What's the Problem?
How Does it All Connect?
What are those?
Ow That Hurts
What's The score?
100

What's the Diagnosis?

Olecranon Bursitis

100

What nerve is most commonly injured with humeral shaft fracture?

Radial nerve

100

What is the carrying angle of the elbow?

Degree of cubitus valgus, formed between the axis of a radially deviated forearm and the axis of the humerus


100

Working out when he heard a loud pop. 

 What's the diagnosis

Biceps tendon rupture (Popeye's sign)

100

Resisted ___ and ___ of wrist can reproduce the pain of medial epicondylitis?

Flexion and Pronation

200

30 year old computer programmer, paresthesias of 4th and 5th fingers, weak grip, pain worse with Tinel's at elbow

Cubital Tunnel Syndrome
200

Lateral epicondylitis is associated with pathology in which muscle tendon

ECRB (Stabilizes wrist when elbow is straight)

200

Ultrasound of Medial elbow demonstrates increased joint space with valgus force. What's the diagnosis

Medial (Ulnar) Collateral Ligament Injury

200

What's the most common direction for elbow dislocation and what percentage of dislocations are in this direction

Posterior, 98%, most commonly from FOOSH

200

Name two things to change about a tennis racket to decrease pain from lateral epicondylitis

Increase grip size and decrease string tension (below 55 pounds)
300

2 year old child presents with R elbow pain, swelling, reduced ROM after Mom yanks arm while walking with her to stop her from falling

Nursemaid's elbow: axial traction while arm extended and pronated, causing subluxation of  radial head under the annular ligament

300

Injury to which nerve is associated with Medial Epicondylitis?

Ulnar nerve (caused by valgus stretch of the nerve)

300

What protocol of XR should you order to evaluate for LCL injury, and what would you expect to see?

Varus Stress Radiograph would demonstrate increased joint space

300

Olecranon Fractures are most closely associated with injury to which nerve

Ulnar nerve

300

What is the name of this test and what is it used to diagnose?


Cozen's Test for Lateral epicondylitis (Palpate over extensor tendons, make fist, pronate arm, radial deviate and extend wrist against resistance.

400

Recurrent locking/clicking of elbow with extension and supination, lateral elbow pain or instability with varus stress while elbow flexed. What's the diagnosis

Lateral (Radial) Collateral Ligament Sprain/Tear

400

Which bone, artery and nerve are most commonly injured with an elbow dislocation?

Radial Head, Brachial Artery, Median Nerve

400

8 year old child with diffuse right elbow pain, decreased elbow extension, XR shows osteochondrosis of capitellum. What's the diagnosis?

Panner's Disease

400

For unilateral elbow arthodesis, at what angle should elbow be fused?

90 degrees of flexion for unilateral. (65 and 110 for bilateral)

400

Posterior Interosseous Neuropathy is commonly misdiagnosed as which common sports related pathology

Lateral Epicondylitis

500

What is the pathophysiology of Panner's disease?

(Osteochondrosis of Capitellum) Aseptic necrosis of capitellum caused by disruption of blood supply, leading to resorption of ossification center, followed by repair

500

Name 3 structures that can compress the median nerve at the elbow/proximal forearm

Ligament of Struthers, Supracondylar Spur, Bicipital Aponeurosis, Pronator Teres, between the two heads of the FDS

500

Baseball pitcher develops posterior elbow pain, catching and locking of elbow during extension, XR demonstrates loose body and osteophyte at olecranon. What's diagnosis?

Valgus Extension Overload Syndrome (repeptitive abutment of olecranon against olecranon fossa)

500

Name 4 possible complications of distal humerus fracture (radial, median, ulnar nerve, vascular, nonunion, contracture)

Radial nerve injury, Median Nerve injury, Ulnar Nerve injury, arterial injury, nonunion and joint contracture

500

An 11 year old baseball player presents with medial elbow pain. XR demonstrates 8mm separation of medial epicondyle. Management ?

Surgery (medial epicondyle avulsion of >5mm requires surgery)

600

Describe the 3 (4) classes of radial head fractures

1. Nondisplaced

2. Marginal Radial head fracture/min displacement

3. Comminuted Fracture

4. Fracture with elbow dislocation


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