Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
18 Cards in this Set
- Front
- Back
|
What is the defect in trigger finger?
What is seen on exam? |
Fibrosis and cartilaginous change of A1 pulley causing stenosis of flexor tendon.
Locking with flexion |
|
|
What are the two effective treatment options for trigger finger? |
Corticosteroid injection(s) Surgical A1 pulley release |
|
|
What is DeQuervain's tenosynovitis?
What is the test used?
What are rx options? |
Pain over radial styloid with soft tissue swelling
Use Finklestein fist test
Wrist splint, local steroid injection, surgical release |
|
|
What the the pathology of carpal tunnel syndrome?
What tests can be used to recreate the pain?
What rx can relieve the pain? |
Median nerve entrapment and compression leading to pain, paresthesia or sensory loss in median nerve distribution
Tinel's tap test, Phalen's, Flick test or nocturnal exacerbation
Neutral night time splint, corticosteroid injections, surgical retinacular release |
|
|
What is the ddx for olecranon bursitis?
What does it need to be differentiated from?
What WBC count is septic bursitis? What's the usual culprit organism? |
Local trauma, gout, infection, RA
Elbow arthritis; different location; bursitis doesn't show extension or supination pain
>1000 WBC is septic bursitis; S. aureus major causative organism |
|
|
What is tennis elbow?
How to test for its presence?
What are rx options? |
Lateral epicondylitis
Pain on resisted extension of wrist, fingers or hand supination
Long term, PT is better option than corticosteroids |
|
|
What is the common ddx for shoulder pain? |
Rotator cuff tendinopathy Impingement Acromioclavicular disease Adhesive capusulitis Referred pain |
|
|
What are red flag indicators for shoulder issues with inflammatory symptoms: am stiffnes, pain worse with rest, pain better at midday? |
Polymyalgia rheumatica RA Spondyloarthritis Pseudogout |
|
|
What are common shoulder symptoms? |
Radicular neck pain: radiates past elbow, worst with neck rotation, shooting or burning, numbness or paresthesias Adhesive capsulitis: hx of DM, shoulder immobilization Rotator cuff syndrome: repetitive overhead activity |
|
|
"I have trouble putting on my bra."
"I can't raise my arm."
"It hurts all the time, especially at night." |
Supraspinatus strain
Adhesive capsulitis vs. supraspinatous tear
Adhesive capsulitis vs. cervical radiculopathy |
|
|
Passive internal rotation? Active internal rotation?
Passive external rotation? Active external rotation? |
Test infraspinatus, subscapularis
Test subscapularis, infraspinatus |
|
|
How do you test a supraspinatus? |
Resisted abduction |
|
|
What is likely with pain on resistance?
What is likely with weakness? |
Strain>tear
Tear>strain |
|
|
How do the rotator cuff and deltoid work together?
What happens with a rotator cuff injury? |
Rotator cuff keeps humeral head in glenohumeral interface when delotoid pulls up.
Injury to rotator cuff allows superior displacement of humerus during upward pull of deltoid |
|
|
What are the rx options for a rotator cuff injury? |
PT plays an important role in strengthening the joint
Corticosteroid injections can help with level of pain, but not with strength |
|
|
How do you distinguish subacromial bursitis from glenohumeral arthritis? |
Fullness of passive range of motion (greater in bursitis)
Lack of crepitus with bursitis |
|
|
What is adhesive capsulitis and with which disease is it associated?
How is it rxed? |
Restriction of active and passive motion with minimal to no crepitus resulting from a tight posterior capsule.
Consider DM and immobilization as potential causes
Passive stretching and PT. Steroids for pain control. |
|
|
What is trochanteric "bursitis"?
How is it rxed? |
Tenderness over the greater trochanter that's more related to tendon issues than burser issues
Stretching and conditioning of gluteal and back musculature; analgesics; local steroid injection |
