Upper Extremity Conditions

Question 1

peripheral nerve involvement of the spinal accessory nerve would show as:

Answer 1

inability to abduct past 90*, pain in shoulder on abduction

Question 2

peripheral nerve involvement of long thoracic nerve would show as

Answer 2

pain with fully flexing an extended arm, inability to fully flex an extended arm, winging at 90* flexion

Question 3

peripheral nerve involvement of the supra scapular nerve would show as

Answer 3

increased pain with forward flexion, shoulder weakness, pain increases with abduction and cervical rotation to the opposite side

Question 4

peripheral nerve involvement of the axillary nerve signs:

Answer 4

inability to abduct the arm with neutral rotation

Question 5

capsular pattern of the shoulder

Answer 5

ER>ABD>IR

Question 6

open packed position of the glenohumeral joint

Answer 6

55 ABD, 30 horizontal rotation neutral rotation

Question 7

closed packed position of the glenohumeral joint

Answer 7

Full ABD and ER

Question 8

convex concave rule of GH joint

Answer 8

convex humerus on a concave glenoid

Question 9

SLAP type 1

Answer 9

fraying of the labrum, no detachment

Question 10

SLAP type 2

Answer 10

superior labrum is completely torn off the glenoid

Question 11

SLAP type 2a

Answer 11

tear of superior labrum is only anterior to midpoint of biceps

Question 12

SLAP type 2b

Answer 12

tear of the superior labrum is only posterior tot the midpoint of the biceps tendon

Question 13

SLAP type 2c

Answer 13

tear of superior labrum both anterior and posterior

Question 14

SLAP type 3

Answer 14

bucket handle: biceps intact

Question 15

SLAP type 4

Answer 15

labrum and LHB torn

Question 16

Bankhart lesion is

Answer 16

a tear of the rim below the middle of the gleaned socket - mostly will occur with dislocations

Question 17

hill sachs lesion

Answer 17

compression of the posterolateral head of the humerus

Question 18

common compression sites of TOS

Answer 18

scalene triangle, between clavicle and first rib, between pec minor and thoracic wall, superior thoracic outlet

Question 19

osteochondrosis of humeral capitellum

Answer 19

bone fragment becomes detached caused by repetitive compressive forces between radial head and capitulum; occurs in kids 12-15

Question 20

Panner’s disease

Answer 20

a localized avascular necrosis of capitellum ; 10 and younger

Question 21

DE quervians tenosynovitis is inflammation of what tendons

Answer 21

extensor pollicis brevis and abductor pollicis longus

Question 22

difference between colles and smith fracture

Answer 22

radius dispalces dorsally/posteriorly in colles and volarly in smith’s.

Question 23

Dupuytren’s contracture

Answer 23

contracture of palmar fascia usually effecting MCP and PIP of 4th and 5th fingers in on diabetic individuals. Affects 3rd and 4th in diabetics

Question 24

Ape hand is a dysfunction of what nerve

Answer 24

median: inability to abduct the thumb away from the rest of the hand

Question 25

What is mallet finger and MOI

Answer 25

rupture/avulsion of extensor tendon at its insertion onto the DIP. Caused by forceful flexion of DIP

Question 26

what is gamekeeper’s thumb

Answer 26

damage to UCL of thumb

Question 27

What is Boxer Fracture

Answer 27

fracture of the neck of fifth metacarpal due to improper punch usually