Ortho Test 1 (Part 3 21-30)

Front 1

Flexor tenosynotivitis description

Back 1

INFECTIOn of the flexor tenodn sheath of the hand

Front 2

Kanavels signs

Back 2

tenderness alon ghte flexor tendon sheat
Suasage apperaing digits
finger is held in flexed position
pain on passive extension

Front 3

Tx of flexor tenosynovitis

Back 3

24 hour rule - emergenc operative debridement
Tx withnn AB

Front 4

Gamekeepers Thumb
Kiers thumb

Back 4

May be bony or tendernous
Local tendernss over the MCP join ulnar collateral lig with opening of the ulnar side - valgus stressing

Front 5

Gamekeepers KEY finding

Back 5

DO NOT stress the thumb unless your have an s-ray and you know there is not a fracture

Front 6

Gamekeepers Tumb Tx

Back 6

Parial ligament injuersi display openisn of less then 45 degress - spick or castin for 3-6 weeks
Complete lig injury - more then 45 degree - require surgery.

Front 7

Felon

Back 7

subq abscess of the distal pulp of the finger or the thumb
may follow a penetrating injury or spread from paronychia o epjeucha

Front 8

Paronychia

Back 8

Infeciton of folds - side of fingerenail
If it extends under fingernail then the fingernail has to come off.
Results form hangnail with intorduciton fo Staph Aureus
Tx: Debridement, nail trimming, warm sockas, oral abx

Front 9

Eponychia

Back 9

Infeciton of the eponycial foid - base of nail
Trimmin gnail, debrid, warm socks, oral ab.
May need Iand D and ab

Front 10

Closed reducition

Back 10

with in 6 hours of the injur y
2-3 point mod.

Front 11

Skin traction

Back 11

Bucks traciton for the pre-surigical tx of a fmoral neck fx

Front 12

Skeletal traciton

Back 12

metallic pin placed in bone to supply wt and pulley system

Front 13

Delayed union

Back 13

Has not healed in 3 months

Front 14

Non-union

Back 14

has no healeed in 6 months
a fracture tha tno longer show clincial or radiographic signs of progression to bony union

Front 15

Compartment syndrome

Back 15

remove all constricting itmes, place at level of heart, pain out of proportion, pressure in cappilay bed si lower the pressure of the tissue - so they are not getting perfused - PAIN
sugrical emergency

Front 16

Fracture Blisters

Back 16

so much swelling cuz of an inury will get thesee blisters, hug risk of infection, have to heal 1st before can fx fx

Front 17

Cast sores

Back 17

arise from poorly applied or improperly padded cast

Front 18

Strength Test

Back 18

L1-2- iliopsoas
L3- quads
L4 - tibilasi anterior
L5 - Extensor hallicis longus, enxtronsor digitorun
S1 - gastcon, peronseu longus, brevis glut max
S2,3,4 - rectal exam

Front 19

straing leg raise

Back 19

passive lifting, - radicular pain on the bad side

Front 20

Lasegue Maneuver

Back 20

dorsiflexion of the foot - see if there are sxs

Front 21

Bowstrings Signs

Back 21

After straight leg rasing the knee is flexed 20 degress to reduce radicular pain, prssure is applied to the poplieteal area by the examiner, return of radilucarl pain

Front 22

Femoral Nerve traction test

Back 22

Have person lay on good side, bad leg - hip is extended and knee is flexed

Front 23

Hoovers Test

Back 23

cupe the hell of the unaffected leg whil the pt perfomrs the staignt leg raise, if they does not exert presure on the examiners hands, the pt is probably not really tring.

Front 24

Waddell's Sign - 5

Back 24

1. non-anatomic tenderness
2. stimulation sign using either axial compression or rotation
3. Distrcation sign
4. Regional sensory and motor disturbanc - stocking and gloving
5. Overreaction

Front 25

The higher class the greater the incidence of growth arrest and subsequne deformity

Back 25

2 - very common
3- juvenilles

Front 26

Salter 1

Back 26

transverse fracture through the growth plave

Front 27

Salter 2

Back 27

through the metaphysis

Front 28

Salter 3

Back 28

Epiphysis

Front 29

Salter 4

Back 29

Meta, and epi and growht plate

Front 30

Salter 5

Back 30

COmpression fracture

Front 31

Angulation

Back 31

degree of deformity after injury

Front 32

Displacement

Back 32

the amount a bone has shifted from its original positon

Front 33

Rotation

Back 33

twist of a fracture bone from original positoin

Front 34

Reflexes

Back 34

2+ is averal or nl

Front 35

Speed Test

Back 35

biceps tendonitis

Front 36

lachmans test

Back 36

ACL - anterior drawer,

Front 37

Obers test

Back 37

Iliotibial tract

Front 38

What does MRI show

Back 38

Disc herniations, stenosis
most commonly used for C spine

Front 39

Most common age for torticollis

Back 39

5-10 years old

Front 40

Burners

Back 40

The most common MOA is a traction force when the shoulder is forcefully depressed and the head and neck are tilted toward the opposite side or by comrpession of the upper plexus between a shoulder pad and the scapula

Front 41

MC rotator cuff tear

Back 41

supraspinatous

Front 42

Supraspinatous tendon

Back 42

si most commonly involved in calcific tenonitis

Front 43

common age and RF for frozen shoulder

Back 43

40-60 years, with no clear predispositon based on gender, DM have a greater risk and are more refractive to tx.

Front 44

Clavicle fx

Back 44

middle third of the clavicle

Front 45

Sporti injureis - shoulder over arm throwing

Back 45

2nd most common only to running

Front 46

Osteochondritis Dessican

Back 46

most commonly incolce the capitellum (panners dx) mc in adolescence

Front 47

Nursemadis MC

Back 47

in kidn younger then 5

Front 48

Setice Olecranon bursitis

Back 48

require aspiration for culture, Ab coverage for penicillin-resistant Staph A. and decpmression by either surgical drainage or daily aspirtiaon

Front 49

MC elbow dislocation

Back 49

posterior

Front 50

MC shoulder dislocation

Back 50

Anterior

Front 51

RA cause

Back 51

joint destruction

Front 52

All peirpheral nerves crossing a fracture may cause injury but esp

Back 52

Ulnar nerver dysfunciton

Front 53

Carpal TUnnel

Back 53

MC UE

Front 54

Cubital Tunnel syndorme

Back 54

2nd most common upper extremeity comrpession neuropathy.

Front 55

Colle fracture

Back 55

MC type of distal radius fracture

Front 56

HNP of lumbar spine

Back 56

MC L4 and L5 and then L5 and SI

Front 57

Spinal stenossis most commpnly

Back 57

congenital or acquried diffuse idopahtic skeltal hyperstosis

Front 58

Calcification of ligament and tenond attachments in the

Back 58

thoracic spine - stiffness

Front 59

Metastatic dz

Back 59

PAIN - and most commonly goes to the vertebrae

Front 60

MM

Back 60

MC primary tumor of the bone
primary malignant bone tumor
Classic - punced out

Front 61

Hemangioma

Back 61

MC benign tumor - do not confuse with Pagets dz or osteobalstic metastis then dec

Front 62

Aneurysmal bone cyst

Back 62

Then next 2nd most common benign tumor may crossover cartilage into adjacent vertebrae.

Front 63

Sternoclavicular dislocation
Prox humerus Fx
Glenoid rervsion

Back 63

CT scan

Front 64

Rotato cuff tear
Tendon rutpure
labrial tears - with contrast

Back 64

MRI

Front 65

Adhesive capsulitis
Rotational cuff tear
Labrum

Back 65

Athrography

Front 66

For any dislocations

Back 66

make sure you obtain axiallry veiw x-ray
Usu get AP, lat, axillary

Front 67

Complete elbow fx, intra-art fx, loose bodies

Back 67

CT

Front 68

Collateral Lig injury, tendon injureis

Back 68

MRI

Front 69

Sternoclavicular disoclation

Back 69

CT scan

Front 70

Clavicle

Back 70

AP x-ray if medial

Front 71

Proximal Humerus Fx -
NEER classifcation

Back 71

Great tuberosity
lesser tuberostiy
humeral head
shaft