Sports - SA

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List 3 conditions that would result in a false +ve result using the Thessaly test.
- ACL
- OA
- OCD
- CHondral injury
- Plicae
- Meniscal cyst
List 4 different ACL management/reconstruction techniques for an active 11 year old.

Physeal sparing: All epiphyseal fixation

Partial transphyseal: Epiphyseal fixation femur, transphyseal tibia

Partial transphyseal: femur over the top fixation and transphyseal tibia

Physeal sparing: IT band autograft over the top on the femur

Non op: activity modification and bracing until maturity
List the 4 knee ligaments (ie, ACL, MCL, LCL, and PCL) in order from the weakest to the strongest.
- MCL: 4000
- PCL: 2500
- ACL: 2200
- LCL: 750
List 5 causes for decreased extension in an ACL recon
- Cyclops
- Arthrofibrosis
- Graft impingement
- Femoral tunnel too anterior
- Tibial tunnel too anterior
List 4 components of the postero-lateral corner (8 total)
- Popliteofibular ligament
- Popliteus tendon
- LCL
- IT band
- Lateral capsule
- Bicep femoris
- Arcuate ligament
- Lateral head of gastroct
List 5 anatomic abnormalities associated with patellar dislocation

Increased Q angle

Increased TT TG: > 20mm

Miserable malalignment: femoral anteversion, external tibial torsion, flat feet

Dysplastic trochlea

Patella alta
List 4 stabilizers of the AC joint

AC joint capsule

Conoid ligament

trapezoid ligament

Coracoacromial ligament
List 3 ways that a coracoid transfer (Laterjet) provides stability to the GH joint

Sling effect: conjoint tendon passes through subscap

Bony block: increases glenoid track

CA ligament support: reinforces capsular repair
36 year-old male come to office with 3-week history of acute onset shoulder pain in non-dominant arm. No history of trauma. Complains of night pain and 1 week of decreased shoulder abduction and external rotation as seen in the physical exam. Has an MRI, which is normal except for increased signal in the supraspinatus and infraspinatus. Diagnosis and investigation?

Brachial Neuritis (Parsonage-Turner) -> EMG
Name 3 non-femoroacetabular hip impingement syndromes (? Types of snapping hip)
- Snapping Ilipsoas
- Snapping IT band
- Sports hernia
- Labrum pathology
Name 3 mechanisms for SLAP tears
- • Repetitive overhead throwing activities • Forceful traction load on arm
- • Direct compression load
3 options for 45M patient with a large reverse Hill-Sachs lesion? A patient undergoes open reduction of a locked posterior shoulder dislocation. Has persistent instability due to a large revers Hill-Sachs lesion. Describe 4 methods to address this lesion.
Hemiarthroplasty
- RSA
- Allograft
Lesser tuberosity to defect
What is the female athlete triad?
- • Dysmenorrhea • Anorexia
- • Osteoporosis
Give 4 common signs & symptoms seen in a thrower with a disabled shoulder
SICK
- • Scapular malposition • Inferior medial border prominence of scapula
- • Coracoid pain & malposition
- • DysKinesia of scapula
What are the 5 phases of throwing
- • Wind up
- • Cocking
- • Acceleration • Deceleration
- • Follow-through
Give 4 most common symptoms of concussions
- • Headaches
- • Balance issues • Trouble concentrating • Memory loss
What are the contents of the rotator interval?
- • Long head of biceps • SGHL
- • CHL
- • Capsule
What are the ideal conditions for a meniscal repair?
- • Longitudinal (vertical) tear
- • Peripheral 1/3 • Peripheral detachment • Concomittant ACL reconstruction
- • Acute tear
- • < 40yrs old
What factors predict long term success in partial meniscectomy?
- • Age < 40
- • Normal alignment
- • Minimal arthritis
- • Single fragment tear
What are the clinical sequelae of treating a distal biceps rupture non-operatively?
- • 40-50% loss supination
- • 15-30% loss elbow flexion
- • 10-15% loss grip strength
Give 3 factors that improve intereference screw fixation in ACL reconstruction
- • Length of screw • Diameter of screw
- • Screw divergence < 10-15o
- • Eccentric slightly better than centric
- • Bioabsorbable = steel have similar results
What are the boundaries of the rotator interval?
- • Coracoid process at base
- • Superiorly by anterior margin of supraspinatus tendon
- • Inferiorly by superior margin of subscapularis tendon
What are predictors of humeral head ischemia in proximal humerus fractures?
Hertel criteria
- • Metaphyseal extension < 8mm
- • Metaphyseal hinge > 2mm
- • Increasing fracture complexity
- • Displacement > 1cm & angulation > 45 degrees
What are predictors of humeral head ischemia in proximal humerus fractures?

Hertel criteria

• Metaphyseal extension < 8mm • Metaphyseal hinge > 2mm • Increasing fracture complexity • Displacement > 1cm & angulation > 45 degrees

Author

egusnowski

345832

Card Set

Sports - SA

Description

Sports sa

Updated

2019-03-07T17:30:19Z