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18 Cards in this Set

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ABOS-Super 7-->1 dx/def/cause, 2 findings/PE, 3 See/Images, 4 Confirmation , 5a/b Tx A-conservative B Indication Surgery 6 Risks  7 how long & HA-hx/Associations--3 what do I see  in these Images?

1-cause, 2-findings, 3-see, 4-cofirmation, 5-aTX,b indications, 6-risks, 7-time)

3 what do I see in these Images?

a partial articular surface tendon avulsion (PASTA) lesion of the supraspinatus.
a partial articular surface tendon avulsion (PASTA) lesion of the supraspinatus.
Confirmation , 5a/b Tx A-conservative B Indication Surgery 6 Risks  7 how long & HA-hx/Associations--3 what do I see  in these Images?
1-cause, 2-findings, 3-see, 4-cofirmation, 5-aTX,b indications, 6-risks, 7-time)

3 what do I see in these Images?
Disrupted anterior scapular periosteum differentiates a Bankart lesion from its variants where periosteum remains intact. An ALPSA lesion
An ALPSA lesion
Disrupted anterior scapular periosteum differentiates a Bankart lesion from its variants where periosteum remains intact.
2
Confirmation , 5a/b Tx A-conservative B Indication Surgery 6 Risks  7 how long & HA-hx/Associations--3 what do I see  in these Images?
1-cause, 2-findings, 3-see, 4-cofirmation, 5-aTX,b indications, 6-risks, 7-time)

-3 what do I see in these Images?
A GLAD lesion is a tear of the anterior inferior labrum (nondisplaced) with avulsion of the adjacent glenoid cartilage

A GLAD lesion is a tear of the anterior inferior labrum (nondisplaced) with avulsion of the adjacent glenoid cartilage

3
Confirmation , 5a/b Tx A-conservative B Indication Surgery 6 Risks  7 how long & HA-hx/Associations--3 what do I see  in these Images?
1-cause, 2-findings, 3-see, 4-cofirmation, 5-aTX,b indications, 6-risks, 7-time)

3 what do I see in these Images?
A HAGL lesion (Illustration D) is where the inferior glenohumeral ligament avulses from the inferior humeral neck.A HAGL lesion (Illustration D) is where the inferior glenohumeral ligament avulses from the inferior humeral neck.
A HAGL lesion
is where the inferior glenohumeral ligament avulses from the inferior humeral neck.
4
Confirmation , 5a/b Tx A-conservative B Indication Surgery 6 Risks  7 how long & HA-hx/Associations--3 what do I see  in these Images?
1-cause, 2-findings, 3-see, 4-cofirmation, 5-aTX,b indications, 6-risks, 7-time)

3 what do I see in these Images?
Superior labral tears anterior to posterior to the biceps root are known as SLAP tears (Illustration E) .
Superior Labral tears Anterior to Posterior
to the biceps root are known as SLAP tears
5
1-cause, 2-findings, 3-see, 4-cofirmation, 5-aTX,b indications, 6-risks, 7-time)

3 What do you see?
(recommended views looking for- pathopnemonic findings? MRI looking for complete vs partial, location-junction, intra-substance,  bone)
1-cause, 2-findings, 3-see, 4-cofirmation, 5-aTX,b indications, 6-risks, 7-time)

3 What do you see?
(recommended views looking for- pathopnemonic findings? MRI looking for complete vs partial, location-junction, intra-substance, bone)
3 MRI  sagital view T1
triceps tear- 
-most common rupture at the insertion of medial or lateral head
-less frequently through muscle belly or musculotendinous junction
3 MRI sagital view T1
triceps tear-
-most common rupture at the insertion of medial or lateral head
-less frequently through muscle belly or musculotendinous junction
1-cause, 2-findings, 3-see, 4-cofirmation, 5-aTX,b indications, 6-risks, 7-time)

1 what cause it ? Associations, (6)
 ( Dx/def/cause, mech of PA, epidemiology)
1-cause, 2-findings, 3-see, 4-cofirmation, 5-aTX,b indications, 6-risks, 7-time)

1 what cause it ? Associations, (6)
( Dx/def/cause, mech of PA, epidemiology)
triceps rupture
- systemic illness (renal osteodystrophy)
-anabolic steroid use
-local steroid injection  -flouroquinolone use ex cipro--active against broad spectrum of
aerobic gram negative and positive bacteria  CI  stroke, epilepsy, long Q-T 
-ch
triceps rupture
- systemic illness (renal osteodystrophy)
-anabolic steroid use
-local steroid injection -flouroquinolone use ex cipro--active against broad spectrum of
aerobic gram negative and positive bacteria CI stroke, epilepsy, long Q-T
-chronic olecranon bursitis -previous triceps surgery
1-cause, 2-findings, 3-see, 4-cofirmation, 5-aTX,b indications, 6-risks, 7-time)

3 recommended views looking for- pathopnemonic findings?
1-cause, 2-findings, 3-see, 4-cofirmation, 5-aTX,b indications, 6-risks, 7-time)

3 recommended views looking for- pathopnemonic findings?
x-ray AP & Lat
Lateral-looking for FLAKE sign
Lateral Elbow Xray- Forearm in suppination

    1Humeral Shaft
    2Olecranon fossa
    3Olecranon
    4Medial and lateral epicondyle overlapping
    5Conoid tubercle
    6Radial head
    7Radial ube
x-ray AP & Lat
Lateral-looking for FLAKE sign
Lateral Elbow Xray- Forearm in suppination

1Humeral Shaft
2Olecranon fossa
3Olecranon
4Medial and lateral epicondyle overlapping
5Conoid tubercle
6Radial head
7Radial uberosity
8Radial shaft
9Ulnar shaft
A/P Elbow Xray - Forearm in suppination
A/P Elbow Xray - Forearm in suppination
A/P Elbow Xray - Forearm in suppination

1    Humeral Shaft
 2   Olecranon fossa
  3  Lateral epicondyle
4    Medial epicondyle
 5   Capitellum
  6  Radial head
 7   Trochlea
 8  Conoid tubercle
 9  Radial tuberosity
  10  Ulnar Shaft
A/P Elbow Xray - Forearm in suppination

1 Humeral Shaft
2 Olecranon fossa
3 Lateral epicondyle
4 Medial epicondyle
5 Capitellum
6 Radial head
7 Trochlea
8 Conoid tubercle
9 Radial tuberosity
10 Ulnar Shaft
5a/b what is the treatment?
A (conservative treatment is
B surgical indications are:
5a/b what is the treatment?
A (conservative treatment is
B surgical indications are:
Non-operative indications
 -partial tears and able to extend against gravity
-low demand patients in poor health

primary surgical repair indications
-<3wks acute complete tears
 -partial tears (>50%) with significant weakness
 > 3wks delayed recon
Non-operative indications
-partial tears and able to extend against gravity
-low demand patients in poor health

primary surgical repair indications
-<3wks acute complete tears
-partial tears (>50%) with significant weakness
> 3wks delayed reconstruction may need tendon graft
6 what are risks with treatment/non treatment?
(complications)
6 what are risks with treatment/non treatment?
(complications)
Elbow stiffness
    Ulnar nerver injury
    Failure of repair
Elbow stiffness
Ulnar nerver injury
Failure of repair
2 what are your findings?
(hx,  symptoms and PE)
2 what are your findings?
(hx, symptoms and PE)
History
patients often note a painful pop
 
Symptoms
-loss of ability to extend elbow against gravity
    
Physical exam
-may have palpable gap
 swelling, ecchymosis, and pain
History
patients often note a painful pop

Symptoms
-loss of ability to extend elbow against gravity

Physical exam
-may have palpable gap
swelling, ecchymosis, and pain
An MRI of femal long distance runner hip is shown:
Work-up should include evaluation for which of the following conditions
An MRI of femal long distance runner hip is shown:
Work-up should include evaluation for which of the following conditions
stress fracture of hip 
Female athlete triad (anorexia athletica) 
1eating disorders-insufficient caloric intake, BMI< 18.4 
2 osteoporosis-obtain a DEXA scan in female athletes with a history of amenorrhea and stress fractures
3 secondary amenorrhea-
stress fracture of hip
Female athlete triad (anorexia athletica)
1eating disorders-insufficient caloric intake, BMI< 18.4
2 osteoporosis-obtain a DEXA scan in female athletes with a history of amenorrhea and stress fractures
3 secondary amenorrhea-(cessation of menses for 6 months after at least one normal cycle) is often caused by hormonal disturbances
incidence in elite runners is nearly 50%
leads to bone demineralization and stress fractures
3 What do you see female athlete?
Associations,
3 What do you see female athlete?
Associations,
tibia stress fracture
woman athlete have increased incidence of:
-patellofemoral disorders
-stress fractures 
-ACL injuries
tibia stress fracture
woman athlete have increased incidence of:
-patellofemoral disorders
-stress fractures
-ACL injuries
which of the following factors has been shown to contribute most significantly to prevent this injury in female athelete?
which of the following factors has been shown to contribute most significantly to prevent this injury in female athelete?
incidence can be reduced with neuromuscular training (jump training) & plyometric conditioning programs
incidence can be reduced with neuromuscular training (jump training) & plyometric conditioning programs
female athletic triad. Which of the following treatments is the least appropriate management, most appropriate? what is the triad
female athletic triad. Which of the following treatments is the least appropriate management, most appropriate? what is the triad
least-bisphosphonates
treatment for  female triad athleate
1 disordered eating- psychological counseling insufficient caloric intake, is the most common cause of amenorrhea in female athletes

2 amenorrhea- reduced training intensity and cross-trainin
least-bisphosphonates
treatment for female triad athleate
1 disordered eating- psychological counseling insufficient caloric intake, is the most common cause of amenorrhea in female athletes

2 amenorrhea- reduced training intensity and cross-training until menses returns to decrease risk of stress fractures

3 osteoporosis-1,200-1500mg of calcium 800-1,000 IUs of vitamin D if > age of 50 supplements & consider oral contraceptive pills may be beneficial in treating amenorrhea
history of traumatic spinal cord injury presents with 6 months of progressive, painless left shoulder weakness and decreased range of motion. He is afebrile and CBC, ESR, and C-reactive protein levels are normal. A radiograph is shown in Figure A. Early m
history of traumatic spinal cord injury presents with 6 months of progressive, painless left shoulder weakness and decreased range of motion. He is afebrile and CBC, ESR, and C-reactive protein levels are normal. A radiograph is shown in Figure A. Early management
syrinx is highly suspected. demonstrates a Charcot left shoulder.
syrinx is highly suspected. demonstrates a Charcot left shoulder.
ACL injury is more common in females due to 8 factors
#1 factor

ACL injury is more common in females due to 8 factors
#1 factor

1landing biomechanics and neuromuscular control differences
2 conditioning and strength play the biggest role- females land with their knees in more extension and valgus due to hip internal rotation 
  3  smaller notches
  4  smaller ACL size
   5 cyc

1landing biomechanics and neuromuscular control differences
2 conditioning and strength play the biggest role- females land with their knees in more extension and valgus due to hip internal rotation
3 smaller notches
4 smaller ACL size
5 cyclic hormonal levels
6 ACL at greater risk for injury during the first half (preovulatory phase) of the menstrual cycle
leg alignment
genetic predisposition
underrepresentation of CC genotype of a COL5A1 gene sequence in females with ACL ruptures