Ortho Quiz: Upper Extremeties

Question

Which of these is not true about rotator cuff tears?

Answer 1

a massive tear a tear larger than 5 cm

Answer 2

highest incidence occurs in the geriatric population

Answer 3

most rotator cuff tears are caused by progressive, degenerative microtrauma

Answer 4

subscapularis tears occur with teres minor tears

Answer 5

most commonly torn rotator cuff muscle is supraspinatus

Answer 6

suprasinpatus tendon

Answer 7

biceps long head tendon

Answer 8

humeral head

Answer 9

glenoid fossa

Answer 10

corocoid process

Answer 11

a misshapen acromion can narrow the subacromial space further increasing the likelihood of the supraspinatus tendon entrapment

Answer 12

repeated rubbing on top of humeral head can form a callus which narrows space where supraspinatus tendon sits

Answer 13

excessive lordosis can bring humeral head closer to acromion, decreasing space for supraspinatus tendon

Answer 14

rotator cuff insufficiency leads to inferior movement of the humeral head

Answer 15

Pain past 140 degrees of abduction is a sign of this syndrome

Answer 16

the subacromial space closes up during the top abduction resulting in less pain

Answer 17

the painful arc sign is between 80 and 135 degrees

Answer 18

the painful arch sign is between 135 and 170 degrees

Answer 19

glenoid fossa

Answer 20

biceps tendon long head

Answer 21

is self limiting and symptoms disappear in 6 months

Answer 22

comes on after a traumatic event, lasts 12-18 months and requires surgery

Answer 23

the first 3-4 months are minimal pain with limited PROM, followed by a great deal of pain with limited AROM

Answer 24

after initial period of limited movement due to pain, there is a lot of stiffness and then it goes away

Answer 25

occurs more in elderly population

Answer 26

can be set with closed reduction

Answer 27

may happen as a result of a fall

Answer 28

the hardware for ORIF stays in the bone

Answer 29

lateral epicondylitis occurs due to excessive wrist flexion against resistance

Answer 30

epicondylitis usually occurs as result of a fall

Answer 31

medial epicondylitis occurs due to excessive wrist flexion with no resistance

Answer 32

A right handed golfer may develop medial epicondylitis on their right wrist.

Answer 33

olecranon dislocations may occur with olecranon fractures

Answer 34

olecranon dislocations happen due to a fall with an outstretched hand with a rotational component

Answer 35

olecranon fracture occurs as an avulsion with the biceps tendon

Answer 36

olecranon fractures can happen due to a direct blow to elbow

Answer 37

cannot bend elbow

Answer 38

cannot supinate/pronate

Answer 39

happens to children due to large anular ligament and small radial head

Answer 40

occurs when someone distract radial head from ligament

Answer 41

diagnosis made from x-rays

Answer 42

chronic inflammation of tendons

Answer 43

MCPs of hand look subluxed

Answer 44

fingers drift radially

Answer 45

De Quervain's tenosynovitis occurs due to swollen tendon sheath of extensor pollicis longus and brevis

Answer 46

Person's suffering from trigger finger do not have passive range of motion in the affected fingers.

Answer 47

Person's with Dupuytren's deformity have a contracture of the joints, commonly in the 4th and 5th digits.

Answer 48

Boutennier's deformity is exhibited by flexion at the DIP, extension at PIP and some extension at MCP.

Answer 49

Persons with Boutennier's deformity, swan neck deformity and mallet finger do not have PROM in the affected joints.

Answer 50

possible median nerve damage with open reduction

Answer 51

open reductions are indicated for well reduced fractures

Answer 52

open reductions are indicated for fractures with cartilage damage

Answer 53

closed reduction is more difficult to perform

Answer 54

the median nerve was severed

Answer 55

fractured ends of radius put pressure on median nerve

Answer 56

median nerve was injured during reduction

Answer 57

carpal tunnel shows stiffness and swelling after casting

Answer 58

most common type of shoulder dislocation occurs due to an anterior structural weakness

Answer 59

the most common type is an anterior dislocation

Answer 60

an inferior dislocation occurs due to electric shock

Answer 61

an anterior dislocation occurs when arm is elevated and internal rotated

Answer 62

axillary nerve because it wraps around head of humerus

Answer 63

axillary nerve because it is behind the head of humerus

Answer 64

median nerve because it wraps around head of humerus

Answer 65

radial nerve because it is behind the head of the humerus

Answer 66

during first phase after surgery there must be no active flexion of the shoulder

Answer 67

biceps can be strengthened after 6 weeks

Answer 68

patient can begin to return to sports after 13 weeks

Answer 69

may progress in sport specific movements after week 22

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Ortho Quiz: Upper Extremeties

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	Criado por Zoila Rojas quase 9 anos atrás