Which muscle is responsible for initiating abduction of the arm from 0° to 15°?
The supraspinatus muscle.
What condition may be associated with a torn supraspinatus tendon?
Shoulder stiffness.
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Supraspinatus Tendon Rupture

Which muscle is responsible for initiating abduction of the arm from 0° to 15°?

The supraspinatus muscle.

p.3
Supraspinatus Tendon Rupture

What condition may be associated with a torn supraspinatus tendon?

Shoulder stiffness.

p.5
Subcutaneous Olecranon Bursitis

What is the anatomical location of the subcutaneous olecranon bursa?

It is a fluid-filled sac that sits subcutaneously over the olecranon process.

p.3
Biceps Tendinitis

What can constant rubbing of the biceps tendon within the groove lead to?

Microtears and inflammation.

p.7
Tenosynovitis

What is unique about the synovial sheath of the thumb?

It extends with the tendon of FPL to the wrist.

p.6
Medial Epicondylitis (Golfer’s Elbow)

What is a common cause of medial epicondylitis (golfer’s elbow)?

Repetitive wrist flexion during activities that require intensive grip.

p.4
Biceps Tendon Rupture

What happens to the ruptured tendon of the long head of biceps?

It usually slips out of the intertubercular groove due to the forceful pull of the muscle.

p.2
Subacromial Bursitis

What are the primary causes of subacromial bursitis?

Very similar to the causes of supraspinatus tendinitis and may be secondary to tendinitis.

p.3
Biceps Tendinitis

What is a common cause of biceps tendinitis?

Overuse of the tendon, such as excessive throwing motion.

p.5
Subcutaneous Olecranon Bursitis

How does the swelling in subcutaneous olecranon bursitis differ from that in rheumatoid arthritis?

Subcutaneous olecranon bursitis typically presents with unilateral swelling, while rheumatoid arthritis usually presents with bilateral swelling.

p.7
Tenosynovitis

How is the synovial sheath of the little finger connected to the common flexor sheath?

It is continuous with the common flexor sheath within the carpal tunnel at the wrist.

p.1
Supraspinatus Tendinitis

What is a primary cause of supraspinatus tendinitis?

Repeated motion of the shoulder above the horizontal causing microtrauma.

p.6
Medial Epicondylitis (Golfer’s Elbow)

What symptoms are associated with medial epicondylitis?

Pain along the medial forearm and elbow, and impaired movement of the wrist.

p.1
Supraspinatus Tendinitis

What are two associated pathologies with supraspinatus tendinitis?

Subacromial bursitis and supraspinatus tendon rupture.

p.2
Subacromial Bursitis

What is a potential associated pathology with subacromial bursitis?

Shoulder impingement syndrome.

p.5
Subcutaneous Olecranon Bursitis

What is the 'Popeye sign' associated with?

A deformity resembling the arm of the cartoon character, Popeye the Sailor.

p.3
Biceps Tendinitis

Which part of the biceps tendon is most commonly affected?

The tendon of the long head of biceps.

p.8
Tenosynovitis

How is the tendon structured in relation to the synovial sheath?

The tendon is surrounded by two layers of synovial membrane, not directly immersed in synovial fluid.

p.4
Biceps Tendon Rupture

What type of pain is associated with biceps tendon rupture?

Deep, throbbing pain in the anterior shoulder.

p.1
Supraspinatus Tendinitis

How does poor posture contribute to supraspinatus tendinitis?

It leads to constant compression of the supraspinatus tendon.

p.6
Lateral Epicondylitis (Tennis Elbow)

What can repetitive strain cause in lateral epicondylitis?

Inflammation of the extensor tendons and periosteum of the lateral epicondyle.

p.1
Supraspinatus Tendinitis

What degenerative changes occur in supraspinatus tendinitis?

Repetitive microtrauma leads to degenerative changes in the tendon.

p.8
Tenosynovitis

What complication can arise from swelling of the digital synovial sheaths?

Digital tendon rupture due to compression on blood vessels supplying the tendons.

p.7
Tenosynovitis

How can an injury to the finger lead to tenosynovitis?

Injury can cause infection to spread to digital synovial sheaths, leading to inflammation.

p.7
Tenosynovitis

Do the digital synovial sheaths of the 2nd to 4th fingers communicate with each other?

No, they are separate from each other and from the common flexor sheath.

p.4
Biceps Tendon Rupture

What type of injury can lead to biceps tendon rupture?

Forceful flexion of the arm against excessive resistance, often seen in weightlifters.

p.1
Supraspinatus Tendinitis

What happens to the inflamed tendon during abduction from 60° to 120°?

It rubs against the acromion, causing increased pain.

p.2
Subacromial Bursitis

What is the anatomical location of the subacromial bursa?

It is sandwiched between the tendon of the supraspinatus muscle and the acromion of the scapula.

p.8
Tenosynovitis

What is a common symptom of infection in the 2nd to 4th fingers?

Swelling confined to the infected finger due to independent synovial sheaths.

p.3
Biceps Tendinitis

Where does the long biceps tendon arise from?

The supraglenoid tubercle with the GH joint capsule.

p.7
Tenosynovitis

Which tendons are surrounded by the anterior digital synovial sheaths?

The tendons of the flexor digitorium superficialis (FDS), flexor digitorium profundus (FDP), and flexor pollicis longus (FPL).

p.4
Biceps Tendon Rupture

What activities typically exacerbate the pain of biceps tendon rupture?

Lifting, pulling, or repeated overhead motion.

p.1
Supraspinatus Tendinitis

What anatomical structure does the supraspinatus tendon pass under?

The acromion.

p.6
Medial Epicondylitis (Golfer’s Elbow)

What can repetitive strain cause in medial epicondylitis?

Inflammation of the common flexor tendon.

p.2
Subacromial Bursitis

What happens to the subacromial bursa during supraspinatus tendinitis?

Inflammation may spread to the bursa, causing fluid buildup and increased pain during movement.

p.8
Tenosynovitis

What happens when the thumb or little finger is infected?

Swelling might also occur at the wrist due to infection spreading along the digital synovial sheath.

p.7
Tenosynovitis

What are some causes of tenosynovitis?

Infection, autoimmune diseases (like rheumatoid arthritis), and overuse (repetitive movement).

p.6
Lateral Epicondylitis (Tennis Elbow)

What is a common cause of lateral epicondylitis (tennis elbow)?

Repetitive strain from tasks involving loaded and repeated wrist extension.

p.4
Biceps Tendon Rupture

What is a common cause of biceps tendon rupture?

Usually occurs secondary to biceps tendinitis.

p.1
Supraspinatus Tendinitis

What is the painful arc syndrome associated with supraspinatus tendinitis?

Painful movement at 60° – 120° of abduction.

p.1
Supraspinatus Tendinitis

What type of injury can lead to supraspinatus tendinitis?

Direct injury to the shoulder.

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Supraspinatus Tendon Rupture

What are the primary causes of supraspinatus tendon rupture?

Severe degenerative change and calcification of the supraspinatus tendon, usually secondary to tendinitis, and sudden strain of the rotator cuff muscles.

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Supraspinatus Tendon Rupture

How might a patient compensate for an inability to initiate abduction due to supraspinatus tendon rupture?

By leaning forward so that gravity causes slight abduction of the arm, allowing the deltoid muscle to take over.

p.5
Subcutaneous Olecranon Bursitis

What causes subcutaneous olecranon bursitis?

Repeated pressure and friction on the olecranon, infection from abrasions, or a hard blow to the tip of the elbow.

p.8
Tenosynovitis

What occurs to the tendon when it undergoes necrosis?

The tendon ruptures.

p.7
Tenosynovitis

What encloses the synovial sheaths externally?

Fibrous digital sheaths.

p.6
Lateral Epicondylitis (Tennis Elbow)

What symptoms are associated with lateral epicondylitis?

Pain or burning sensation along the lateral forearm and elbow, and weakened grip.

p.4
Biceps Tendon Rupture

Where does the tendon typically tear from in a biceps tendon rupture?

From its attachment to the supraglenoid tubercle of the scapula.

p.1
Supraspinatus Tendinitis

Is there pain when raising the arm above the head in supraspinatus tendinitis?

No, beyond 120° of abduction, the movement is performed by upward rotation of the scapula.

p.2
Subacromial Bursitis

What is a common presentation of subacromial bursitis?

Very similar to those of supraspinatus tendinitis, specifically painful arc syndrome.

p.3
Biceps Tendon Rupture

What can cause shoulder stiffness related to the biceps tendon?

Adherence of the tendon of the biceps long head to the intertubercular sulcus.

p.5
Subcutaneous Olecranon Bursitis

What is a common presentation of subcutaneous olecranon bursitis?

Swelling of the skin overlying the olecranon, usually unilateral.

p.8
Tenosynovitis

How do blood vessels supply the tendon?

They enter through the gap between the two ends of the synovial sheath.

p.6
Lateral Epicondylitis (Tennis Elbow)

Where do the extensor muscles of the wrist arise from?

The lateral epicondyle of the humerus.

p.6
Medial Epicondylitis (Golfer’s Elbow)

Where do the flexor muscles of the wrist arise from?

A common flexor tendon at the medial epicondyle of the humerus.

p.4
Biceps Tendon Rupture

What is the 'Popeye' deformity?

A prominent bulge on the anterior aspect of the distal forearm due to the detached long head of biceps.

p.2
Subacromial Bursitis

What role does the subacromial bursa play in shoulder movement?

It normally acts to reduce friction and allow free motion of the rotator cuff.

p.2
Supraspinatus Tendon Rupture

What is a key presentation of a supraspinatus tendon rupture?

The patient is totally unable to initiate abduction normally.

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