Front | Back |
Shoulder pain after repetitive activity, point tenderness at anterior
humerus or AC joint. + drop arm test or
apprehension test
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Rotator cuff injury (SITS muscles)
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Football player with burning pain, numbness, tingling from shoulder to
hand which resolves
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Brachial plexus neurapraxia, “stinger”.
Caused by stretching of brachial plexus
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FOOSH, Radial fracture w/ dorsal displacement, dinner-fork deformity
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Colle’s Fx; Tx = volar splint
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Typing, secretary wrist pain and numb/tingling from wrist to hand. New mothers, pregnant may worsen
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Carpal Tunnel syndrome
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Pain at base of thumb, distal radial styloid. Pain reproduced with ulnar deviation of
clenched fist.
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DeQuervain’s tenosynovitis
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Hand injury after a punch
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Boxer’s fracture. Ulnar gutter w/
intrinsic plus positioning. ORIF if
angulation > 40 degress
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Tibial pain after running (military recruits), athletic activity
(running sports)
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Shin splints, stress fracture.
Get bone scan if negative x-ray
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Female exam, asymmetric posterior chest wall or uneven scapula height
with forward bending
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Scoliosis (> 25 degree Cobb angle = surgery)
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Knee
injury during football game
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ACL (look for description of lachman or drawer test)
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8 – 10yo male with limp, knee pain
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Legg-Calve-Perthes Disease
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12 – 15yo overweight male knee pain, limp, hip pain (knee XR normal)
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SCFE
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Adolescent male with knee pain, tenderness over tibial tuberosity
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Osgood-schlatter disease
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Retropatellar
knee pain esp. in females
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Patellorfemoral pain syndrome – increased Q angle, strengthen quadriceps
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Pain on plantar foot @ 2 – 3rd metatarsal. Associated
w/ tight shoes, relieved by removing shoes. Palpable painful mass
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Morton’s neuroma; Tx w/ NSAIDs,
wide shoes, then steroid injections
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Pain after tx of fracture w/ cast
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Compartment syndrome
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