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41 Cards in this Set

  • Front
  • Back
Lateral malleolus

A Pott's fracture-dislocation occurs when foot is forcefully everted, shearing off the medial malleolus
Lateral malleolus is then snapped as the talus moves laterally
May also fracture fibula above distal tibiofibular joint and distal end of tibia
Where is the most common location for ankle fractures?
Common fibular (peroneal) nerve
Injury which nerve causes foot drop?
Meralgia Paresthetica (Gunslingers Neuralgia)

Compression of the lateral cutaneous nerve of the thigh against the anterior superior iliac spine
A patient presents with a stinging and or burning sensation in the anterolateral thigh.
Damage to the upper brachial plexis, C5-C6 (often during birth trauma)

'waiters tip'
What is Erb's palsy?
Carpel Tunnel Syndrome; median nerve compression as it passes under flexor retinaculum; loss of sensation and diminished control of median nerve innervated muscles
A patient presents with pain and paraethesia felt in the lateral 3 1/2 digits, which radiates towards the elbow.
Repeated extension = epicondylitis (tennis elbow) = microtrauma of the common extensor muscle origin

Repeated wrist flexion = medial epicondylitis ("golfer's elbow)
Which disease is caused by repeated wrist extension and which disease is caused by repeated wrist flexion?
Axillary nerve is at risk at surgical neck (most common fracture)

Radial nerve at risk in midshaft fracture

Median nerve is at risk at distal end fracture
Which nerve is at risk by a fracture of the humerus at the surgical neck? At the midshaft?
Radial nerve; extensors of the wrist are paralyzed; triceps not affected unless the nerve is injured proximally in the axilla
Lesion of what nerve would cause wrist drop?
Ulnar Nerve injury; can be compressed at the medial epicondyl or through the Guyon canal at the wrist
A patient presents with pain and paraesthesia felt at the medial aspect of the elbow radiating to the medial forearm and medial 1 (1/2) digits.
Long thoracic nerve; the arm can't be abducted above the horiontal plane because the glenoid cavity cannot be rotated upward without the action of the serratus anterior
Damage to what nerve causes winged scapula?
A band
What is the name of the dark bands on muscle?
I band
What is the name of the light bands on muscle?
sarcoplasm
The protein filled cytoplasm in muscle fibers is also referred to as....
Sarcoplasmic reticulum
The loose network of flattened tubules that surrounds the myofibrils in muscle fibers is referred to as...
Terminal cisternae
The expanded regions of the sarcoplasmic reticulum that are found on both sides of the T tubules are referred to as...
Gracilis
Which muscle adducts thigh at hip?
Adductor magnus oblique and vertical
Which muscle adducts, flexes, and extends thigh at hip?
Tibial
If there is a loss of skin sensation and paralysis of muscles on the plantar aspect of the medial side of the foot, which of the following nerves is damaged?
Superior gluteal nerve
A patient walks with a waddling gait that is characterized by the pelvis falling toward one side at each step. Which of the following nerves is damaged?
Vastus lateralis muscle
A lesion of the femoral nerve results in paralysis of what anterior thigh muscle?
Sural nerve
Which nerve innervates the lateral side of the foot?
Tibial
Which nerve innervates the medial side of the foot?
Deep peroneal (fibular)
A patient presents with sensory loss on adjacent sides of the great and second toes and impaired dorsiflexion of the foot. Which nerve is damaged?
Tensor fasciae latae
Which is a likely muscle to be damaged if a patient cannot flex or medially rotate the thigh during running and climbing?
Plantar flexion
What does the flexor hallicus longus muscle do?
Femoral nerve
A patient is unable to flex the hip or extend the leg due to paralysis of the quadriceps femoris. Which nerve is damaged?
Obturator Nerve
A patient has weakness upon adduction and a lateral swinging of the limb during walking because of the unopposed abductors. Where is the lesion?
Sciatic nerve
A patient has impaired extension at the hip and impaired flexion at the knee, loss of dorsiflexion at the ankle and of eversion of the foot, and a PECULIAR GAIT because of increased flexion at the hip to lift the dropped foot off the ground.
Common peroneal nerve
A patient presents with foot drop and a loss of sensation on the dorsum of the foot and lateral aspect of the leg. There is also paralysis of all the dorsiflexor and evertor muscle sof the foot. Where is the nerve lesion?
Tibial Nerve
A patient presents with a loss of plantar flexion of the foot and impaired inversion. This causea a difficulty in getting the heel off the ground and a shuffling of gait. where is the nerve lesion?
Deep peroneal nerve
A patient presents with foot drop and a high stepping gait. Where is the damaged nerve?
Superficial peroneal
A patient presents with loss of eversion of the foot. Where is the lesion?
Injury to the posterior plexus cord; results in loss in function of the extensors of the arm, forearm, and hand.
A patient who has been wearing crutches presents with wrist drop. What happened?
Musculocutaneous nerve
A patient presents with weakness in supination (biceps) and forearm flexion (brachialis and biceps). What nerve was damaged?
Axillary Nerve (deltoid)
A patient is unable to rotate the arm laterally or abduct the arm to the horizontal level. What nerve is damaged?
Radial nerve as it crosses at the humeral shaft
A patient was cracked in the arm during a lacrosse game and presents with wrist drop. What was lesioned due to what break?
Claw hand
A patient presents with the ring and little fingers hypextended at the metacarpophalangeal joints and flexed at the interphalangeal joints. What is this called?
Adduction of the thumb
A patient presents with clawhand. You diagnose the ulnar nerve injury. What other motion do you expected to be inhibited?
Median nerve

Sign of benediction
A patient is unable to pronate his hand. You note a flattening of the thenar eminence. What nerve is lesioned?
Adduction of the fingers
What is the function of the palmer interosseous muscles?
Abbduct
What is the function of the dorsal interosseous muscles?