10/9 Elbow, Wrist, and Hand Competency (Completed) Flashcards
What nerve root do you test to test the reflex of the biceps brachia?
C5
What nerve root do you test to test the reflex of the Brachioradialis?
C6
What nerve root do you test to test the reflex of the triceps brachia?
C7
How do you test the biceps reflex?
hitting the inner arm (elbow region)
How do you test the brachioradialis reflex?
hitting the lateral antebrachium
How do you test the triceps reflex?
hit the posterior tendon above the olecranon of the ulna
How do you perform the Tinel’s test? What’s a positive test? What are you testing for?
pt. elbow flexed
Tap the medial olecranon while holding the wrist with the other hand
pain, 4th/5th finger numbness = + test
testing for Ulnar nerve entrapment
How do you perform the Golfer Elbow test? What’s a positive test? What are you testing for?
pt. sitting
upper extremity suppinated
pt. makes fist
SD cephalid hand supports pt. elbow
SD caudal hand applies resistance to pt. flexion of wrist
pain = + test
testing for medial epicondylitis
How do you perform the Tennis Elbow test (Cozen’s test)? What’s a positive test? What are you testing for?
pt. sitting
upper extremity supinated
pt. makes fist
SD cephalid hand supports pt. elbow
SD caudal hand applies resistance to pt. flexion of wrist
pain = + test
testing for lateral epicondylitis
How do you perform the Varus Stress test? What’s a positive test? What are you testing for?
pt. sitting
upper extremity supinated
flew elbow to 15°
cephalid hand on elbow
caudal hand on wrist
cephalid hand pulls elbow outwards for varus
pain = + test
Testing for radial (radial) collateral ligament
How do you perform the Valgus Stress test? What’s a positive test? What are you testing for?
pt. sitting
upper extremity supinated
flew elbow to 30°
cephalid hand on elbow
caudal hand on wrist
cephalid hand pushes elbow inwards for valgus
pain = + test
Testing for Medial (ulnar) collateral ligament
what happens to the ulna when the forearm is supinated and pronated?
supinated antebrachium –> ulna adducts
Pronated antebrachium –> Ulna abducts
What happens to the radius when the forearm is supinated and pronated?
supinated –> radial head anterior
Pronated –> radial head posterior
What are the borders of the anatomical snuff box?
proximal border - radial styloid
lateral border:
abductor pollicis longus tendon
extensor pollicis brevis tendon
Medial border:
Extensor pollicis longus tendon
What coupled motion do you get with wrist flexion?
dorsal carpal glide
What coupled motion do you get with wrist extension?
ventral carpal glide
How do you perform the “OK” Sign test? What’s a positive test? What are you testing for?
have pt. perform finger opposition on both hands
failure to make an “O” = + test
testing for median n. entrapment
How do you perform the Carpal Tunnel Syndrome (CTS) test? What’s a positive test? What are you testing for?
pt. sitting
hand supinated
tap on the flexor retinaculum
tingling/pain = + test
testing for median n. entrapement
How do you perform the Phalen’s Sign test? What’s a positive test? What are you testing for?
pt. sitting
pt. presses dorsal aspects of both hands together
hold for 15 seconds
pain/tingling = + test
testing for carpal tunnel syndrome
How do you perform the Allen test? What’s a positive test? What are you testing for?
pt. sitting
hand supinated
occlude radial and ulnar a.
pt. makes/opens a fist
release EITHER the radial or ulnar a.
do twice to check both arteries
persistent blanching = + test
testing for radial/ulnar arteries function
How do you perform the Finkelstein’s test? What’s a positive test? What are you testing for?
pt. encloses thumbs within fingers and makes a fist
radius superior and ulna inferior
flex wrist downwards
pain = + test
testing for De Quervain’s Disease (tenosynovitis of the thumb)
What is a Colles fracture?
falling on an extended hand = hyperextension
fracture of distal Radius/Ulna “dinner fork”
How do you test for a Scaphoid fracture?
push on the snuff box
pain = + test
What is a Monteggia fracture?
fracture of proximal ulna
dislocation of radial head
What is a Galeazzi fracture?
fracture of the distal radius
dislocation of the ulna
What is a nightstick fracture?
isolated fracture
mid shaft ulna fracture due to direct blow
What’s a Smith Fracture
hyperflexion upon landing
distal radius displaced anteriorly “spade deformity”
