Upper limb conditions

Question 1

1) What is rotator cuff impingement?
2) What part of a shoulder exam would highlight this pathology?

Answer 1

1) Catching of the supraspinatus tendon between the undersurface of the acromion process and the greater tuberosity of the humerus during arm elevation/abduction
2) Positive shoulder impingement test - painful arc 60-120 degrees

Question 2

What plane of shoulder dislocation is the most common?

Answer 2

Anterior

Question 3

Bankart lesion is a structural lesion where?

Answer 3

Anteriorinferior glenoid labrum

Question 4

Hill Sach’s fracture is an impaction fracture of what?

Answer 4

Posterolateral humeral head

Question 5

Cubital tunnel syndrome is due to what nerve being trapped at the elbow?

Answer 5

Ulnar nerve

Question 6

Inflammation of the common flexor origin is called what?

Answer 6

Medial epicondylitis (golfer’s elbow)

Question 7

Inflammation of the common extensor origin is called what?

Answer 7

Lateral epicondylitis (tennis elbow)

Question 8

1) What is the pathophysiology of trigger digit?
2) What happens in trigger finger?
3) What is the 1st line treatment of trigger finger?

Answer 8

1) Thickening of tendon sheath that can prevent tendons from moving freely
2) Tendon becomes caught in flexion - i.e. after making a fist, affected finger gets stuck in flexed position
3) Steroid injection

Question 9

Does Dupuytren’s contracture cause a flexion or an extension deformity?

Answer 9

Flexion