Imaging Modalities
Upper Extremity Issues
Elbow Conditions
Hand & Wrist Conditions
Surgical Interventions
100

What imaging modality is contraindicated for patients with a pacemaker?

What is MRI?

100

What condition is often called "Golfer's elbow"?

What is medial epicondylitis?

100

What is the most common cause of lateral epicondylitis?

What is overloading the common extensor tendon, usually due to repeated gripping or wrist extension?

100

What condition involves a rupture of the flexor digitorum profundus and inability to flex the affected finger?

What is Jersey Finger?

100

What do you want to avoid with flexor tendon laceration surgical patients?

Active flexion

200

Which imaging modality is typically used first to identify bone fragments in the spinal cord after a fracture?

What is a CT scan?

200

What injury is caused by overuse of the valgus stress during overhead activities and may require Tommy John surgery?

What is Ulnar Collateral Ligament (UCL) tear?

200

What are the three stages of treatment for lateral epicondylitis?

1) Stop aggravating activities

2) Pain modalities

3) PT for stretching and eccentric strengthening

200

What is the primary symptom of a trigger finger?

What is painful catching or locking during finger flexion and extension?

200

What is the indication for carpal tunnel release surgery?

Persistent carpal tunnel symptoms for more than 3-6 months with conservative care, and presence of thenar atrophy.

300

When would an odontoid view be ordered for C-spine imaging?

When MRI is contraindicated or if there is an abnormal neuro exam or failed conservative treatment for 3+ months.

300

What is the treatment plan for a Grade 3 wrist sprain?

What is splinting, followed by exercises to improve stability?

300

Name a common complication of elbow surgery, dislocation, or fracture that limits ROM.

What is elbow contracture?

300

What is a Boutonniere injury and how does it present?

It is a tear in the central slip of the extensor tendon, presenting with PIP joint flexion and DIP joint hyperextension.

300

What condition might a Wafer procedure be used for?

Ulnar impaction syndrome

400

What imaging modality is considered the gold standard for visualizing the vertebral artery?

What is a Doppler ultrasound?

400

What elbow condition involves compressive neuropathy of the posterior interosseous nerve?

What is Radial Tunnel Syndrome?

400

What condition is characterized by pain and a “pins & needles” sensation along the medial aspect of the forearm and the 5th digit?

What is Ulnar Nerve Neuropathy?

400

What condition involves a leakage of fluid from a joint capsule, often seen on the dorsum of the wrist?

What is a Ganglion Cyst?

400

What is the general timeline for a patient who has had carpal tunnel surgery?

Gentle movement, open fingers, gentle tendon glides, regular strengthening, full activities by 4-6 weeks post-op

500

What imaging view is best for diagnosing anterior and posterior shoulder dislocations?

What is the Axillary Lateral view?

500

What type of fracture involves a distal radius fracture with posterior and radial displacement of the wrist and hand?

What is a Colles fracture?

500

Which elbow injury results from hyperextension after a FOOSH injury and may involve rupture of the UCL and anterior capsule?

What is a posterior elbow dislocation?

500

What is DeQuervain's Tenosynovitis?

Inflammation of the extensor pollicis brevis and abductor pollicis longus tendons, causing pain along the thumb side of the wrist.

500

What is the general timeline for a patient who has had a flexor tendon laceration repair surgery?

Pre-Week 3 - splinted, passive ROM, active extension

Week 4-6 - careful ROM

Week 6-12 - joint mobs, light resistive exercise, light hand usage

Week 14-16 - heavy lifting, tight gripping

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