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PANCE Prep Pearls: 3rd Ed. (2019)
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Upper Extremity Disorders

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PANCE Prep Pearls: 3rd Ed. (2019) | Physician Assistant (PA) School Study Aid

Upper Extremity Disorders
9 Picmonics to Learn | 17 mins
Salter-Harris Fracture Classification
SMACK
Slipped Across Physis (Type 1)
Metaphysis and Physis (Type 2)
Articular-Epiphyseal (Type 3)
Complete Metaphysis and Epiphysis (Type 4)
Krushed Physis (Type 5)
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2 mins
Anterior Shoulder Dislocation
Axillary Nerve Damage
Axillary Artery
Rotator Cuff Injury
Supraspinatus Tendon
Anterior Glenohumeral Ligament
Anatomic Lesions
Bankart's Lesion
Hill-Sachs Lesion
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1 min
Rotator Cuff
External Rotation
Teres Minor
Infraspinatus
Internal Rotation
Subscapularis
Abduction
Supraspinatus
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1 min
Supracondylar Fracture Of Humerus
Mechanism
Fall On Outstretched Hand (FOOSH)
More Common In Children
Signs & Symptoms
Elbow Pain & Swelling
Diagnosis
X-ray Shows Elbow Effusion
Anterior Sail Sign
Posterior Fat Pad Sign
Treatment
Non-displaced: Splint And Sling
Displaced: Closed Reduction With Percutaneous Pin Placement
Considerations
Compartment Syndrome
Volkmann Ischemic Contracture
Brachial Artery Injury
Median Nerve Palsy
Cubitus Varus Deformity
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3 mins
Nursemaid's Elbow (Radial Head Subluxation)
Pathophysiology
Radial Head Subluxation
Inferiorly Under Annular Ligament
Axial Traction on Forearm
Pulled or Lifted by the Hand or Forearm
Children Aged (1-4 Years Old)
Signs & Symptoms
Extended & Pronated Forearm
Refusal to Bend Elbow
Treatment
Manual Reduction
Hyperpronation of Forearm
Gentle Supination of Elbow at 90 Degrees Flexion
No Immobilization
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3 mins
Lateral Epicondylitis (Tennis Elbow)
Characteristics
Overuse Injury of Extensor Tendons
Wrist Extension
Forearm Supination
Pain over Lateral Epicondyle
Management
Conservative Management
Surgery
Injections
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1 min
Medial Epicondylitis (Golfer's Elbow)
Characteristics
Overuse Injury of Flexor Tendons
Wrist Flexion
Forearm Pronation
Pain over Medial Epicondyle
Management
Conservative Management
Injections
Surgery
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1 min
Osteogenesis Imperfecta
Pathophysiology
Autosomal Dominant
Decreased Type I Collagen Production
Symptoms
Phenotypically Diverse
Brittle Bone Disease
Fractures from Minimal Trauma
Confused with Child Abuse
Hearing Loss
Dental Imperfections
Blue Sclera
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1 min
Carpal Tunnel Syndrome
Median Nerve Entrapment
Compression at Carpal Tunnel
Numbness, Tingling and Pain in Hand
Diagnosis
Phalen's Maneuver
Tinel's Sign
Treatment
Splints
Surgery
Steroids
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2 mins

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