Tutorial 7 - Soft Tissue Lesions ( Datin Vasanthie ) Pre

A 42-year-old woman with type 2 diabetes mellitus presents with a 5-day history of shoulder pain. On examination, external rotation is significantly limited by pain on both active and passive movements. Flexion, extension, abduction and adduction are also limited. What is the most likely diagnosis?

• Adhesive capsulitis

• Calcific tendonitis

• Cervical nerve root entrapment

• Rotator cuff injury

A 36-year-old woman presents with a 6 week history of a painful wrist. On examination pain over the radial aspect of the wrist is is elicited by Finkelstein test. What is the most likely diagnosis?

• Trigger finger

• Radial nerve injury

• De Quervain's tenosynovitis

• Ganglion

A 35-year-old runner presents with heel pain. On examination, there is diffuse tenderness which is worse on the medial aspect of the heel. Pain is worse when he walks on his toes. What is the most likely diagnosis?

• S1 radiculopathy

• Achilles tendonitis

• Subcalcaneal bursitis

• Plantar fascitis

A 14-year-old boy complains of pain and swelling just below his kneecap, especially after playing soccer. The pain is worse with activity and improves with rest. What is the likely diagnosis?

• Anterior cruciate ligament injury

• Osgood Schlatter's disease

• Patellar tendonitis

• Iliotibial band syndrome

A 55-year-old female presents with a swelling behind her knee that she describes as a "popping" sensation when bending her leg. The swelling increases with activity. What is the most likely diagnosis?

• Gastrocnemius tear

• ACL tear

• Meniscal tear

• Baker's cyst

A 45-year-old man reports pain and a locking sensation in his right ring finger when he tries to extend it. The finger occasionally gets "stuck" in a bent position. What is the most likely diagnosis?

• Tenosynovitis

• Mallet finger

• Trigger finger

• Carpal tunnel syndrome

A 30-year-old housemaid presents with swelling and tenderness over the front of her knee after repeated kneeling. Which type of bursitis is most likely indicated by her symptoms?

• Anserine bursitis

• Prepatellar bursitis

• Infrapatellar bursitis

• Suprapatellar bursitis

A 34-year-old office worker complains of numbness and tingling in her thumb, index, and middle fingers, which worsens at night. She notes that shaking her hand provides temporary relief. What physical test would most likely confirm the diagnosis?

• Drop arm test

• Phalen's test

• Kanavel's sign

• Finkelstein's test

A 60-year-old woman with frozen shoulder is seeking treatment options. Which of the following is considered a first-line conservative management strategy?

• Corticosteroid injection

• Joint manipulation under anaesthesia

• Physiotherapy

• Arthroscopic surgery

A 40-year-old female presents with mild heel pain that is worse in the morning and after prolonged standing. She has been diagnosed with plantar fasciitis. What is the first-line management for her?

• Radiofrequency ablation

• NSAIDs

• Stretching of plantar fascia

• Local steroid injection