Upper limb pathology

Question 1

What test do we use for shoulder impingement?

Answer 1

Hawkins test

Question 2

What are the three possible treatments for shoulder impingement?

Answer 2

Physiotherapy, subacromial injection (steroids and local anaesthetic), subacromial decompression.

Question 3

Which rotator cuff muscle is most commonly torn?

Answer 3

Supraspinatus

Question 4

How would we treat rotator cuff tears?

Answer 4

1) Conservative- e.g. physio
2) Repair: open or arthroscopic
3) Reverse polarity replacement.

Question 5

What are the main symptoms of adhesive capsulitis?

Answer 5

Severe pain and stiffness in external rotation.

Question 6

What are the 3 phases of adhesive capsulitis?

Answer 6

1) pain
2) stiffness
3) recovery (thawing)

Question 7

How do we treat tennis elbow?

Answer 7

Rest, activity modification, injections.

RARELY surgery.

Question 8

What surgery would we use to treat CMC arthritis of the thumb?

Answer 8

Trapeziectomy

Question 9

What is the surgical treatment for Dupuytren’s disease?

Answer 9

Palmar fasciectomy

Question 10

What are the contents of the carpal tunnel?

Answer 10

10 structures: 9 tendons and 1 nerve.
Median nerve
4 FDS tendons
4 FDP tendons
Tendon of flexor pollicis longus

Question 11

What are the two tests for carpal tunnel syndrome?

Answer 11

Tinnel’s test

Phalen’s test