Upper Extremity complaint Flashcards

1
Q

sudden stretch to the inside of the elbow

A

medial collateral ligament sprain or compressive injury to radial head

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2
Q

supracondylar fracture should ALWAYS be considered with the history of a:

A

FOOSH injury

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3
Q

direct fall onto the tip of the elbow with elbow flexed

A

olecranon fracture or olecranon buritis

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4
Q

sudden traction on the forearm of a young child may result in radial head entrapment called:

A

Nursemaid’s elbow

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5
Q

repetitive flexion and medial elbow pain are suggestive of

A

medial epicondylitis

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6
Q

repetitive extension and lateral elbow pain are associated with

A

lateral epicondylitis

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7
Q

weakness at the elbow without associated pain suggests

A

biceps tendon rupture

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8
Q

restricted passive flexion or extension coupled with trauma suggests

A

joint effusion or fracture

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9
Q

nontraumatic restriction to passive extension suggests

A

tight biceps or anterior capsule

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10
Q

nontrauatic restriction to passive flexion suggests

A

tight triceps or posterior capsule adhesion

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11
Q

locking or crepitus in young pt suggests

A

osteochondritis desiccans

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12
Q

locking or crepitus in older pt suggests

A

degenerative changes

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13
Q

swelling of elbow suggests

A

fracture, bursitis, or gout

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14
Q

Mill’s test is for

A

lateral epicondylitis

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15
Q

reverse Mill’s test is for

A

medial epicondylitis

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16
Q

Cozen’s test is for

A

lateral epicondylitis

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17
Q

Tinel’s test is for

A

ulnar nerve irritation

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18
Q

lateral pain on resisted wrist extension and/or passive flexion of the wrist with the elbow extended and forearm pronated and/or resisted finger extension

A

lateral epicondylitis

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19
Q

medial pain on resisted wrist flexion with the elbow extended and/or passive wrist extension with the elbow extended and forearm supinated and/or resisted finger flexion

A

medial epicondylitis

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20
Q

lateral elbow pain worsened by resisted wrist extension and gripping

A

lateral epicondylitis

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21
Q

often referred to as tennis elbow, 40-60 years old, may cause inability to lift or hold objects

A

lateral epicondylitis

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22
Q

medial elbow pain following a repetitive activity, golfer’s elbow, inticing activity usually involve wrist flexion and pronation

A

medial epicondylitis

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23
Q

elevated anterior fat pad produces

A

sail sign

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24
Q

elevated anterior and posterior fat pads in elbow for adults means

A

radial head fracture

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25
Q

elevated anterior and posterior fat pads in elbow for kids means

A

supracondylar fracture of humerus

26
Q

ulnar shaft fracture with associated proximal dislocated radius

A

Monteggia fracture

27
Q

fracture distal radius and dislocated distal radial ulnar articulation

A

Galeazzi fracture

28
Q

incomplete fracture of forearm

A

greenstick/torus

29
Q

distal radial fracture with dorsal and radial angulation

A

Colles fracture

30
Q

distal radial fracture with volar/palmar angulation

A

Smith’s fracture

31
Q

most common carpal fractured

A

scaphoid

32
Q

70% of scaphoid fractures involve this area

A

the waist

33
Q

scaphoid fracture is most common site for

A

occult fracture

34
Q

pain in the anatomic snuffbox after fall on the outstretched hand

A

scaphoid fracture

35
Q

AVN of lunate

A

Kienbock’s disease

36
Q

radial or dorsal wrist pain following a fall on outstretched hand

A

scapholunate disassociation

37
Q

increased space between the lunate and scaphoid referred to as

A

Terry Thomas sign

38
Q

with scapholunate disassociation, the scaphoid assumes a more vertical orientation and appears as:

A

signet ring sign

39
Q

pie sign is

A

anterior lunate dislocation

40
Q

radial wrist pain, pain is reproduced with resisted thumb extension in the wrist and radial deviation

A

De Quervain’s Tenosynovitis

41
Q

test for de quervain’s tenosynovitis

A

Finkelstein’s

42
Q

most common nerve entrapment syndrome

A

carpal tunnel

43
Q

pain and numbness in palmar surface of thumb and radial 2 1/2 fingers, symptoms worse at night

A

carpal tunnel

44
Q

median nerve issues in wrist could be

A

carpal tunnel, pronator syndrome

45
Q

ulnar nerve issues in wrist could be

A

cubital tunnel syndrome, tunnel of Guyon

46
Q

radial nerve issues in wrist could be

A

radial tunnel syndrome

47
Q

volar forearm pain, no history of trauma, history of repetitive pronation

A

pronator syndrome

48
Q

pain and paresthesia in medial forearm and ring and little finger, history of activities that medially stretch the elbow, usually due to valgus force of the elbow

A

cubital tunnel syndrome

49
Q

complaint of numbness and tingling or pain in the 4th and 5th digits

A

tunnel of guyon

50
Q

complaint of dull aching pain over the lateral forearm, tenderness distal to the lateral epicondyle

A

radial tunnel syndrome

51
Q

when numbness, tingling, or weakness is reported in finger and thumb it is likely

A

peripheral nerve entrapment

52
Q

avulsion of extensor digitorum tendon in hand

A

mallet finger

53
Q

oblique intra-articular fracture at base of thumb with radial deviation of distal fragment

A

bennett’s fracture

54
Q

partial or complete disruption of ulnar collateral ligament of 1st MCP articulation

A

gamekeeper’s thumb

55
Q

marginal erosions of DIP’s and PIP’s, tuft erosions with sharpened pencil appearance, 30-50 year olds, pannus, enthesopathic changes

A

psoriatic arthritis

56
Q

asymmetrical small joint involvement, most common in DIP, peripheral erosions (mouse ear erosions), central erosions (pencil and cup erosions), soft tissue swelling

A

psoriatic arthritis

57
Q

young female in 20-40’s, wrist and finger pain, warm swollen tender joints, bilaterally in MCP and PIP joints, uniform loss of joint space and bare area erosions

A

rheumatoid

58
Q

most common inflammatory arthritis, seropositive, pannus, elevated ESR, positive RA factor

A

RA

59
Q

arthritis mutilans

A

severe joint deformity

60
Q

enlargement of gastrocnemius bursa

A

Baker’s cyst

61
Q

deformity of fingers that has PIP flexion and DIP extension

A

Boutonniere deformity

62
Q

soft tissue swelling at MCP

A

Haygarth’s nodes