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laracrystalo's version from 2016-07-12 19:26

Uworld highlights 1

Question Answer
unhappy triadACL, MCL, MM
housemaid's kneeprepatellar bursitis (kneeling extensively)
baker cyst popliteal fluid collection --> popliteal bursitis
rotator cuff injurysupraspinatus, infraspinatus, teres minor, subscapularis
golfer's elbowmedial epicondylitis from repetitive flexion
tennis elbow lateral epicondylitis from repetitive extension
lunate dislocationacute carpal tunnel
hook of hamate damageulnar n. injury
carpal tunnelmedian nerve entrapment
causes of carpal tunnelpregnancy, suicide attempt, RA, hypothyroid, DM, dialysis related amyloid (beta2 micro globulin)
ape-hand deformity thenar atrophy from carpal tunnel
hypothenar atrophyulnar n injury
common in cyclistsguyon canal injury (ulnar nerve compression)
flat deltoidaxillary n injury
pope's blessingsupracondylar humerus fracture (brachial artery injury)
found in rifle sports coracoid process fracture
femoral n. injurydecreased knee jerk/patellar reflex
foot dropcommon perennial injury
tibial n. injurydecreased sensation of sole of foot and decreased plantar flexion L4-S3
decreased sensation over small part of mid thigh obturator nerve L2-S4
pain along medial kneeanserine bursitis
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2

Question Answer
fishbone can get stuck...piriform recess and damage internal laryngeal n and disrupt cough reflex CN X
upward displaced clavicleacromioclavicular joint sublux
spiral humoral midshaft injuryradial nerve damage and to deep branchial artery
fall on outstretched handhumoral midshaft fracture
surgical neck of humerus fracture axillary nerve (falt deltoid and paralized)
most commonly dislocated jointglenohumoral
crappy mastectomywinged scapula from damage to long thoracic nerve causing paralysis of serratus anterior
what stabilizes glenohumoral joint?supraspinatus
crutch palsyradial nerve damage
wrist dropradial nerve damage
tight leg castscommon perennial injury --> foot drop
bicep and bracialis paralysismusculocutanous n injury
post lat leg and lat foot sensationrural nerve
pelvic floor motor and sensorypudendal nerve (S2-S4)
abduct arm to 90 degreesdeltoid and supraspinatus
abduct arm from 90 degrees and aboveserrates anterior
site of proper gluteus injectionsuperior lateral compartment (soon hochtetter triangle)
empty can testsupraspinatus injury
saturday night palsycompress radial nerve and causes wrist drop
fractured funny bonemedial epicondyle of humerus --> ulnar claw
erb palsywaiter's tip C5-C6 upper trunk tear --> medial rotated hanging arm and extended and pronated
total claw handC8-T1 lower trunk tear --> decreased intrinsic hand muscle
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3

Question Answer
distal ulnar nerve damageulnar claw
proximal ulnar n damageOK gesture (digits 1-3 are flexed)
thenar atrophymedian nerve damage
cricothyrotomy placementbtwn cricoid and thyroid cartilage
steppage gaitcommon perennial
trendelenburg gaitsuperior gluteal injury (L4-S1) contralateral lesion to the hip drop
can't climb stairs or rise from seatinferior gluteal injury (L5-S2)
decreased patellar reflexL4 disc herniation
decreased heel walkingL5 disc herniation
decreased achilles reflexS1 disc herniation
colles fracturedistal radius
injured in thyroidectomyexternal branch of superficial laryngeal nerve
+ straight leg testsciatic nerve root irritation (L4-S3)
posterior triangle of neck surgeryinjury to spinal accessory
fractured neck of fibulacommon perennial injury
decreased sensation medial leglesion to saphenous here
tender anatomical snuff boxscaphoid fracture (avascular necrosis)
main muscle to help you sit upileopsoas
sharp pull of outstretched handsubluxation of radial head (annular ligament tear)
digiti minim are on what side?pinky side
pollicis brevis are on what side?thumb side
memorize

FA UPPER

Question Answer
axillary nerveC5-C6
anterior dislocation of humerusaxillary nerve
fractured surgical neck of humerusaxillary nerve
axillary nerve injury presentationflattened deltoid, loss of abduction, loss sensation over lateral arm and deltoid
musculocutaneous nerveC5-C7
upper trunk compressionmusculocutaneous
musculocutaneous injury presentationloss of forearm flexion and supination. Loss of sensation over lateral forearm
radial nerveC5-T1
midshaft fracture of humerusradial nerve
saturday night palsyradial nerve
improper use of crutchesradial nerve injury
presentation of radial nerve injurywrist drop, loss of elbow, wrist and finger extension, decreased grip strength, loss of sensation over posterior arm/forearm and dorsal hand
median nerveC5 - T1
supracondyar fracture of humerusmedian nerve injury
carpal tunnel syndromemedian nerve injury
wrist lacerationmedian nerve injury
median nerve injury presentationape hand, pope's blessing, loss of wrist flexion, loss of sensation over thenar eminence, tingling on percussion
ulnar nerveC8 - T1
fracture of medial epicondyle of humerusulnar nerve injury
fractured hook of hamateulnar nerve injury
ulnar nerve injury presentationulnar claw, radial deviation of wrist, loss of wrist flexion, loss of sensation over medial 1 1/2 fingers and hypothenar eminence
recurrent branch of median nerveC5 - T1
superficial laceration of palmrecurrent branch of median nerve injury
presentation of recurrent branch of medial nerve injuryape hand. Loss of thenar muscle group, opposition, abduction, flexion of thumb. No loss of sensation
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FA LOWER

Question Answer
obturatorL2-L4
pelvic surgeryobturator injury
obturator injury presentationdecreased medial thigh sensation and decreased adduction
femoralL2-L4
pelvic fracturefemoral injury
femoral injury presentationdecreased thigh flexion and leg extension
common peronealL4-S2
compression of lateral aspect of legcommon perennial injury
fibular neck fracturecommon peroneal injury
common peroneal injury presentationfoot drop (inverted and plantar flexed) loss of eversion and dorsiflex. Steppage gait. Loss of dorsum of foot sensation.
steppage gaitcommon peroneal
loss of dorsal foot sensationcommon peroneal
TibialL4-S3
knee traumatibial nerve injury
baker cysttibial nerve injury
tarsal tunnel syndrometibial nerve injury
tibial nerve injury presentationinability to curl toes and loss sole sensation. Loss plantar flexion for proximal lesions.
superior glutealL4 - S1
improper intramuscular injection to glutssuperior gluteal injury
superior gluteal injury presentationtrendelenburg gait, pelvis tilts, lesion is contralateral to side of hip that drops, ipsilateral to the side patient stands on
inferior gluteal nerveL5 - S2
posterior hip dislocationinferior gluteal nerve
inferior gluteal nerve presentationdifficulty climbing stairs, rising from seated position. loss of hip extension.
difficulty climbing stairsinferior gluteal
difficulty rising from seatinferior gluteal
trendellenburg gaitsuperior gluteal
blocked during local anesthetic for childbirthpudendal nerve
ischial spine landmark?pudendal nerve
sciatic nerveL4 - S3
pudendal nerveS2 - S4
memorize

SITS

Question Answer
supraspinatusabducts arm
infraspinatuslaterally rotates arm
teres minoradducts and laterally rotates arm
subscapularismedially rotates and adducts arm
memorize

derivatives

Question Answer
musculocutaneousC5-C6 Biceps brachii, brachialis
axillary nerveC5-C6, deltoid
radial nerveC5-C8, Brachioradialis, extensors, supinator, tricep
what does the triceps reflex test?C7
median nerveC5-T1 all the flexors and thinner muscles (pollicis)
Adducting the thumbulnar nerve
memorize

reflexes

Question Answer
achillesS1, S2
patellarL3, L4
bicepsC5, C6
tricepsC7, C8
cremastericL1, L2
anal winkS3, S4
memorize