24: Approach To Elbow, Wrist And Hand Complaint Flashcards
Where is the olecranon bursa?
Posterior aspect of olecranon process of ulna
How to distinguish between olecranon bursitis and effusion
Bursitis: can extend elbow without severe pain
Effusion: pain with extension due to increased pressure at the joint
Extension of the thumb vs abduction
Extension: straight out to the side like for a thumbs up
Abduction: thumb moves out front, anterior to palm
Two positive tests for carpal tunnel syndrome
Tinel’s, Phalen’s
Tinel’s test
Compression of medial N by tapping on the nerve
Phalen’s test
Flexion at the wrist to compress median N
Highly sensitive sign of scaphoid fracture
Tenderness on anatomical snuffbox
Most common fracture of the upper extremity
Colle’s fracture
Swan neck deformity in Boxer’s Fracture vs RA
Boxer’s fracture: fracture forms a swan neck deformity
RA: the fingers themselves have a swan neck deformity
Where does the radial head move during wrist pronation and supination
Pronation: radial head posterior
Supination: radial head anterior
Which ligament runs across carpal tunnel, which must remain flexible so it doesn’t cause carpal tunnel syndrome?
Transverse carpal ligament
Movements of the MC and IP joints
Flexion/extension, abduction/adduction, internal/external rotation, circumduction
Testing for medial and lateral epicondylitis
Medial: elbow extended -> pain with resisted wrist flexion
Lateral: elbow extended -> pain with resisted wrist extension
FOOSH landing prone vs falling backward causes…?
Prone -> posterior radial head
Backward -> anterior radial head
How to tx posterior vs anterior radial head SD with MET
Posterior: pt pronates against physician
Anterior: pt supinated against physician
