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6 Cards in this Set
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A 13-year-old pitcher develops pain over the lateral aspect of his throwing elbow. He has an effusion and a painful click on passive elbow rotation. What is the most likely diagnosis? 1-Tommy John lesion; 2- PLRI
3-OCD; 4-Stress fx; 5-Plica synd |
OCD commonly occurs in gymnasts and adolescent throwing athletes c/o lat elbow pain w/ stiffness, catching, or clicking.Ans 3
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The term internal impingement is used in throwers to describe a condition where the post-supr glenoid labrum impinges on which structure? 1-The ant RC; 2- The post RC; 3-The ant GHL; 4-The pos GHL; 5-The biceps tendon
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Internal impingement is seen in throwers w/ the arm in a cocked position of abd & ER. Often due to post soft tissue tightness, the posterior cuff impinges on the posterior superior labrum and is felt to contribute to SLAP tears and articular sided cuff tears.Ans2
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Hx: baseball pitcher has aching pain in the post shoulder p/ throwing. PE=30 deg IR deficit and is dx'd w/ internal impingement. Stretching should focus on which aspect of the joint capsule? 1-Superior; 2-Anterior; 3-Antero-inferior; 4-Inferior; 5-Postero-inferior
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articular sided rotator cuffs and SLAP tears, (GIRD) contribute to this pathology, Tx is directed at post capsule and rotator cuff stretching. This if often performed with the sleeper stretch.Ans5
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Hx:20yo collegiate footballer was dx'd w/ infectious mononucleosis 4 wks ago, now asymptc. How should you counsel the pt in re: RtP decisions? 1-May RtP now if receives a 4-wk course of PO valacyclovir; 2-May RtP now if no sign of splenomegaly; 3-May RtP in 4 wks if receives a 4-wk course of PO valacyclovir; 4-May RtP in 4 wks if no sign of splenomegaly; 5-May RtP now if no sign of splenomegaly & receives a 4-wk course of PO valacyclovir
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return to all sports 4 wks p/ the onset of sx provided that the spleen has returned to nl size. US has been used to demonstrate that the spleen has returned to nl size, high power showing reactive lymphocytes.Ans2
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If a team experiences an outbreak of community acquired (MRSA), which of the following factors is most likely to be implicated? 1-Presence of turf burns
2-Use of a cold whirlpool; 3-Use of a warm whirlpool; 4-Sharing locker room soap; 5-Sharing locker room towels |
MC'ly reported risk factor for development of CA-MRSA is injury to the skin. The majority of infections occur in body most susceptible to skin trauma, and reports suggest that players involved in frequent, repetitive contact (such as linemen and linebackers in football and forward players in rugby) are most susceptible to infection. Areas of skin injury are believed to facilitate entry of the pathogen.Ans1
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Hx:15yo M has the immediate onset of pain during a 100 m sprint while coming out of the starting blocks and could not complete the race. xray Fig A. What is the next step in managt? 1- Skeletal survey, chest CT, and referral to an orthopaedic oncologist-> bx
2-ORIF; 3-Hip abd brace immob w/ hip in 45 deg of flex & neutral rotation x 6 wks; 4-Protected WBAT 5-Immob 120 deg of knee flex x 24 hrs followed by PT |
Tx includes protected weight bearing and activity limitations until asymptomatic, Avulsion fx commonly in adolescent athletes=sartorius, tensor fascia lata, gluteus medius, and the abdominal muscles. MC sites of apophyseal fx = ASIS (origin of sartorius), ischium (origin of hamstrings), lesser trochanter (iliopsoas), AIIS (rectus femoris) and iliac crest (abdominal muscles).Ans4
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