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18 Cards in this Set
- Front
- Back
- 3rd side (hint)
1-cause, 2-findings, 3-see, 4-cofirmation, 5-aTX,b indications, 6-risks, 7-time) |
a partial articular surface tendon avulsion (PASTA) lesion of the supraspinatus.
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1-cause, 2-findings, 3-see, 4-cofirmation, 5-aTX,b indications, 6-risks, 7-time)
3 what do I see in these Images? |
An ALPSA lesion
Disrupted anterior scapular periosteum differentiates a Bankart lesion from its variants where periosteum remains intact. |
2
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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 |
3
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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
is where the inferior glenohumeral ligament avulses from the inferior humeral neck. |
4
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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 |
5
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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 |
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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 -chronic olecranon bursitis -previous triceps surgery |
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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 uberosity 8Radial shaft 9Ulnar shaft |
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A/P Elbow Xray - Forearm in suppination
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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 |
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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 reconstruction may need tendon graft |
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6 what are risks with treatment/non treatment?
(complications) |
Elbow stiffness
Ulnar nerver injury Failure of repair |
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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 |
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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-(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 |
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3 What do you see female athlete?
Associations, |
tibia stress fracture
woman athlete have increased incidence of: -patellofemoral disorders -stress fractures -ACL injuries |
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which of the following factors has been shown to contribute most significantly to prevent this injury in female athelete?
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incidence can be reduced with neuromuscular training (jump training) & plyometric conditioning programs
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female athletic triad. Which of the following treatments is the least appropriate management, most appropriate? what is the triad
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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 |
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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
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syrinx is highly suspected. demonstrates a Charcot left shoulder.
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ACL injury is more common in females due to 8 factors |
1landing biomechanics and neuromuscular control differences |
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