CLINICAL CARE OF THE ELBOW, HAND, AND WRIST Flashcards
What is another name for lateral tendinosis?
Tennis elbow
What is another name for medial tendinosis?
Golfers/bowlers elbow
What activities are associated with lateral epicondylitis?
- Lifting
- Turning screwdriver
- Hitting backhand in tennis
- Excessive typing
- Direct blow to lateral aspect of elbow
What activities are associated with medial epicondylitis?
- Golf swing
- Baseball pitching
- Pull-through stroke in swimming
- Weightlifting
- Bowling
What systemic inflammatory process might cause olecranon bursitis?
Rheumatoid Arthritis or gout
What kind of antibiotics are required for septic olecranon bursitis?
Will be organism specific, ask MO.
What are some of the less common nerve compression syndrome?
- Posterior interosseous nerve compression
- Pronator syndrome
- Radial tunnel syndrome
Numbness and tingling in the 4th and 5th digits, Elbow pain/ache, May radiate proximally to shoulder and neck are symptoms of what?
Ulnar nerve compression
What will you see with ulnar nerve compression of several months
to years duration?
Visible muscle wasting
What is the most common dislocation in children and 3rd most in adults?
Elbow
What is the following describing?Resulting from a fall on an outstretched hand (FOOSH),80% are posterior, may be complete or perched, and Lateral collateral ligament is always disrupted.
Elbow dislocation
What radiographs are required for elbow dislocation?
AP and lateral
How should you reduce an elbow dislocation?
- Elbow extended to 45 degrees.
- Slow, steady downward traction of forearm in line with long axis of humerus.
- Gentle pressure over olecranon tip.
- Repeat neurovascular examination after reduction.
Numbness and tingling into radial three digits of the hand (1st, 2nd and 3rd digits), Pain and paresthesias or numbness of the median distribution(thumb, and index finger,
long finger, and radial half of ring finger), Worse at night, patients typically report the need to rub hands to “get circulation back”, and Worse after repetitive motion of the hand or stationary tasks of the wrist that require
long term flexion or extension are symptoms of what?
Carpal tunnel syndrome
Long cases of carpal tunnel with show what with regards to the muscles?
Atrophy of the thenar eminence
What shows Swelling or stenosis of the sheath that surrounds the abductor pollicis longus and extensor
pollicis brevis tendon at the wrist?
De Quervain Tenosynovitis
Precipitated by repetitive use of thumb, Pain, swelling and triggering phenomenon results in locking or sticking of the tendon as
the patient moves the thumb, and Commonly affects middle-aged women are signs of what?
De Quervain Tenosynovitis
What special test will be positive to show De Quervain Tenosynovitis?
Finkelstein test
What is the most commonly fractured carpal bone?
Scaphoid bone
