UQ project questions

Which of the following clinical tests is most commonly used to identify an ulnar collateral ligament (UCL) tear in the elbow?

Moving valgus stress test

Which of the following is the MOST appropriate next step regarding surgical intervention for Jake Thompson's UCL injury (partial UCL tear)?

Non-operative rehab with gradual return to throwing over 10-12 weeks

Which muscles would be an appropriate component of conservative management to start strengthening for our patient who has a partial tear of the anterior bundle of the UCL?

Flexor carpi ulnaris

Which of the following is the most likely clinical presentation of a patient with a TFCC tear?

Reports ulnar sided wrist pain with forearm rotation

Which of the following patients would most likely be a candidate for surgical intervention for a TFCC tear?

Has persistent ulnar wrist pain after falling on an outstretched hand and pain did not improve with conservative treatment

Which of the following is most appropriate during early conservative management of a TFCC tear?

Use wrist immobilization and activity modicification

Conservative treatment for SLAP lesions from day 1-10 includes:

Pendulum Exercises along with Rope/Pulley exercises

Which special tests are most appropriate to rule in a SLAP lesion?

Biceps Load I/ Biceps Load II

A patient reports that her R shoulder MRI showed a "bucket handle" around the head of the humerus in the 10-2 region. The patient imaging is most consistent with a:

Grade III SLAP lesion tear, surgery is necessary to resect the deformity

In what position is a Bankart lesion most likely to occur?

Arm abduction and external rotation

-This position places the most stress on the anterior side of the capsule, likely leading to an anterior dislocation and a Bankart lesion.

Which of the following is the most appropriate conservative intervention during the early phase of Bankart lesion rehabilitation?

Applying modalities and providing Grade I-II joint mobilization

-Pain and inflammation control is essential early on to protect healing of the labrum.

When is an open Bankart repair preferred over an arthroscopic repair?

Recurrent shoulder instability with significant bone loss

-Significant bone loss is usually the largest indicator (>20%-25%) of open Bankart repair and this procedure allows for stronger reinforcement of injured areas.

Which of the following is the best indicator for a scapholunate tear?

Palpable clunk with Watson's test

The most important thing to focus on in the first 2-6 weeks of rehabilitation of a DISI is?

Immobilization outside of therapy

If left untreated what is most likely to happen with a chronic scapholunate ligament dysfunction?

SLAC wrist will develop with the capitate moving to the proximal carpal row