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Brad 4th Ed Part 2 > Ch.38 Upper Extremity Arm > Flashcards

Ch.38 Upper Extremity Arm Flashcards

1
Q

Which tendon is MC involved in lateral epicondylosis?

A

Extensor carpi radialis brevis

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2
Q

What disorder can mimic lateral epicondylosis?

A

PIN syndrome

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3
Q

What exercise regimen should be used for tx of lateral epicondylosis?

A

Eccentric stengthening of wrist extensors

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4
Q

What are the MC involved tendons in medial epicondylosis?

A

Pronator teres and flexor carpi radialis

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5
Q

What can be seen on X-ray in Lateral/Medial epicondylosis?

A

punctuate calcifications at tendon origin

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6
Q

Exercises used for treatment of tendonopathy.

A

Eccentric stengthening

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7
Q

History of distal biceps tendonitis

A

Pain in antecubital fossa with repetive elbow bending & follow through phase of throwing

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8
Q

History of distal biceps tendon rupture

A

Male 30-50, dominant limb, heavy lifting with elbow at 90 deg flexion

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9
Q

History of triceps tendonitis

A

Aching and burning at distal triceps aggravated by throwing, using a hammer, wt lifting

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10
Q

How can tricep tendon rupture occur?

A

FOOSH injury, steroid use

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11
Q

Hx of snapping triceps tendon

A

snapping sensation over medial epicondyle with eblow flexion & extension

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12
Q

Hx of aseptic olecranon bursitis

A

direct blow or repetitive trauma to olecranon process develops small liquid pouch

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13
Q

Hx of septic olectranon bursitis

A

localized or systemic injection l/t infected joint

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14
Q

Tx of aseptic olecranon bursitis

A

Aspiration of bursa followed by compresive dressing and elbow pad

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15
Q

Tx of septic olecranon bursitis

A

Aspiration of bursa for CS and gram stain, followed by compresive dressing and Abx

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16
Q

Cause of ulnar collateral ligament strain

A

valgus stress to the elbow

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17
Q

What phases of throwing put stress on the UCL?

A

late cocking and acceleration phase of overhead throwing

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18
Q

PE of UCL strain

A

5 deg elbow flexion contracture, UCL tenderness and pain w/ or w/o laxity during UCL instability testing

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19
Q

Tx of UCL strain

A

no throwing for 3-6 wks, ROM, medial forearm muscle strengthening, interval throwing program once pain free ROM

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20
Q

Definition of valgus extension overload (VEO) disorder

A

impingement of posteromedial olecran against medial wall of olecranon fossa from valgus elbow stres w/ overhead throwing

21
Q

PE of valgus extension overload (VEO) disorder

A

Pain over posterior medial tip of olecranon and pasive hyperextension w/ valgus load of elbow

22
Q

What phase of throwing aggravates valgus extension overload (VEO) disorder

A

acceleration and follow through

23
Q

Rehab of valgus extension overload (VEO) disorder

A

Scapula/core kinetics, medial forearm muscle strengthening

24
Q

What disorders are referred to as Little Leaguer’s elbow?

A

Medial epicondolitis, traction apophytiis, stress fx, throught medial epicondylar epiphyses and avulsion fx of medial epicondyle

25
Q

What is Panner’s disease?

A

osteochondrosis of capitellum that occurs in ages 7-10

26
Q

PE of Panner’s disease

A

Dull, aching lateral elbow pain aggravated by throwing, elbow effusion, ROM not restricted

27
Q

Tx of Panner’s disease

A

Stop throwing, posterior long arm splint for pain control

28
Q

Hx of osteochondritis desicans of capitellum

A

throwing athletes 9-15yo, lateral elbow pain, 15 deg flexion contracture focal lesions to capitellum w/ loose body formation

29
Q

Tx of osteochondritis desicans of capitellum

A

stop throwing for 6 wks, posterior long arm splint for pain control, surgery for loose bodies

30
Q

MCC of elbow dislocation

A

FOOSh injury

31
Q

MC direction of elbow dislocation

A

posterior lateral

32
Q

Injuries associated w/ elbow dislocation

A

collateral ligament, flexor/pronator forearm muscle, brachial artery, median/ulnar/radial nerve disruptions

33
Q

Hx of FCU tendonitis

A

volar wrist pain w/ wrist flexion & ulnar deviation (racquet sports, golf)

34
Q

What can be associated with FCU tedonitis?

A

Pisotriquetral compression sydnrome as pisiform bone embedded in FCU tendon

35
Q

Tx of FCU tendonitis

A

wrist hand orthoses in 25 deg flexion or surgery to resect pisiform bone w/or w/o Z-plasty lengthening of FCU tendon

36
Q

Hx of FCR tendonitis

A

Lateral wrist pain w/ wrist flexion, radial deviation and grip

37
Q

Tx of FCR tendonitis

A

wrist hand orthoses in 25 deg flexion

38
Q

Tendons involved in de Quervain’s syndrome

A

Abductor pollicis longus & extensor pollics brevis over radial styloid

39
Q

Tx of de Quervain’s syndrome

A

rest, thumb spica splint, first dorsal compartment steroid injection

40
Q

What is Intersection syndrome?

A

Friction b/w abductor pollicis longus & extensor pollicis brevis tedongs 4-6 cm proximal to Lister’s tubercle

41
Q

Who is Intersection syndrome seen in?

A

Oarsmen, racquet sports, wt lifters

42
Q

PE of Intersection syndrome

A

Dorsoradial distal forearm pain aggravated by wrist extension

43
Q

Tx of Intersection syndrome

A

neutral wrist-hand orthosis, steroid injection to point at maximal tenderness, rarely surgery

44
Q

Hx of extensor carpi ulnaris tendonitis

A

dorsoulnar wristpain w/ reptitive wrist extension & ulnar deviation in nondominant hand of tennis two-handed backhand

45
Q

Hx of ECU subluxation

A

pop after forceful volar wrist flexion & ulnar deviation w/ pain

46
Q

Tx of ECU tendonitis

A

neutral wrist-hand orthosis

47
Q

What should be assessed for if pt w/ ECU tendonitis does not get better with conservative therapy?

A

Triangular fibrocartilage complex injury

48
Q

Tx of ECU tendon subluxation

A

Acute: cast of wrist in pronated and dorsiflexion for 6 wk or surgery Chronic: sugrical reconstruction

Brad 4th Ed Part 2 (28 decks)

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