Upper Limb problems (impingement, compression)

Question 1

What test will be positive in shoulder impingement?

Answer 1

Hawkins-Kennedy

Question 2

Is muscle wastage typical to shoulder impingement/ painful arc?

Answer 2

No

Question 3

The pain from painful arc should be present at which degrees?

Answer 3

50-120

Question 4

Painful arc can be caused by

Answer 4

Shoulder arthritis
Calcific tendonitis
Bursitis

Question 5

How is shoulder OA best managed?

Answer 5

Conservatively - surgery and TSR is not as good as TKR/ THR

Question 6

What does TUBS describe?

Answer 6

Traumatic shoulder injury/ instability.
T - Traumatic
U - Unilateral
B - Bankart Lesion
S - Surgery needed`

Question 7

Difference between Bankart & Tay Sachs?

Answer 7

Bankart only involves the shoulder labrum, Tay-Sachs involves both labrum & humeral head

Question 8

What does AMBRI describe?

Answer 8

Atraumatic causes of shoulder instability:

• Atraumatic
• Multidirectional
• Bilateral
• Rehabilitation needed
• Inferior capsular shift

Question 9

What is more common, posterior or anterior shoulder dislocation?

Answer 9

Anterior (95%)

Posterior (5% - light bulb sign)

Question 10

Which nerve is affected in carpal tunnel?

Answer 10

Median nerve

Question 11

How is carpal tunnel treated?

Answer 11

Night splintage, steroid injections, decompression surgery

Question 12

“Parasthesiae/ weakness in the 1-3rd digit and lateral half of the 4th digit” indicates what type of damage?

Answer 12

Median nerve compression/ Carpal Tunnel

Question 13

Cubital tunnel is compression of what

Answer 13

Ulnar nerve

Question 14

“Parasthesiae/ weakness in the lateral half of 4th digit and 5th digit” indicates what nerve is damaged

Answer 14

Ulnar