Deck 19 Flashcards
A 26-year old-male is referred to physical therapy with a brachial plexus injury. He was golfing with friends when they decided to race golf carts. Unfortunately, he flipped his golf cart, and when he landed, he experienced a forceful cervical side flexion to the left. He was diagnosed with Erb’s palsy. What would be an expected finding with this diagnosis?
A. Weakness of the deltoid muscle
B. Weakness of the finger intrinsics
C. Weakness of the triceps
D. Weakness of the upper trapezius
A. Weakness of the deltoid muscle
The physical therapist notes that the patient has a waiter’s tip due to the Erb’s palsy. What position would the arm be in if a waiter’s tip were present?
A. Arm externally rotated, extended elbow, pronated forearm
B. Arm externally rotated, flexed elbow, pronated forearm
C. Arm internally rotated, extended elbow, pronated forearm
D. Arm internally rotated, flexed elbow, pronated forearm
C. Arm internally rotated, extended elbow, pronated forearm
Upper traps innervated by
- C3-4 nerve roots
- spinal accessory nerve
If Klumpke’s palsy were present instead of Erb’s palsy, which muscle would be weak with manual muscle testing?
A. FCR
B. FCU
C. Palmaris longus
D. Pronator teres
B. FCU
Which of the following diagnoses could cause the development of Erb’s palsy?
A. Cervical radiculopathy of C7–C8
B. Long thoracic nerve injury
C. Parsonage–Turner syndrome
D. Spinal accessory nerve injury
C. Parsonage–Turner syndrome
The development of Erb’s palsy is dependent on injury to what?
upper trunk of the brachial plexus
A 36-year-old welder sustains a peripheral nerve injury to the ulnar nerve at the wrist. A splint is required for intervention. What position should the hand be splinted in?
A. Splint the interphalangeal joints in extension
B. Splint the interphalangeal joints in flexion
C. Splint the metacarpophalangeal joints in extension
D. Splint the metacarpophalangeal joints in flexion
D. Splint the metacarpophalangeal joints in flexion
Splinting the MCP joints in flexion prevents
overstretching of the volar surface of soft tissues
Splinting the metacarpophalangeal joints in flexion prevents overstretching of the volar surface soft tissues and forces the extrinsic finger extensors to provide what?
IP joint extension
allow for finger extension
A 63-year-old female patient with suspected thoracic outlet syndrome has numbness, tingling, and heaviness in her right hand. She reports coldness to her hand, as well as a pale color when her left hand is pink/red. She also has weakness in her intrinsic hand muscles. What should the physical therapist’s next step be in regard to intervention?
A. Refer the patient back to the physician for possible arterial thoracic outlet syndrome
B. Send the patient to the emergency room for a serious medical condition caused by the thoracic outlet syndrome
C. Strengthen the patient’s hand intrinsic muscles
D. Treat the patient’s sensory deficits with desensitization techniques
A. Refer the patient back to the physician for possible arterial thoracic outlet syndrome
A 23-year-old male patient is referred to physical therapy with an insidious onset of pain on the radial side of the palm. He also reports paresthesia in the thumb, index, and middle finger. The patient plays a lot of tennis, and the symptoms increase with tennis or any other type of activity. He also feels that his forearm is “heavy” at times, and this is not dependent on activity. Based on the patient’s symptoms, which diagnosis is most likely?
A. Anterior interosseous nerve entrapment
B. Posterior interosseous nerve entrapment
C. Pronator teres syndrome
D. Radial tunnel syndrome
C. Pronator teres syndrome
A 23-year-old male patient is referred to physical therapy with an insidious onset of pain on the radial side of the palm. He also reports paresthesia in the thumb, index, and middle finger. The patient plays a lot of tennis, and the symptoms increase with tennis or any other type of activity. He also feels that his forearm is “heavy” at times, and this is not dependent on activity. Which of the following differential diagnoses would need to be considered with this patient?
A. Carpal tunnel syndrome
B. Guyon’s canal syndrome
C. Lateral epicondylitis
D. Ulnar collateral ligament instability
A. Carpal tunnel syndrome
A 23-year-old male patient is referred to physical therapy with an insidious onset of pain on the radial side of the palm. He also reports paresthesia in the thumb, index, and middle finger. The patient plays a lot of tennis, and the symptoms increase with tennis or any other type of activity. He also feels that his forearm is “heavy” at times, and this is not dependent on activity. Which of the following special tests could be positive in this case?
A. Adson’s test
B. Froment’s sign
C. Pinch grip test
D. ULTT median
D. ULTT median
A 23-year-old male patient is referred to physical therapy with an insidious onset of pain on the radial side of the palm. He also reports paresthesia in the thumb, index, and middle finger. The patient plays a lot of tennis, and the symptoms increase with tennis or any other type of activity. He also feels that his forearm is “heavy” at times, and this is not dependent on activity. Which other muscle may potentially exhibit weakness due to shared innervation in this pathology?
A. Anconeus
B. Extensor digitorum
C. FDS
D. Triceps brachii
C. FDS
What nerve innervates the anconeus?
radial nerve