Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ICM Unit 4 MSK > Upper Extremity Disorders > Flashcards

Upper Extremity Disorders Flashcards

1
Q

What kind of joint is the shoulder?

whats unique about it?

A

ball and socket - very shallow socket

more ROM than any other joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Normal func of shoulder depends on ?

A

normal func of supporting muscles and ligaments - stability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Shoulder pain is how often complained?

A

3rd MC MSK complaint

Traumatic
Atraumatic
Referred

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

History of present illness - Upper extremity

common chief complaints

A

pain
weakness
stiffness
locking
catching
deformity
lack of function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

HPI - upper extremity

A

trauma?
focal vs diffuse pattern
dominant hand?
neurologic complaints?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Imaging

x-rays

A

primary study - painful shoulder

AP in internal/external rotation, axillary & scapular Y views (4 views)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Imaging -

MRI

A

next study of choice

rotator cuff, articular cartilage, labrum path

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Imaging

Ultrasound

A

less sensitive/ specific than MRI

to eval. rotator cuff, biceps tendon tears, calcific deposits, impingement

operator dependent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Imaging

CT

A

fractures, dislocations, arthiritis

better at organs and ligaments than bones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Upper extremities - Treatment

A

initially conservative

pain advances = surgery

refer when - trauma; fx; full thickness ligament/ tendon tears; no response to conserv. tx after 3-6 mos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Sub-acromial impingement Syndrome

A

ROTATOR CUFF TENDONITIS

cause unknown (“hooked” acromion; rotator cuff weakness)

MC >40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Sub-acromial impingement Syndrome

S/S

A

grad onset pain/tenderness on TOP/FRONT of shoulder

Hx recent overactivity (often overhead motion)

+/- swelling

mild popping or cracking sensation?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Sub-acromial impingement Syndrome

PE

A

tenderness to palpa

limited ROM

normal strength (+ neer test; + Hawkins Kennedy test)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Sub-acromial impingement Syndrome

Dx

A

x-ray r/o assoc path

MRI - sus for rotator cuff tear or failure response conserv. tx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Sub-acromial impingement Syndrome

TX

A

1st line = activity modification, NSAIDs, PT

steroid injection
refer if no imprvemt 3 mos or full thickness rotator cuff tear
Surgery after 6 mos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Sub-acromial impingement Syndrome

Prognosis

A

most return to normal func w/i 6 mos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Calcific tendinitis

A

calcification of tendon w/ spontaneous resorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Calcific tendinitis

Clin Pres

A

min. / no sympt. - formative phase

acute pain - resorptive phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Calcific tendinitis

PE

A

may mimic subacromial impingement

strength diff. to assess from pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Calcific tendinitis

DX

A

x-rays

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Calcific tendinitis

Tx

A

same as subacromial impingement (80% improve non-op tx)

daily exercise when acute pain gone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Rotator Cuff

A

stabilizes shoulder - holds head of humerus against glenoid fossa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Rotator cuff muscles and actions

A

Supraspinatus (aBduction)
Infraspinatus (ex. rotation)
Subscapularis (ex. rotation)
Teres Minor (in. rotation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Rotator cuff injuries MC in what pop?

A

older

younger - from trauma/overuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Rotator cuff tear

Mechanism

A

injury during fall
FOOSH OR direct blow

rep. overhead mvmt and lifting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Rotator cuff tear

Clin pres

A

PAIN - OUTSIDE of shoulder and deltoid region

worse w/ specific mvmts
limited ROM
diff. overhead mvmt
May have crepitus, catching or stiffness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Rotator cuff Injuries

PE

A

Weakness of particular muscle involved
Passive ROM normal, painless
Inability to abduct (shoulder shrug)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Rotator cuff injuries

Dx

A

clinical

MRI gold standard

x-rays - bone spurs, high-ride humeral head, <7mm space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Rotator cuff injuries

Tx

A

conservative if no dramatic/progr. weakness

early surgery sometimes
surgery if conserv fails

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Shoulder Instability

A

common cause disability and pain young adults

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Shoulder Instability

2 types and MC in who

A

Unidirectional (males)

Multidirectional (females) - overuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Shoulder Instability

clin pres

A

pain
varying degree instability
sensation of subluxation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Shoulder Instability

PE

A

assess ligamentous & joint laxity - if underlying CT disorder (Marfan, Ehlers-Danlos)

muscle atrophy?

decreased ROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Shoulder Instability

DX - x-rays

A

usually normal
Impression fx posterolateral humeral head (Hill-Sachs lesion)

posterior or ant glenoid bone loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Shoulder Instability - Dx

MRI

A

if no improve w/ initial tx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Shoulder Instability

Tx

A

PT - restore strength muscles
Surgery - recurrent sympt.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Shoulder Dislocations

(2 types and how you get them)

A

Anterior 95% = MC mech.
(FOOSH, abducted arm)

Posterior 5% = MC mech - direct blow ant shoulder, seizure, electrocution
(forced adduction, in. rotation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Risk of dislocation (shoulder) increased by ..

A

poor scapular control

rotator cuff strength

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Shoulder dislocations can cause ___ tears

A

labral

increased risk recurrent dislocations ( <21 yo)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Shoulder Dislocations

Clin pres

A

pain/instability
obvious deformity

Arm ABDUCTED AND EXTERNALLY ROTATED (ant.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Shoulder Dislocations

Dx

A

x-rays

MRI - soft tissue injury concern (often w/ labral tear, rc injury)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Shoulder Dislocations

MRI buzzwords

A

BANKART LESION - detachment ant (inferior) glenoid labrum from rim

HILL-SACHS LESION - defect posterolateral hum head when abraded by ant rim glenoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Shoulder Dislocations

Tx

A

reduction ASAP
immobilization/pendulum exercises
PT
pain control
surgery = recurrent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Acromioclavicular Joint (AC) Sprains/Separations

A

direct blow to tip/edge shoulder OR upward force exerted on long axis of humerus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Acromioclavicular Joint (AC) Sprains/Separations

Grade 1

A

joint intact
mild stretching AC lig
point tenderness to AC joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Acromioclavicular Joint (AC) Sprains/Separations

Grade 2

A

disruption sup and inf AC lig
point tenderness
decreased ROM
instability w/ stress testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Acromioclavicular Joint (AC) Sprains/Separations

Grade 3

A

disruption sup and inf AC lig & coracoclavicular lig
SEVERE pain
deformity w prominence
instability and decreased ROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Acromioclavicular Joint (AC) Sprains/Separations

can do what motion?

A

lift arm above shoulder - painful

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Acromioclavicular Joint (AC) Sprains/Separations

Tx

A

sling
pain control
PT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Shoulder osteoarthritis

A

less common then hip or knee OA

pain and stiffness ; gradual, chronic, progress.

discomfort worse w/ activity (limited overhead, reaching behind back or under opposite axilla)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Shoulder osteoarthritis

Dx

A

x-rays = joint -space narrowing (w/ any arthritis)
osteophyte formation; sclerosis; subchondral cysts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Shoulder osteoarthritis

Tx

A

acetaminophen, NSAIDs
PT
steroid injections
surgery - last resort, arthroscopic debride -> total joint replacement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

AC joint arthritis

A

OA of AC joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

AC joint arthritis

clin pres

A

dull, aching deltoid - worse by mvmt

pain sleeping on affected side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

AC joint arthritis

Dx

A

PE
x-rays
MRI?

steroid injection - diagnostic and therapuetic (ortho)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

AC joint arthritis

Tx

A

activity mod, ice
pain control
steroid injection
surgery? - distal clavicle resection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

Bicipital Tendinitis

A

inflamm of long head biceps tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

Bicipital Tendinitis

cause

A

overuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

Bicipital Tendinitis

occurs in who

A

yound, middle-aged, elderly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

Bicipital Tendinitis

Clin pres

A

pain ANTERIOR shoulder extends distally; worse w/ lifting, pulling, supination, overhead

weakness

pain WORSE AT NIGHT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

Bicipital Tendinitis

PE

A

point tenderness intertubercular sulcus

painful abduction & external rotation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

Bicipital Tendinitis

Dx

A

clinical

x-ray or MRI r/o other path

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

Bicipital Tendinitis

Tx

A

activity mod

NSAIDs

PT
steroid injections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

Bicipital Tendinitis

Test

A

Speed’s test

Yergason’s test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

Fractures

Scapula

A

high energy injury

look for other trauma/injuries to UE and torso

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

Fractures

Clavicle

A

85% mid 1/3 clavicle
MC ped fx (can happen w/ birth)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

Fracture

Humerus (locations)

A

humeral head
Shaft
condyle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

Fractures - treatment

A

reduce if not in anatomic alignment (sling/cast, immobilize)

+/- surgery (refer)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

DeQuervian Tenosynovitis

A

radial styloid tenosynovitis

stenosing tenosynovitis of 1st extensor compartment of wrist

affects APL and EPB

70
Q

DeQuervian Tenosynovitis - MC condition of?

A

2nd MC entrapement condition of hand/wrist

71
Q

DeQuervian Tenosynovitis

cause

A

overuse condition
- rep. use thumb w/ ulnar or radial deviation of wrist

72
Q

DeQuervian Tenosynovitis

MC affects who and what age

A

women 30-50 y/o

73
Q

DeQuervian Tenosynovitis

often coexists with who

A

carpal tunnel syndrome

74
Q

DeQuervian Tenosynovitis

S/S

A

pain, swelling, point tenderness along dorsal RADIAL ASPECT OF WRIST, radial styloid

pain radiates proximally

symp. increase w/ grasping, pinching

75
Q

DeQuervian Tenosynovitis

PE

A

opening, closing hand

passive ROM - no pain -> NOT Dequervains

76
Q

DeQuervian Tenosynovitis

Dx

A

clinical

FINKELSTEIN’S

77
Q

DeQuervian Tenosynovitis

TX

A

THUMB SPICA SPLINT

activity mod.
NSAIDs
PT
Steroid injections

78
Q

Ganglion Cyst

A

cystic structure from synovial sheath

79
Q

Ganglion Cyst MC..

A

soft tissue mass of hand/wrist

80
Q

Ganglion Cyst

MC in who

A

women 3x more likely

20-40 y/o

81
Q

Ganglion Cyst (what symp usually w/ this)

A

usually PAINLESS

60-70% dorsal

82
Q

Ganglion Cyst

PE

A

well-circumscribed, compressible subQ structure

firm, rubbery, slightly moveable

83
Q

Ganglion Cyst
Dx

A

x-ray r/o bony path

84
Q

Ganglion Cyst

Tx

A

observation
reassurance
aspiration? - recurrence common
surgical excision?

85
Q

Dupuytren’s Contracture

A

prog, fibrotic cond. - affects palmar fascia

nodules sm cause flexion deformities/contractures

rarely painful

86
Q

Dupuytren’s Contracture

common in who and what age group

A

men> women

> 50 y/o

87
Q

Dupuytren’s Contracture

risk factors

A

DM
Smokers
Alcohol use
Trauma/ rep. vibratory exposures
Antiepileptic meds
Hyperlipidemia

88
Q

Dupuytren’s Contracture

clin pres

A

stiffness

may have loss of ROM in affected digits
(MC 4th and 5th)

thickening palmar fascia -> nodule on palmar side

painless

89
Q

Dupuytren’s Contracture

PE

A

progress loss full extension

decreased sensation w/ nerve impingement

skin dimpling over flexor tendon - initiallyy

90
Q

Dupuytren’s Contracture

DX

A

clinical

91
Q

Dupuytren’s Contracture

Treatment

A

watchful waiting
IL steroid injections
Surg? - func. impairment or worsening

92
Q

OA at base of thumb

A

MC arthritis of hand - requires surg intervention

high incidence OA b/c thumb moves in 3 diff planes

93
Q

OA at base of thumb

clin pres

A

grad onset aching pain, stiffness

94
Q

OA at base of thumb

dx

A

x-rays

95
Q

OA at base of thumb

tx

A

activity mod
NSAIDs
thumb spica splint
surg?

96
Q

Finger dislocations

MC mechanism..

A

hyperextension

97
Q

Finger dislocations

MC dislocations..

A

PIP

98
Q

Finger dislocations

Clin pres

A

swelling, pain, deformity, limited ROM

99
Q

Finger dislocations

Dx

A

x-rays

100
Q

Finger dislocations

tx

A

immediate reduction

splint

101
Q

Mallet Finger

A

rupture of extensor tendon (often w. avulsion fx)

102
Q

Mallet Finger

inability to do what motion in what joint

A

extension DIP

103
Q

Mallet Finger

usually from…

A

direct blow to fingertip

104
Q

Mallet Finger

tx

A

extension splint (X6 wks + )

surg?

105
Q

Boutonniere Deformity

usually from

A

improperly tx dislocations/ tendon ruptures

106
Q

Boutonniere Deformity

inability to do what motion and where

A

extend PIP

secondary hyperextension at DIP

107
Q

Boutonniere Deformity

Dx

A

x-rays if bony path concern

108
Q

Boutonniere Deformity

tX

A

splint PIP joint (6wks)
Leave DIP free to flex

Surgery

109
Q

Jersey Finger

A

rupture flexor digitorum profundus (FDP) from distal attachment

110
Q

Jersey Finger

common mechanism

A

finger caught in jersey

111
Q

Jersey Finger

what finger most common?

A

ring finger

112
Q

Jersey Finger
Tx

A

surgery - w/i 10-14 days before tendon shrinks

splint

113
Q

Gamekeeper’s Thumb

A

injury to ULNAR COLLATERAL lig of thumb at MCP joint

114
Q

Gamekeeper’s Thumb

often assoc w fx where?

A

at base of proximal phalanx

115
Q

Gamekeeper’s Thumb

instability of

A

MCP and decreased thumb grip strength

116
Q

Gamekeeper’s Thumb

AKA

A

skier’s thumb - FOOSH while gripping pole

117
Q

Gamekeeper’s Thumb

Tx

A

thumb spica splint/cast - immob. 6 wks

surgery - open repair avulsed ligament

118
Q

Colles Fracture

where is fx?
where is it displaced?

A

FX OF DISTAL RADIUS

DORSAL DISPLACEMTN

119
Q

Colles Fracture

result from

A

FOOSH

120
Q

Colles Fracture

clin pres

A

swelling, ecchymosis, tenderness, painful ROM distal forearm

121
Q

Colles Fracture

PE

A

DINNER FORK DEFORMITY

122
Q

Colles Fracture

DX

A

x-rays

123
Q

Colles Fracture

Tx

A

non-displaced = long-arm splint -> to short-arm cast

displaced = closed reduction, long-arm SUGAR TONG SPLINT -> cast

124
Q

Smith’s Deformity

where is fx?
what direction displacement?

A

FX OF DISTAL RADIUS

PALMAR DISPLACEMENT

125
Q

Smith’s Deformity

result of..

A

fall onto flexed wrist

126
Q

Smith’s Deformity

clin pres

A

same as Colles fx

127
Q

Smith’s Deformity

PE

A

visible abnormilty

128
Q

Smith’s Deformity

dx

A

x-rays

129
Q

Smith’s Deformity

tx

A

closed reduction
(sugar tong splint)

surg - ORIF

130
Q

Wrist fx

Mnemonics GRUesome MURder, MUGR

A

Monteggia’s
- proximal Ulna fx
- dislocation of Radial head

Galeazzi’s fx
- distal Radius fx
- Ulnar subluxation

131
Q

Scaphoid fx

MC..

A

FX BONE OF WRIST

132
Q

Scaphoid fx

receives blood via..

A

retrograde flow from radial artery

133
Q

Scaphoid fx

hallmark -

A

pain in “anatomic snuffbox”

134
Q

Scaphoid fx

clin pres

A

pain or tenderness in snuffbox + no obvi fx on x-ray = splint and repeat x-rays in 2wks

135
Q

Scaphoid fx

tx

A

thumb spica splint

136
Q

Boxer’s Fracture

A

fx of 5th metacarpal

137
Q

Boxer’s Fracture

common mech.

A

closed fist strike

138
Q

Boxer’s Fracture

tx

A

reduce and splint
ulnar gutter
surg if >40 degrees displacement or rotational deformity

139
Q

Subungual hematoma

A

blood trapped under nail after trauma

140
Q

Subungual hematoma

clin pres

A

pain and throbbing distal pharynx secondary to trauma f

141
Q

Subungual hematoma

dx

A

clinical

x-ray r/o fx (esp if >50% nail)

142
Q

Subungual hematoma

tx

A

Trephination
- cautery

fx + hematoma = open fx = ABX

Tetanus!

143
Q

Subungual hematoma

refer for

A

intraarticular fx
extensive nail bed injury
infected wounds

144
Q

Epicondylitis

A

acute, injury/inflamm resulting from rep. or overuse

145
Q

Epicondylitis

what age group?
which arm?

A

40-50 y/o
dominant arm

146
Q

Epicondylitis

Lateral epicondylitis

A

“tennis elbow”

  • overuse injury to EXTENSOR SUPINATOR
  • point tenderness over lateral epicondy
  • reproducible pain w/ resistance to extension/supination
147
Q

Epicondylitis

Medial epicondylitis

A

“golfer/little league elbow”

  • overuse injury to FLEXOR PRONATOR
  • point tenderness over medial epicond
  • reproducible pain w/ resistance to wrist flexion/pronation
148
Q

Epicondylitis

PE

A

tenderness over affected epicond. (1-2cm distal)

eval. neck for cervical radiculopathy

149
Q

Epicondylitis

dx

A

clinical

MRI only if fail conserv. therapy

150
Q

Epicondylitis

tx

A

Rest
NSAIDs
elbow strap
PT
steroid injection?
surgical debridement of tendon attachment

151
Q

Cubital Tunnel Syndrome

A

ulnar n. entrapement at cubital tunnel

152
Q

Cubital Tunnel Syndrome

clin pres

A

paresthesias, tingling, numbness medial hand, 1/2 4th digit, entire 5th

worse w/ repeated flexion or pressure of elbow

weakness; pain at elbow/arm

153
Q

Cubital Tunnel Syndrome

PE

A

decreased sensation ulnar distribution

Tinel sign at elbow (tap on area - shooting pain to hand)

weakness/ atrophy of ulnar-innerv. hand muscles

154
Q

Cubital Tunnel Syndrome

dx

A

EMG
ultrasound

155
Q

Cubital Tunnel Syndrome

TX

A

avoid aggravating mvmts
elbow pads
surg to decompress n. in tunnel

156
Q

Olecranon Bursitis

A

inflamm. of olecranon bursa

157
Q

Olecranon Bursitis

common in who and what age group?

A

males>females
30-60 y/o

158
Q

Olecranon Bursitis

cause

A

rep. motion of microtrauma
systemic dz
staph aureus

159
Q

Olecranon Bursitis

clin pres

A

swelling, pain over olecranon bursa
50% have warmth
If infected - pain, warmth, redness

160
Q

Olecranon Bursitis

PE

A

localized bursal swelling and fluctuance

if signif. tenderness or systemic fever, more likely septic bursitis

161
Q

Olecranon Bursitis

Dx

A

clinical

x-ray if traumatic

aspirate - if infxn concern

162
Q

Olecranon Bursitis

Tx

A

elbow pad
rest, ice, NSAIDs, small vol. steroid injection
Surg

if septic = aspiration and PO abx

163
Q

Fractures of elbow

typical mechanism

A

FOOSH

164
Q

Supracondylar humerus fx

A

MC occult fx in CHILDREN of elbow

165
Q

Radial head fx

A

MC occult fx of elbow in ADULTS

166
Q

Fractures (3 types in slides)

A

supracondylar humerus fx
Olecranon fx
Radial head fx

167
Q

Fractures of elbow

s/s

A

pain, swelling, decreased ROM

168
Q

Fractures of elbow

dx

A

x-rays

SAIL SIGN = presence of joint effusion
POSTERIOR FAT PAD SIGN

169
Q

Fractures of elbow

Tx

A

splint/sling
Pain control
Ortho: f/u x-rays
Surg?

170
Q
A

ICM Unit 4 MSK (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions