ࡱ>  |'bjbj-- 4FOO|pppppT,t      , "5p5ppJpp:k,Ӯ: `0.##p$55# 6:    Intro to Orthopedic Surgery (This is a lot more than we need to know for the quiz but Ive tried to highlight the stuff he emphasized. There will be no name that fracture type questions on the exam, or who was the father of orthopedics) Orthopedia straight child Open fractures are emergent Shoulder Injury Acute/Chronic, Hx, Age, AROM/PROM, Strength, Provoke, Capsule, Impinge, Rotator Acute Shoulder Pain atypical, unless its from trauma; note mechanism/magnitude, usually separation/Fracture/dislocation Chronic Shoulder Pain more common, key to Dx is history: CC pay attention to when, what, where, also where pain is (top/side); pain at night? burning? QUIZ: Age very crucial factor determining Dx: Young <30 usually due to instability ( AC separation, not a rotator cuff (RTC) tear Middle (30-60) usually due to impingement/frozen Elderly (>50) most commonly RTC tear! Also common is arthritis, frozen shoulder Shoulder Instability shoulder can slip out of joint, causing popping Risk Factor previous dislocation, most common in young QUIZ: Anterior dislocation direction is 90% anterior, unless some totally severe accident (seizure, offensive lineman) QUIZ: AROM/PROM crucial Dx tool: Adhesive capsulitis a frozen shoulder, causing both limited AROM/PROM Rotator Cuff (RTC) tear only AROM limited, passive range of motion still intact Provocative Shoulder Tests move shoulder in certain direction, try to elicit response from patient: Neer/Hawkins Tests greater tuberosity of humerus rides up unrestricted in glenohumeral joint Cross Arm/Tenderness for acromioclavicular pain ( cross arm across chest Apprehension/Relocation test for instability Speeds/AC loading tests for inflamed biceps origin on glenoid AC Separation: TUBS/AMBRI dislocation mnemonics: TUBS: Traumatic shoulder injury is unilateral, leads to Bankart lesion requiring surgery to Tx AMBRI: Atraumatic injury is multidirectional dislocation bilaterally, Tx through rehab causing inferior capsular shift QUIZ: Pain radiation shoulder separation radiates to top of the shoulder, from direct blow Adhesive Capsulitis CT of glenohumeral joint becomes inflamed & stiff Sx has a very insidious onset, causing pain & loss of motion (LOM) in shoulder Demographic common in a middle-aged woman Tx give NSAIDs, physical therapy Shoulder Impingement when acromion, CA ligament, or coracoid impinges on bursa/biceps/RTC QUIZ: Sx gradual onset, common w/ night pain, ant & lat pain, a painful arc (impingement) Demographic middle-aged as well Tx can resolve spontaneously w/ rest, also try NSAIDs, posterior capsular stretching, injection? Rotator Cuff Tear when a tendon of the rotator cuff becomes torn Sx patient has AROM weakness, but preserved PROM Demographic extremely common in elderly Tx can give NSAIDs/PT, but best Tx is surgery Biceps Tendonitis caused by tendons of biceps becoming inflamed/torn Sx a Popeye lesion; head of biceps torn ( weird biceps shape; flexion & supination weak Elbow Injury Acute, Pinpoint, Cubital Tunnel, Tennis Elbow, Olecranon Acute Elbow Injury accompanied by pain and swelling, usually tendon rupture/infection/fracture Superficial Pain pinpoint pain Medial Pain cubital tunnel Lateral Pain can be pain of lateral epicondyle, radial Fx, radial nerve problems: QUIZ: Lat. epicondylitis degenerative (NOT inflam.) pain of lat. epicondyle; ( tennis elbow; most common #1 cause of UE pain age 30-60 Radial head Fx often from falling on outstretched hand ( cant pronate/supinate Radiocapitellar arthritis common in RA patients, elbow joint inflammation Radial nerve entrapment questionable whether or not problematic Ulnar nerve entrapment causes muscle wasting, lose fine touch, weakness Posterior Pain usually olecranon bursitis have big swollen bursa, Tx RICE (rest, ice, compression, elevation), aspiration Elbow Swelling can be from synovitis, infection (but elbow tends not to get swollen) Hand & Wrist Injury Scaphoid, Tenosynovitis, Entrap, Arthritis, Carpal Tunnel, Arthrosis, CTS, Trigger 90% of all Complains = CTS, Trigger Finger, Ganglia, Thumb CMC, arthrosisand RC Arthritis Radial-Sided Pain commonly scaphoid fracture, DeQuervains tenosynovitis, CMC arthrosis: QUIZ: Scaphoid Fracture dont miss (easy to not see ( get x-ray); fall on hand; 20-40y M Tenosynovitis (DeQuervains) pain of radial styloid, common in post-partum women Finkelsteins Test place thumb in closed fist, causes pain in distal radius Creaking, swelling also Dx of tenosynovitis Tx use a thumb-spike splint, give NSAIDs; if refractory ( steroid injection, surgery CMC Arthrosis pain at thumb joint without numbness; common 40y F Hand Weakness/Stiffness can be with/without pain, or with clumsiness: Peripheral Nerve Entrapment weakness without pain CMC arthritis weakness with pain; common in RA; thenar CMC common in OA; 30-60y F Carpal Tunnel Syndrome (CTS) commonly presents with clumsiness, has volar wrist pain Tx can splint, give NSAIDs; if refractory ( steroid injection, surgery QUIZ: CTS is most common UE mono-neuropathy Trigger Finger thickened flexor tendon on finger causes it to stay flexed, need to snap straight Volar (Palmar) Wrist Pain less common-can be carpal tunnel, wrist arthritis, volar ganglion, Radiocarpal arthrosis: Carpal Tunnel Syndrome see above Pisiform/Triquetrum Arthritis arthritis of carpal bones & radius Volar Ganglion ganglion = outpouching of fluid Radiocarpal arthritis wrist joint inflammation Dorsal Wrist Pain usually a ganglion (cyst) Hip Injury Lumbar, Joint, Bursa, Entrapment, Snap, Hip Exam (Trendelenberg), Fx, LFCN, OA, Necrosis Lumbar Spine injury to lumbar spine is referred to buttock/thigh not groin; Hip Joint Injury can be arthritis, fracture, infection, osteonecrosis: - groin pain OA/IA loss of cartilage, loss of ROM, pain related to activity Fractures Ive fallen and I cant get up, common in elderly; often can only detect with MRI Infection lead to septic arthritis - which is an emergency Osteonecrosis (steroid use can cause this)necrosis of hip bone; very difficult to treat besides hip replacement Transient osteoporosis happens to pregnant women in 3rd trimester Hip Soft Tissue Injury can be trochanteric bursa, LFCN entrapment, snapping hip: Trochanteric Bursitis bursa lateral to femur trochanter becomes swollen & irritated; Tx inject Flexion & External rotation causes pain (unlike anything else ( pain from int. rot.) LFCN Entrapment lateral femoral cutaneous nerve entrapped (tight belt), causes parasethesia Snapping Hip many different causes, involving IT Band, Iliopsoas ligaments/muscles/tendons Hip Exam study gait, palpation, ROM, strength, provocative testing Gait atalgic painful shortened stance phase of gait vs. trendelenburg spend more time on the effected side. Hip pain can extend to the knee (opposite hip drops due to weak abduction) Palpation lateral pain @ trochanter/anterior superior iliac spine (ASIS) = trochanteric bursitis ROM conduct a straight leg raise (SLR) ( if okay, likely not joint problem Pain reproduction flexion + adduction, & int. rotation ( any hip problem causes pain Flexion contracture fully flex one leg and straighten the other ( ROM good? Strength iliopsoas tendonitis/flexor tendonitis caused by pain when pushing femur down Referred pain hip pain very often referred to knee Knee Pain Acute/Chronic, Knee Exam Acute Knee Pain can be atraumatic or traumatic: Atraumatic much less common, means sepsis! 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