Reading...
Play button
Play button
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;
4 Cards in this Set
- Front
- Back
40yo competitive wtlifter felt a painful pop in his elbow while performing a bench press. His lat xray in Fig A. An MRI is to show ? 1-Distal biceps tend rupture;
2-Brachialis mus rupture; 3-Lat ulnar collateral lig tear; 4-Med ulnar collateral lig tear; 5-Triceps tendon tear |
"flake sign" which is common in pts w/triceps tendon avulsion, most commonly= males 30-50, competitive weightlifting, football, anabolic steroid, renal dz, corticosteroids, history of tendon injection, fluroquinolone (Cipro). Surgical repair is indicated in active persons with complete tears and for incomplete tears with concomitant loss of strength.Ans5
|
|
Grade III AC jt separations, surgical tx results in which of the following when compared to non-op tx? 1-Faster return to play; 2-Inc ROM; 3-Inc func rotator cuff strength; 4-Dec funt rotator cuff strength; 5-Higher compln rate
|
Tx of grade III AC separations remains somewhat controversial. A recent systematic review concluded that the results of surgical tx were not clearly any better <non-op, had a higher complication rate, longer recovery prior to return to sport/work.Ans5
|
|
college fball player c/o leg pain x 6 mths, is no longer able to run, has failed non-op tx, xrays linear lucency over the ant tibia. What is step to quickly return him to play? 1. Tibial intramedullary nail; 2-Pos tibial plate w/BG; 3-BG alone; 4-Cast tx; 5. PWB w/crutches
|
Nonop tx w/ PWB, cessation of running, use of a bone stimulator is useful early. Once xrays (+) fx especially in the ant cortex tibia, surgical tx is often recommended. Ant cortes- >risk for nonunion/propagation->complete fx. IM nail fastest WB & RTW/A.Ans1
|
|
65yo M c/o debilitating pain, crepitus in his shoulder. Active for elevation=120 deg, ER strength is good. Fig. Which tx give best outcome in 3 yrs? 1-Arthroscopic capsular release; 2-Hum head arthroplasty w/glenoid BG followed by staged glenoid component implan;
3-Hemiarthro; 4-Rev TSR; 5-TSA |
advan glenohumeral DJD w/ funct RCT & adequate glenoid bone stock= TSA; rev TSA is best Tx-> cuff tear +(DJD) arthropathy, Hemiarthro <outcomes to TSA’s for glenoihumeral DJD due to painful articulation of the humeral component on arthritic glenoid, #1 restriction p/(TSA) is passive ER + active IR, to protect the subscapularis repair.Ans5
|
