Clinical Associations With Anatomy

Front 1

What is an anterior dislocation of the glenohumarl joint?

What nerve is in danger of being injured?

Back 1

occus when arm is abducted, extended, and laterally rotated.

humeral head dislocated inferior to the capsule and pulled into a subcoracoid position

axillary nerve

Front 2

What can develop from repetitive motion of the shoulder joint?

Back 2

supraspinatus tendinitis

Front 3

If you have an older patient who is clearly not a baseball pitcher come in with pain to the glenohumeral joint what might you expect has happened?

Back 3

calcific supraspinatus tendinitis or even spontaneous rupture due to calcium deposits in supraspinatus tendon.

Front 4

If you have a C5/C6 injury what muscles of shoulder are likely to be impacted?

Back 4

Deltoid

Supraspinatus

Infraspinatus

Subscapularis

Teres Minor

Teres Major

Front 5

If your pectoralis minor muscles are impacted, which spinal nerve would you expect to have injured?

Back 5

C8
T1

Front 6

What is the most frequently fractured part in a "hip fracture"?

What is problematic with regard to surrounding tissues?

Back 6

neck of the femor, secondary to osteoporosis

damage to the arteries feeding the femor can result in necrosis of the head of the femur

Front 7

What is the difference coxa vera and coxa valga?

Back 7

both are terms to describe abnormal angles of the femor in the hip joint

coxa vara is a decreased angle and causes mild abduction of the hip.

coxa valga is an increased angle

Front 8

What type of fx are typical to the tibia and fibula?

Back 8

tibia= compound or diagonal (often protruding from the skin) can disrupt nutrient artery

fibula=more commonly an ankle fracture

Front 9

When the long thoracic nerve is damaged, what clinical sign will you see?

Back 9

winged scapula

Front 10

Describe what happens if you get Popeye forearm?

Back 10

The tendon of the long head of biceps brachii may rupture or may be avulsed from the supraglenoid tubercle.
usually results from wear and tear of an inflamed tendon (bicipital tendinitis)
The detached muscle belly forms a ball near the distal part of the arm resulting in a Popeye deformity

Front 11

you have a pt. with a mid shaft humeral fracture. What are you concerned about if the patient cannot extend their wrist?

Back 11

They have wrist drop from damage to the radial nerve which runs through the radial groove on the shaft of the humerus.

Front 12

Nursemaids elbow is...

Back 12

sublaxtion of the radial head from its anular ligament and articulation with the ulna.

Front 13

What is a colles fx?

Back 13

communited fracture of the distal end of the radius

posterior displacement of the distal radial leads to dinner fork syndrome

Front 14

what is the most frequently fractured carpal bone?

Back 14

scaphoid

may lead to avascular necrosis

Front 15

what is carpal tunnel syndrome.

Back 15

all the tendons and the medial nerve travel under the flexor retinaculum. If there is inflammation the median nerve can be compressed and numbness and tingling can occur in lateral 3 1/2 digits

Front 16

what is dupytren's contracture?

Back 16

a shortening of the palmar aneurosis and continually contracture of the MP and PIP joints of the digits 4, 5

Front 17

If you damage the ulnar nerve, what deformity might you expect in the hand?

Back 17

An ulnar nerve injury in the forearm often leads to inability to make a fist, resulting in a claw hand deformity.
ulnar nerve injury results in:
inability to flex digits 4 and 5 (medial part of FDP)
inability to extend the IP joints when trying to straighten the fingers (interosseous muscles and lumbricals 3 and 4)
hyperextension of MP joints (no opposition from interosseous muscles and lumbricals 3 and 4)

Front 18

What happens if there is inflammation in Guyon's canal?

Back 18

In this syndrome, there is hypesthesia or paresthesia over the medial 1½ fingers and possible weakness of intrinsic hand muscles