Orthopaedics & MSK — Flashcards

Flashcard 301: Initial investigation for a suspected meniscal tear: _____ (to rule out bony pathology).

Answer: X-ray knee

Extra: In clinical orthopaedics, the "initial" investigation refers to the first test performed (X-ray), while the "investigation of choice" or "gold standard" is MRI.

Flashcard 302: The _____ tendon is the largest tendon in the human body providing attachment of the converged soleus & gastrocneumius muscles to the calcaneus

Answer: achilles

Flashcard 303: If injected corticosteroid results in no improvement of rotator cuff tendinopathy pain then suspect _____

Answer: rotator cuff tear

Flashcard 304: Function of the _____ muscle may be assessed using the "Gerber's lift off" test

Answer: subscapularis

Flashcard 305: What does the drop arm test assess? _____

Answer: Rotator cuff tears (specifically full-thickness tears of the supraspinatus tendon)

Flashcard 306: _____ test is used to identify medial epicondylitis

Answer: Golfer's elbow

Flashcard 307: The _____ stress test is most commonly used to identify MCL injury

Answer: valgus

Flashcard 308: What is the gold-standard investigation for a meniscal tear? _____

Answer: MRI

Flashcard 309: Describe the Mill's test for lateral epicondylitis: _____

Answer: Palpate the lateral epicondyle with one hand, while pronating the patient's forearm, fully flexing the wrist, the elbow is extended. +ve result is production of pain in the lateral epicondyle If -ve, can ask the patient to extend the wrist with resistance

Flashcard 310: Meniscal tear and mild symptoms / older patients is managed with → _____ Meniscal tear and persistent symptoms / impaired activity is managed with → surgery

Answer: conservative