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MSK Fall P2 > 8] Elbow > Flashcards

8] Elbow Flashcards

1
Q

What kind of joint is ulnohumeral and radiohumeral?

A

Hinge joint

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2
Q

OP for ulnohumeral?

A

70 flex, 10 sup

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3
Q

CP for ulnohumeral?

A

Full extension

Full supination

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4
Q

Capsular pattern for ulnohumeral?

A

Flexion > ext

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5
Q

OP for radiohumeral joint

A

Full extension

Full supination

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6
Q

CP for radiohumeral joint

A

90 flex, 5 supination

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7
Q

What kind of joint is proximal RU?

A

Pivot joint

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8
Q

OP for proximal RU joint?

A

70 flex

35 supination

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9
Q

CP for proximal RU joint?

A

5 supination

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10
Q

Capsular pattern for proximal RU joint

A

Supination > pronation

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11
Q

Pain with active contraction of muscle/tendon,
passive stretch to muscle/tendon,
Resist to muscle/tendon

A

Tendinopathy

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12
Q

Tennis elbow

A

Lateral epicondylitis

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13
Q

Overuse injury- repetitive wrist extension and gripping

A

Latera epicondy

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14
Q

Inflammatory, - patho changes, can resolve

A

Stage 1 of repetitive microtrauma (Nirschl)

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15
Q

Patho changes —> fibroblasts and neovascularization tendon degeneration

A

Stage 2 repetitive microtrauma for lateral epicondylitis

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16
Q

Tendinosis, collagen disorientation/disorganization

A

Stage 3 repeat microtrauma for lat epicondylitis

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17
Q

Stage 3 changes and calcification

A

Stage 4 of repeat microtrauma of lat epicondylitis

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18
Q 
\+ pain with wrist ext
Possible + pain with middle finger ext
(+) mills and cozens
Pain with palpation 
Possible swelling
A

Symptoms of lateral epicondylitis

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19
Q

Lateral elbow pain
Stiff and achy
Increased pain with grasping, writing, combined wrist ext/grip, lifting up objects palm down or thumb up
Dropping things

A

Signs of lateral epicondylitis

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20
Q

What kind of strengthening for wrist extensors do you want to do for lat epicond?

A

Eccentric first —> passively extend wrist then control lowering into flexion

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21
Q

Golfers elbow

A

Medial epicondylitis

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22
Q

common flexor tendon origin for medial epicondylitis

A

FCR, FCU, FDS
Palmaris longus
Humeral head of pronator teres

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23
Q

Golfers elbow happens how?

A

Overuse injury

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24
Q

Rupture at radial tuberosity or MT junction

A

Biceps tendon rupture

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25
Q

Muscular male
Middle aged
50s

A

Biceps tendon rupture

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26
Q

Intervention for distal biceps tendon tear

A

Usually surgery

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27
Q

When do you begin ROM and strength for distal bicep tear?

A

After 6-8 weeks post op

28
Q

Trauma, respective weight bearing on olecranon

A

Olecranon bursitis

29
Q 
Infection
Pain with full passive elbow flex
Active possible
Painfree resisted tests
Pain with palpation
A

Olecranon bursitis

30
Q

Rest
Avoid pressure/irritation
Anti-inflammatory modalities

A

Intervention for olecranon bursitis

31
Q

If youre doing an exercise but they’re not responding to it =

A

Tendinopathy

32
Q

Nerve entrapment syndrome for ulnar

A

Cubital tunnel syndrome

33
Q

3 syndromes for radial nerve

A

High radial nerve compression
Posterior interosseous nerve (PIN) palsy
Radial tunnel syndrome

34
Q

Syndromes of nerve entrapment for median nerve

A

Pronator sydnrome

Anterior interosseous nerve (AIN) syndrome

35
Q

Largest unprotected nerve

A

Ulnar nerve

36
Q

Most important nerve for hand function

A

Ulnar nerve

37
Q

1st and 2nd most common nerve entrapment

A 
1= carpal tunnel - median nerve 
2= cubital tunnel - ulnar nerve
38
Q

Caused by trauma- laceration or osteophyte, heterotropic bone

A

Cubital tunnels syndrome

39
Q

Caused by overuse also:
Repetitive elbow flex/exten
Prolonged elbow flex
Tight FCU muscle

A

Cubital tunnel syndrome

40
Q

Unable to make a full fist
PROM full and painless
Grip weak
Intrinsic atrophy of hand if chronic

A

Cubital tunnel

41
Q

Claw hand deformity

A

Cubital tunnel

42
Q

Visible sign of CUTS

A

Wartenbergs sign (pinky ABDucted)

43
Q

Pain/parasthesia: medial elbow, forearm, hand
Ulnar 1 1/2 fingers
Sensation: decreased in ulnar nerve distribution

A

CUTS

44
Q

Caused by increasing pain at night (sleeping posture)

A

CUTS

45
Q

+ tests for CUTS

A 
Elbow flexion test
Pressure provocation
Tinel’s
Froments
Pollocks
46
Q

Guyons canal is injury to?

A

Ulnar nerve

47
Q 
Handlebar syndrome 
Loss of 3 and 4 lumbricals
Loss of 1/2 FPB
Claw hand
Wartenbergs
A

Guyon canal injury

48
Q

Entrapment results in a ganglion cyst

Triquetral-hamate joint

A

Ulnar nerve- guyons canal

49
Q

Sensory and motor NOT affected

Only palmar side affected

A

Guyons canal

50
Q

Dorsal sensory affected
Motor affected of FCU and FDP
- affects both palmar and dorsal side

A

Cubital tunnel syndrome

51
Q

Proximal peripheral nerve injury

A

Radial nerve

52
Q

Midshaft of humerus

  • contusion
  • fracture
  • weak muscle (innervated distal to injury so wrist, finger, thumb ext)
  • decreased sensation
A

Radial nerve

53
Q

Examples of radial nerve injury syndromes

A 
Saturday night palsy
Crutch palsy
Humeral shaft Fx
Radial tunnel syndrome
PIN
Dorsal radial sensory nerve (wartenbergs)
54
Q

Only sensory changes for ?

A

Radial nerve Sx distal to wrist

55
Q

Compression/cast or local surgery
DRUJ dislocation
Repeat pronation/supination

A

Causes of radial nerve

56
Q 
Weak elbow flexors
Loss supination with elbow extended
Loss wrist ext
Weak ulnar and radial deviation
Loss MCP ext
Loss ext and ABD of thumb
A

Saturday night palsy

57
Q

Weak finger extensions

No sensation loss

A

PIN syndrom

58
Q

Pain deep in forearm
No sensory/motor loss
R/O tennis elbow (below it)

A

Sx of radial tunnel syndrome

59
Q

Crutch compression
Missile injury
Anterior shoulder dislocation
Lipoma or other neoplasm

A

Axillary - high median nerve lesion

60
Q

Stab wounds
Sleep palsy near pec major tendon
Tourniquets
Humeral shaft Fx

A

Upper arm - high median nerve lesion

61
Q

Repeated or resisted pronation

Resistance to isolated flex of PIP joint of long and ring fingers

A

Pronator syndrome Sx

62
Q

Associated with paresthesias in median innervated fingers- tinel’s sign

A

Pronator syndrome

63
Q

Mild or non weakness

Sensory loss - subjective sense of numbness

A

Pronator syndrome

64
Q 
Radial midshaft Fx
Excessive exercise
Idiopathic
Direct trauma
Brachial neuritis
Anatomic anomalies
A

AIN causes

65
Q

Martin Gruber anastomoses

A

Intrinsic hand muscles weak - median nerve

66
Q

Nursemaids elbow

A

Radial head sublux

MSK Fall P2 (10 decks)

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