Upper Extremity complaint

Question 1

sudden stretch to the inside of the elbow

Answer 1

medial collateral ligament sprain or compressive injury to radial head

Question 2

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

Answer 2

FOOSH injury

Question 3

direct fall onto the tip of the elbow with elbow flexed

Answer 3

olecranon fracture or olecranon buritis

Question 4

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

Answer 4

Nursemaid’s elbow

Question 5

repetitive flexion and medial elbow pain are suggestive of

Answer 5

medial epicondylitis

Question 6

repetitive extension and lateral elbow pain are associated with

Answer 6

lateral epicondylitis

Question 7

weakness at the elbow without associated pain suggests

Answer 7

biceps tendon rupture

Question 8

restricted passive flexion or extension coupled with trauma suggests

Answer 8

joint effusion or fracture

Question 9

nontraumatic restriction to passive extension suggests

Answer 9

tight biceps or anterior capsule

Question 10

nontrauatic restriction to passive flexion suggests

Answer 10

tight triceps or posterior capsule adhesion

Question 11

locking or crepitus in young pt suggests

Answer 11

osteochondritis desiccans

Question 12

locking or crepitus in older pt suggests

Answer 12

degenerative changes

Question 13

swelling of elbow suggests

Answer 13

fracture, bursitis, or gout

Question 14

Mill’s test is for

Answer 14

lateral epicondylitis

Question 15

reverse Mill’s test is for

Answer 15

medial epicondylitis

Question 16

Cozen’s test is for

Answer 16

lateral epicondylitis

Question 17

Tinel’s test is for

Answer 17

ulnar nerve irritation

Question 18

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

Answer 18

lateral epicondylitis

Question 19

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

Answer 19

medial epicondylitis

Question 20

lateral elbow pain worsened by resisted wrist extension and gripping

Answer 20

lateral epicondylitis

Question 21

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

Answer 21

lateral epicondylitis

Question 22

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

Answer 22

medial epicondylitis

Question 23

elevated anterior fat pad produces

Answer 23

sail sign

Question 24

elevated anterior and posterior fat pads in elbow for adults means

Answer 24

radial head fracture

Question 25

elevated anterior and posterior fat pads in elbow for kids means

Answer 25

supracondylar fracture of humerus

Question 26

ulnar shaft fracture with associated proximal dislocated radius

Answer 26

Monteggia fracture

Question 27

fracture distal radius and dislocated distal radial ulnar articulation

Answer 27

Galeazzi fracture

Question 28

incomplete fracture of forearm

Answer 28

greenstick/torus

Question 29

distal radial fracture with dorsal and radial angulation

Answer 29

Colles fracture

Question 30

distal radial fracture with volar/palmar angulation

Answer 30

Smith's fracture

Question 31

most common carpal fractured

Answer 31

scaphoid

Question 32

70% of scaphoid fractures involve this area

Answer 32

the waist

Question 33

scaphoid fracture is most common site for

Answer 33

occult fracture

Question 34

pain in the anatomic snuffbox after fall on the outstretched hand

Answer 34

scaphoid fracture

Question 35

AVN of lunate

Answer 35

Kienbock's disease

Question 36

radial or dorsal wrist pain following a fall on outstretched hand

Answer 36

scapholunate disassociation

Question 37

increased space between the lunate and scaphoid referred to as

Answer 37

Terry Thomas sign

Question 38

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

Answer 38

signet ring sign

Question 39

pie sign is

Answer 39

anterior lunate dislocation

Question 40

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

Answer 40

De Quervain's Tenosynovitis

Question 41

test for de quervain's tenosynovitis

Answer 41

Finkelstein's

Question 42

most common nerve entrapment syndrome

Answer 42

carpal tunnel

Question 43

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

Answer 43

carpal tunnel

Question 44

median nerve issues in wrist could be

Answer 44

carpal tunnel, pronator syndrome

Question 45

ulnar nerve issues in wrist could be

Answer 45

cubital tunnel syndrome, tunnel of Guyon

Question 46

radial nerve issues in wrist could be

Answer 46

radial tunnel syndrome

Question 47

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

Answer 47

pronator syndrome

Question 48

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

Answer 48

cubital tunnel syndrome

Question 49

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

Answer 49

tunnel of guyon

Question 50

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

Answer 50

radial tunnel syndrome

Question 51

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

Answer 51

peripheral nerve entrapment

Question 52

avulsion of extensor digitorum tendon in hand

Answer 52

mallet finger

Question 53

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

Answer 53

bennett's fracture

Question 54

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

Answer 54

gamekeeper's thumb

Question 55

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

Answer 55

psoriatic arthritis

Question 56

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

Answer 56

psoriatic arthritis

Question 57

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

Answer 57

rheumatoid

Question 58

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

Answer 58

RA

Question 59

arthritis mutilans

Answer 59

severe joint deformity

Question 60

enlargement of gastrocnemius bursa

Answer 60

Baker's cyst

Question 61

deformity of fingers that has PIP flexion and DIP extension

Answer 61

Boutonniere deformity

Question 62

soft tissue swelling at MCP

Answer 62

Haygarth's nodes