed
Handlebar palsy involves what nerve
Ulnar N
Mallet finger is
Avulsion of the extensor digitorum tendon
What is boxers fracture
Of the 5 metacarpal head
What is baseball or Mallet finger
Avulsion of the extensor tendon at its insertion on the dorsal surface of the base of the distal phalanx
What is bennet’s fracture
Oblique intra articular fx at the base of the thumb with radial deviation of the distal fragment
What is Rolandos fracture
Intrarticular comminuted fracture at the base of the 1st metacarpal with radial displacement
Gamekeepers thumb is
Disruption of the ulnar collateral ligament of the 1st MCP articulation
AKA skier’s thumb
Psoriatic arthritis is
Marginal erosion of the DIPS and PIPS
Seronegative
ASYMMETRICAL
Mouse ears. Or pencil and cup indicates
Psoriatic arthritis
Sausage digit or cocktail sausage digit indicates
Psoriatic arthritis
Where does Rheumatoid likely attack
BILATERAL MCP and PIP
Female 20-40
Bakers cyst is
Enlargement of the gastrocnemius bursa
Boutonnière deformity
PIP flexion DIP extension
Felty’s syndrome is
Leukopenia, splenomegaly and RA
Haygarth’s nodes are
Soft tissue swelling of MCP
Rat bite erosions are found with
Early RA
Heberdens nodes occur where
DIPS
