Sports Medicine Review

🖐️ Test your wrist anatomy knowledge! Which pair of structures passes through Guyon’s canal at the wrist? A. Median nerve and ulnar artery B. Ulnar nerve and radial artery C. Ulnar nerve and ulnar artery D. Median nerve and radial artery Leave your answer in the comments 👇 🔗 Link in bio. #Anatomy #GuyonsCanal #WristAnatomy #MedicalEducation #SportsMedicine

🦴 During which movement does the radius cross over the ulna? A. Forearm supination B. Elbow flexion C. Forearm pronation D. Elbow extension Leave your answer in the comments 👇 🔗 Link in bio. #Anatomy #Forearm #MedicalEducation #SportsMedicine #Musculoskeletal

🩻 A 42-year-old woman presents after slipping on stairs and twisting her ankle. She has immediate pain, marked swelling, deformity, and an inability to bear weight. The skin is intact, and distal pulses and sensation are preserved. Her ankle X-ray is shown. ❓ How would you manage this injury? Leave your answer in the comments 👇 🔗 Link: wikism.org/Ankle_Fracture #AnkleFracture #TrimalleolarFracture #EmergencyMedicine #Orthopedics #MedicalEducation

🦴 Tibial Fulcrum Test Evaluating localized shin pain? The tibial fulcrum test can help assess for a tibial bone stress injury. With the patient supine, stabilize the lower leg and apply a controlled force perpendicular to the tibia, opposite the painful area, creating a bending stress across the bone. ✅ Positive test: Reproduction of the patient’s localized tibial pain. Interpret findings alongside the history, examination, and imaging—a positive test alone does not confirm a stress fracture. 🔗 Link: wikism.org/Tibial_Fulcrum_Te… #TibialFulcrumTest #TibialStressFracture #SportsMedicine #PhysicalExam #MedEd

🏀 A 14-year-old basketball player presents with gradually worsening pain just below the right kneecap over the past month. The pain increases with jumping, running, and kneeling and improves with rest. There is no history of acute injury. Examination reveals localized swelling and tenderness over the tibial tubercle, with pain during resisted knee extension. Knee range of motion is preserved, with no joint effusion or instability. Findings are consistent with Osgood-Schlatter disease. What would you recommend for management? Leave your answer in the comments 👇 🔗 Link: wikism.org/Osgood_Schlatter_… #OsgoodSchlatter #KneePain #SportsMedicine #Basketball #PediatricSportsMedicine

🩺 Courvoisier Sign: A Clue to Biliary Obstruction A palpable, enlarged, nontender gallbladder in a patient with painless jaundice raises concern for malignant biliary obstruction, including pancreatic head cancer or distal cholangiocarcinoma. 🔎 On examination, a smooth right upper quadrant mass may be felt moving with inspiration. 💡 Clinical pearl: This finding suggests malignancy but is not diagnostic—benign causes of obstruction can also produce it. 🔗 Link: wikism.org/Courvoisier_Sign #CourvoisierSign #ClinicalExamination #MedicalEducation #PancreaticCancer #BiliaryObstruction

🦴 Which structure deepens the shallow glenoid cavity and contributes to stability of the glenohumeral joint? A. Coracoacromial ligament B. Glenoid labrum C. Subacromial bursa D. Transverse humeral ligament Leave your answer in the comments 👇 🔗 Link in bio. #ShoulderAnatomy #Musculoskeletal #SportsMedicine #MedicalEducation #AnatomyQuiz

👃 A 24-year-old basketball player presents after taking an elbow to the nose two hours ago. He reports nasal pain, swelling, and a brief nosebleed that resolved with direct pressure. Examination reveals nasal bridge tenderness and a new visible deformity. Both nasal passages are patent, with no septal hematoma, open wound, malocclusion, or visual symptoms. The X-ray shows a displaced nasal bone fracture. ❓ What is the most appropriate management? Leave your answer in the comments 👇 #NasalFracture #EmergencyMedicine #SportsMedicine #FacialTrauma #MedicalEducation

🦴 Which nerve passes through the quadrangular space with the posterior circumflex humeral artery? A. Radial nerve B. Suprascapular nerve C. Axillary nerve D. Musculocutaneous nerve Leave your answer in the comments 👇 🔗 Link: wikism.org/Quadrilateral_Spa… #Anatomy #ShoulderAnatomy #SportsMedicine #MedicalEducation #Musculoskeletal

👍 The Thumb UCL Stress Test evaluates ligament stability at the thumb MCP joint following a suspected skier’s thumb or gamekeeper’s thumb injury. 🖐️ Stabilize the first metacarpal and gently apply valgus stress to the proximal phalanx. Assess in full extension and approximately 30° of flexion, comparing with the opposite thumb. ⚠️ Pain may suggest injury, while excessive laxity or an absent firm endpoint raises concern for a complete UCL tear. 🔗 Link: wikism.org/Thumb_UCL_Stress_… #ThumbUCL #SkiersThumb #GamekeepersThumb #SportsMedicine #PhysicalExam

👍 The Thumb CMC Grind Test assesses for osteoarthritis at the first carpometacarpal joint—the joint between the first metacarpal and trapezium at the base of the thumb. 🖐️ Technique: Stabilize the wrist, grasp the first metacarpal, and apply gentle axial compression while rotating the metacarpal. ✅ Positive finding: Reproduction of the patient’s familiar pain at the thumb base, sometimes accompanied by grinding or crepitus. 💡 Clinical pearl: A negative grind test does not exclude thumb CMC osteoarthritis. Interpret the finding alongside the history and other examination findings. 🔗 Link in bio. #ThumbPain #CMCArthritis #GrindTest #PhysicalExam #SportsMedicine

🦴 Which group consists entirely of axial skeleton structures? A. Clavicles, scapulae, humeri, and sternum B. Skull, vertebral column, ribs, and sternum C. Pelvis, femurs, tibias, and fibulas D. Skull, clavicles, scapulae, and ribs Leave your answer in the comments 👇 🔗 Link in bio #Anatomy #MedicalEducation #Musculoskeletal #SkeletalSystem #SportsMedicine

🚴 A 35-year-old man presents after falling from his bicycle onto his right elbow. He has marked posterior elbow swelling and tenderness and cannot actively extend the elbow against gravity. The skin is intact, and distal neurovascular examination is normal. X-rays show a markedly displaced olecranon fracture. After initial splinting and analgesia, what is the most appropriate definitive management? A. Sling for comfort and immediate unrestricted activity B. Cast immobilization alone until union C. Orthopedic evaluation for open reduction and internal fixation D. Aspiration followed by a corticosteroid injection Leave your answer in the comments 👇 🔗 Link in bio #EmergencyMedicine #Orthopedics #SportsMedicine #Fracture #MedicalEducation

🦴 How many bones does the adult human skeleton typically contain? A. 186 B. 206 C. 226 D. 270 Leave your answer in the comments 👇 🔗 Link in bio #Anatomy #SkeletalSystem #MedicalEducation #Musculoskeletal #SportsMedicine

👍 Thumb MCP Extension Test helps assess for thumb CMC arthritis. ✋ Stabilize the patient’s hand and place a finger on the dorsal aspect of the proximal thumb. Ask the patient to extend the thumb against resistance. 📍 A positive test reproduces pain at the first carpometacarpal (CMC) joint—the base of the thumb. 🔗 Link: wikism.org/Thumb_MCP_Extensi… #ThumbPain #CMCArthritis #PhysicalExam #SportsMedicine #MedicalEducation

🦶 The Thompson Test, also called the calf squeeze test, helps identify an Achilles tendon rupture. With the patient lying prone and the feet extending beyond the examination table, squeeze the calf while observing the foot. An intact Achilles tendon produces plantarflexion. Absent plantarflexion is a positive test, suggesting a complete rupture. 💬 What sport do you most commonly associate with Achilles tendon ruptures? Leave your answer in the comments 👇 🔗 Link: wikism.org/Thompson_Test #AchillesTendon #SportsMedicine #PhysicalExam #EmergencyMedicine #Orthopedics

🦵 Where does the patellar tendon attach distally? A. Tibial plateau B. Fibular head C. Tibial tuberosity D. Femoral intercondylar notch Leave your answer in the comments 👇 🔗 Link in bio #Anatomy #SportsMedicine #MedicalEducation #KneeAnatomy #Orthopedics

🦴 Acetabular Fracture A 42-year-old man presents after a motor vehicle collision with severe left hip and groin pain and an inability to bear weight. He is hemodynamically stable, with intact distal pulses and sensation. Pelvic radiographs demonstrate the acetabular fracture shown above. ❓ What are your next steps in evaluation and management? 🔗 Link in bio #AcetabularFracture #Orthopedics #EmergencyMedicine #Trauma #MedicalEducation

🦶 Thumb Index Finger Squeeze Test Burning forefoot pain or the sensation of walking on a pebble? Consider Morton’s neuroma. With the patient seated, place your thumb on the dorsal surface and index finger on the plantar surface of the symptomatic intermetatarsal space. Gently squeeze while avoiding direct pressure over the metatarsophalangeal joint. Reproduction of the patient’s familiar pain is a positive finding that supports suspicion for Morton’s neuroma. What other conditions would you consider in a patient with forefoot pain? 👇 🔗 Link: wikism.org/Thumb_Index_Finge… #MortonsNeuroma #FootPain #PhysicalExam #SportsMedicine #MedicalEducation

🦵 A 62-year-old man with diabetes presents with 2 days of worsening right knee pain and swelling without trauma. His temperature is 38.4°C, and the knee is warm, erythematous, and markedly painful with passive movement. Arthrocentesis yields cloudy fluid with 92,000 white blood cells/µL, 95% neutrophils, and gram-positive cocci on Gram stain. ❓What immediate management steps are indicated while cultures are pending? #SepticArthritis #EmergencyMedicine #Orthopedics #SportsMedicine #MedicalEducation