MSK - Fast Facts

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Last updated: December 25, 2023
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First submittedDecember 15, 2023
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positive straight leg test indicates
sciatica
most common cause of radiculopathy and sciatica
disk herniation
nerve injury responsible for foot drop
common peroneal
nerve injury responsible for wrist drop or "saturday night palsy"
radial
MC injured ligament in lateral ankle sprain
anterior talofibular ligament
midfoot pain should be xrayed if the patient cannot bear weight and their is tenderness at these bones
navicular bone, fifth metatarsal
ankle pain should be xrayed if the patient cannot bear weight and their is tenderness at the posterior edge of the distal 6cm or tip of these two regions of the malleolus
lateral, medial
radial fracture characterized by volar displacement of the distal radius
smith fracture
joints most likely to dislocate posteriorly rather than anteriorly
hip and elbow
MC herniated disk
L5/S1
nerve most likely to be injured in shoulder fracture
axillary
colles fracture presents w/ this deformity on xray
dinner fork
fracture presenting w/ "garden spade" deformity on xray
smith fracture
MC upper extremity fracture
distal radius
MCC of cauda equina syndrome
herniated disk
MC carpal bone fracture
scaphoid
snuffbox tenderness indicates fracture of the
scaphoid
bacterial cause of septic systemic infection more common in sickle cell patients
salmonella
nerve commonly injured in tibiofemoral (anterior knee) joint dislocation
peroneal
decreased sensation to the dorsum of the foot and weak dorsiflexion of the ankle are signs of injury to this nerve
peroneal
MC injured muscle in rotator cuff injury
supraspinatus
MC neurovascular injury in midshaft humerus fracture
radial nerve injury
compartment most commonly affected by compartment syndrome
flexor compartment of forearm and anterior compartment of the leg
normal delta pressure
10-12 mmHg
consider fasciotomy when delta pressure ≤
30 mmHg
MC long bone fracture
tibia
MC direction of shoulder dislocation
anterior
MC direction of hip dislocation
posterior
MCC of compartment syndrome
tibial fracture
MCC of lateral hip pain in adults
greater trochanter pain syndrome
MCC chest pain in children
costochondritis
MCC of heel pain in US
plantar fasciitis
MCC of lateral ankle sprain
inversion
saddle anesthesia is a red flag for
cauda equina syndrome
MC injured knee ligament
ACL
Positive obriens test indicates
SLAP lesion
MC injured artery in patellar dislocation
popliteal
MC injured nerve in patellar dislocation
peroneal
deformity caused by rupture of the extensor tendon insertion at the DIP, resulting in permanent flexion at the DIP
mallet finger
bony hard swellings at the DIP joints, pathognomic for osteoarthritis
heberdens nodes
fracture most likely to be sustained by falling on an outstretched hand
colles fracture
crystal shape in pseudogout
Rhomboid
Carpal tunnel is definitively diagnosed via
EMG
Hematogenous osteomyelitis is often monomicrobial and seen in this demographic
Children
Ecchymosis of the plantar aspect of the foot is nearly pathognomic for this type of injury
Lisfranc fracture
MCC of osteomyelitis in kids
S aureus
pain on passive extension of the affected finger, finger held in partial flexion, tenderness of the full tendon sheath, and fusiform swelling of the digit are signs of
Flexor tenosynovitis
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increased risk of gout flares when serum urate ≥
6.8
incomplete ankle sprain is also known as grade
2
A flesh colored, smooth, firm, well circumscribed painless mass over a tendon is also known as a
Ganglion cyst
temporal arteritis often coocurrs with this rheumatological condition
polymyalgia rheumatica
drug induced lupus may be remembered with the mnemonic
HIPPS (hydralazine, INH, procainamide, phenytoin, sulfonamides)
leukocytosis, an elevated erythrocyte sedimentation rate or C-reactive protein, elevated creatine kinase, and elevated lactate dehydrogenase, aldolase, aspartate aminotransferase, and alanine aminotransferase is consistent with
polymyositis
gottron papules are pathognomic for
dermatomyositis
chondrocalcinosis on xray indicates
pseudogout
rat bite erosions on xray indicate
gout
anti-histidyl-transfer RNA synthetase antibodies is also known as this type of antibody, seen predominantly in polymyositis
anti-jo
polyarteritis nodosa is associated with this viral infection
hepatitis B
mononuclear cell infiltration seen on salivary gland biopsy is a hallmark of
sjogrens syndrome
patients w/ sjogrens syndrome have an increased risk of this cancer
nonhodgkins lymphoma
juxta-articular demineralization and soft tissue swelling of the joints seen on xray indicates
rheumatoid arthritis
tear of the MCP ulnar collateral ligament causes this msk deformity
gamekeeper’s thumb
defect in the autosomal dominant collagen type 1 gene is responsible for
osteogenesis imperfecta
this artery is most likely to be involved in avascular necrosis of the femoral head following fracture
medial circumflex femoral artery
vaginismus pain is caused by contraction of this muscle
pubbococcygeus
dysfunction of this muscle is most likely to cause foot drop
tibialis anterior
inflammation between the abductor policis longus and extensor pollicis brevis characterizes this condition
dequervains tenosynovitis
proximal ulna fracture w/ dislocated radial head is known as
monteggia fracture
distal radius fracture w/ dorsal displacement is known as
colles fracture
distal radius fracture w/ dislocation of the distal radioulnar joint is known as
galleazzi fracture
blue sclera is associated w/
osteogenesis imperfecta
positive metatarsal squeeze test is associated w/
mortons neuroma
positive thompson squeeze test indicates
achilles tendon rupture
positive lachman and A/P drawer tests indicate
ACL injury
crescent sign on xray of hip joint indicates
legg calves perthes disease
ice cream cone sign on xray indicates
slipped capital femoral epiphysis
Abduction and external rotation of a displaced joint indicates this direction of dislocation
anterior
MC joint disorder
osteoarthritis
bouchards and heberdens nodes are pathognomic for
osteoarthritis
rheumatoid arthritis is more likely to affect (unilateral, bilateral) joints
bilateral
Osteophytes, subchondral stenosis, and joint space narrowing is associated with
osteoarthritis
MC fracture caused by osteoporosis
vertebral body compression fracture
serum acid above this value is associated w/ increased risk of gout flare
6.8
shape of sodium urate crystals in gout
needle
shape of crystals in pseudogout
rhomboid
classic xray finding in gout
rat bite erosions
carpal tunnel is caused by compression of this nerve
median
positive tinel and phalens sign indicate
carpal tunnel syndrome
fracture of the proximal ulnar shaft w/ radial head displacement is known as
monteggia fracture
fracture of the distal radius w/ distal radioulnar displacement
galeazzi fracture
Knee pain w/ valgus stress test indicates
medial meniscus injury
Knee pain w/ varus stress test indicates
lateral meniscus injury
catching/poppingof the knee and joint line tenderness suggests injury of this part of the knee
meniscus
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