Upper Extremity Path Flashcards
How does a typical clavicle fracture displace?
lateral fragment pulls inferior
Which direction does the GH joint tend to dislocate?
anterior
What is the most common nerve deficit with a GH dislocation?
axillary nerve
What is important to do when checking MSK injuries with X-ray?
orthoganal views (2 90 degrees from each other)
What is a key x-ray for a GH dislocation?
axillary view
How does a biceps tendon rupture present?
“Popeye”
ecchymoses
What is adhesive capsulitis? Causes (4)?
painful loss of motion in the shoulder
diabetes, breast/lung surgery, thyroid disorder, sling use
What is subacromial bursitis associated with?
rotator cuff injury
What is seen on physical exam with subacromial bursitis?
positive impingement maneuvers
What is calcific tendinitis?
calcium deposits in rotator cuff cause inflammation and impingement
What are physical exam findings for carpal tunnel syndrome?
positive provocative tests
decreased sensation in three fingers
thenar atrophy
Why is carpal tunnel syndrome worse at night?
people sleep in flexion, adding pressure in the carpal tunnel
What is cubital tunnel syndrome?
compression of ulnar nerve in elbow
Who gets ulnar nerve compression at the canal of Guyon?
cyclists
What is Volkmann Ischemic Contracture?
flexion of elbow, wrist, fingers due to compartment syndrome and brachial ischemia
