Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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What ligaments are involved in an inversion ankle sprain? anterior talofibular or calcaneofibular ligaments
What ligaments are involved in an eversion ankle sprain? deltoid ligament
stretching of a ligament with small tears. No joint instabil-
What is a grade 1 ankle sprain?
ity, mild swelling, patient is able to walk
larger tears but not a complete tear. Moderate instability.
What is a grade 2 ankle sprain?
Bruising, painful ambulation, swelling
complete tear of ligament, severe pain, lots of swelling and
What is a grade 3 ankle sprain? tenderness. Mechanical instability and decreased ROM.
unable to ambulate. Snap is heard at time of injury
When do you refer out an ankle sprain? Grade 3
PRICER
Protection (crutches, splint, brace)
Rest
Ice
What is the initial management of an ankle sprain?
Compression
Elevation
Rehabilitation
also analgesics such as NSAIDs
What is carpal tunnel syndrome? compressive neuropathy in the median nerve
paresthesia, weakness of the hands, aggravated by flexing
What are s/s of carpal tunnel syndrome?
and extending the wrist. Dull and achy pain
Used to test for Carpel Tunnel Syndrome. Ask the patient to
hold both wrists in a fully palmer flexed position with the
What is the phalen test? dorsal surfaces pressed together for one minute. Numb-
ness and paresthesia in the distribution of the median
nerve are suggestive of CTS.
, Tapping on the carpal tunnel causes parathesias (tingling)
What is Tinel's sign?
in the median nerve distribution
What is the treatment for carpal tunnel syndrome? NSAIDs, wrist splint, yoga, steroid injections, surgery
progressive stenosing tenosynovitis that attects the 1st
What is DeQuervain's tenosynovitis? dorsal compartment of the wrist. Degeneration and thick-
ening of the tendon sheath
What causes DeQuervain's tenosynovitis? Overuse of thumb extension/abduction.
Finkelstein test: pain increases on active contraction
How can you test for dequervains tenosynovitis?
against resistance on thumb extension
thumb spica splint for 3-4 weeks
modify activity
How do you manage dequervains tenosynovitis? NSAIDs
steroid injection
if conservative treatment fails after 3 months=surgery
lateral.
Does tennis elbow attect medial or lateral epicondyle?
another name for tennis elbow is lateral epidocondylitis
gradual onset of pain/burning on the outer part of the
What are the s/s of lateral epicondylitis
elbow. They have a WEAK GRIP.
rest, NSAIDs, PT, steroid injections, counterforce brace,
stretching the wrist up and down.
What is the treatment for lateral epicondylitis?
if conservative treatment fails, either open or arthroscopic
surgery
What part of the epicondyle is attected in golfer's elbow? Medial epicondyle
Where is the pain located in goler's elbow? boney bump on inside of elbow and radiates to forearm.
What is the treatment of golfer's elbow? rest, insets, ice, heat, PT
Define a fracture break in the structural continuity of a bone
What is a complete fracture?
, bone is broken into two or more pieces
What is an incomplete fracture? the break extends only across part of the bone
fracture that has soft tissue or wound involvement
Type 1
What is a compound fracture?
Type 2
Type 3--has extensive disruption of soft tissue
What is a simple fracture? fracture where the skin is intact over the broken bone
What are the types of simple fractures? spiral, oblique, transverse
fracture when the bone bends and breaks, usually during
early childhood or infancy
What is a greenstick fracture?
fracture that results from repeated stress to the bone,
What is a stress fracture?
usually in soldiers or athletes
What type of fracture is caused from compression? oblique
What type of fracture is caused from twisting? spiral
What type of fracture is caused from tension? transverse
osteoporosis, alcohol use, smoking, sedative use in elder-
What are risk factors for fractures?
ly, postmenopausal women, contact sports
What should you be examining when you suspect a frac-
ture?