Cheung Part 3 Flashcards
cubital tunnel syndrome is due to what
compression of the ulnar nerve at elbow (b/w medial epicondyle and olecranon)
what are the symptoms of cubital tunnel syndrome
numbness and tingling to the 4th and 5th digits
what exams should be done for cubital tunnel syndrome
flexion elbow test
tinels at elbow (taping on elbow shoots pain to digits)
what EMG results are seen in cubital tunnel syndrome
reduction of 30% velocity
what is the treatment for cubital tunnel syndrome
behavior modification surgical transposition
carpal tunnel syndrome is due to what
compression of the median nerve at the wrist
what are the symptoms of carpal tunnel syndrome
numbness and tingling to the 1-3rd digits
NIGHT PAIN
EMG results in carpal tunnel syndrome show what
30% reduction in velocity
what is the reattempt for carpal tunnel syndrome
night splints
steroid injections
carpal tunnel release
what is contained in the carpal tunnel
median nerve
flexor pollicis longus
flexor digitorum profundus
flexor digitorum superficialis
what exam results are seen in carpal tunnel
postitive phalens
tinels (taping sends shooting pain)
compression test
what is trigger finger
inflammation of flexor tendon gets it snapping through pulleys in hand
what are the symptoms of trigger finger
catching of finger when actually flexing finger
what exam results are seen in trigger finger
palpable knot that moves with tendon at distal palm
what treatments are there for trigger finger
NSAIDs
steroid injections
A1 pulley release
what is mallet finger
laceration of extensor tendon at base of the DP
inability to straighten fingertip
what tests are done for mallet finger
Xray may show avulsion fracture at base of DP
what is the treatment for mallet finget
Stack splinting for 6 weeks
what is dequervian tenosynovitis
swelling and inflammation of the tendons that run though the 1st dorsal compartment (APL,. EPB)
forms a border of the anatomic snuff box
what are the symptoms of de quervian tenosynovitis
pain over radial styloid
what exam is done for dequervian tenosynovitis
Finklestein’s test
what is Dupuytren disease
nodular thickening of palmar fascia (northern european descent)
what are the symptoms of dupuytren disease
painless nodules that eventually draw the 4th and 5th digits
what exam is done for dupuytren disease
cords may form, causing flexion of the digits, table top test (can’t flatten hand on table)
what is the treatment for dupuytren disease
splinting
collagenase injections
fasciotomies
what is the cause of 80% of low back pain
no cause
low back pain radiates where
buttocks
what exams are done for LBP
diffuse LBP to palpation, stiff ROM
relexes and neuro exam is normal
what is a herniated nucleus pulposis
extrusion of center of disc posteriorly, comprising nerve roots
most common at L4-5 and L5-S1
what are the symptoms of herniated nucleus pulposis
usually abrupt, may be insidious
unilateral radicular pain
worse with activity
what tests are done for a herniated nucleus pulposis
X-rays may demonstrate narrowed disk space
MRI is diagnostic
what is spondylothisthesis
forward slippage of lumbar vertebral body
what are the symptoms of spondylolisthesis
back pain when bending
may cause claudication
what is the exam for spondylolisthesis
dermatomal weakness, may feel spinous process stepoffs
what tests are done for spondylolisthesis
flexion/extension
X-rays of spine show slippage
what treatments are there for spondylolisthesis
NSAIDs
surgical fusion
slippage of a disc is more likely to occur with what kind of spinal defect
pars (where the transverse process meets the body)
what is spondylosis
degenerative changes in the facets or discs leading to osteophytes and possible nerve compression
what are the symptoms of spondylosis
achy pain in spine
worse with ROM
what exam results are seen in spondylosis
tender to palpation, stiffness, radicular or myelopathy may be present
what test results are seen in spondylosis
X-rays shows osteophytes and sclerosis
MRI can show pinched nerve
what is the treatment for spondylosis
NSAIDS
steroids
traction
surgical decompression and fusion
the bottom half of the ear is what dermatome
C2
the neck under the ear is what dermatome
C3
there dermatome covering the lower neck is what
C4
the dermatome going from the deltoid to the thumb is what
C6
the dermatome covering most of the front of the bicep down to the wrist is what
C5
the dermatome covering the front bottom half of the bicep is what (when arm is stretched out with thumb up)
T1
the dermatome covering the bottom of an outstretched arm with thumb up down to pink is what
C8
the dermatome covering the middle portion of the back of the arm down to the 2nd and 3rd digits is what
C7
the dermatome covering the back bottom half of the arm and 4th and 5th digits is what
C8
