Sports - SA

  1. List 3 conditions that would result in a false +ve result using the Thessaly test.
    • ACL
    • OA
    • OCD
    • CHondral injury
    • Plicae
    • Meniscal cyst
  2. 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
  3. 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
  4. List 5 causes for decreased extension in an ACL recon
    • Cyclops
    • Arthrofibrosis
    • Graft impingement
    • Femoral tunnel too anterior
    • Tibial tunnel too anterior
  5. 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
  6. 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
  7. List 4 stabilizers of the AC joint
    AC joint capsule

    Conoid ligament

    trapezoid ligament

    Coracoacromial ligament
  8. 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
  9. 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
  10. Name 3 non-femoroacetabular hip impingement syndromes (? Types of snapping hip)
    • Snapping Ilipsoas
    • Snapping IT band
    • Sports hernia
    • Labrum pathology
  11. Name 3 mechanisms for SLAP tears
    • • Repetitive overhead throwing activities • Forceful traction load on arm
    • • Direct compression load
  12. 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
  13. What is the female athlete triad?
    • • Dysmenorrhea • Anorexia
    • • Osteoporosis
  14. 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
  15. What are the 5 phases of throwing
    • • Wind up
    • • Cocking
    • • Acceleration • Deceleration
    • • Follow-through
  16. Give 4 most common symptoms of concussions
    • • Headaches
    • • Balance issues • Trouble concentrating • Memory loss
  17. What are the contents of the rotator interval?
    • • Long head of biceps • SGHL
    • • CHL
    • • Capsule
  18. What are the ideal conditions for a meniscal repair?
    • • Longitudinal (vertical) tear
    • • Peripheral 1/3 • Peripheral detachment • Concomittant ACL reconstruction
    • • Acute tear
    • • < 40yrs old
  19. What factors predict long term success in partial meniscectomy?
    • • Age < 40
    • • Normal alignment
    • • Minimal arthritis
    • • Single fragment tear
  20. 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
  21. 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
  22. 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
  23. 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
  24. 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
ID
345832
Card Set
Sports - SA
Description
Sports sa
Updated