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nms > Elbow > Flashcards

Elbow Flashcards

1
Q

Patients with what usually have a history of neck pain? No history?

A

Radiculopathy

Neuropathy

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2
Q

Leaning away may help those with?

A

Radiculopathy

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3
Q

What is worse with valsalva

A

Radiculopathy

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4
Q

May have pain/sensory/motor findings

A

Neuropathy

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5
Q

Tests for radiculopathy/findings

A

Weakness in muscles supplied by same spinal NR. Ex: c6: biceps, brachioradialis, wrist extensors

Tests for NR involvement: foraminal compression, Jackson compression etc.

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6
Q

Neck pain and radiating arm pain

A

Radiculopathy

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7
Q

No neck pain or radiation arm pain. Rather pain present in forearm or hand

A

Neuropathy

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8
Q

Sensory deficits in one peripheral nerve

A

Neuropathy

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9
Q

Tests/findings for neuropathy

A

Sensory deficit in peripheral nerve distribution

Orthos for peripheral nerve involvement: tinels, phalens

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10
Q

NR in median N

A

C5-T1

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11
Q

Main trunk passes through 2 heads of pronator teres

A

Median N

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12
Q

Anterior interosseous nerve branches from where and has what supply

A

Median

NO SENSORY

Flexor digitorum profundus
Flexor pollicis longus
Pronator quadratus

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13
Q

Sensory to palmar surfaces of thumb, index, middle finger, and radial half of ring finger

Dorsal: middle and distal phalanges of index, middle and lateral half of ring

A

Median nerve distribution

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14
Q

Pronator teres syndrome

A

Anterior interosseous nerve entrapped between heads to pronator teres

May affect main trunk and or anterior interosseous (no sensory issues if not ant. Inter.

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15
Q

S/s of pronator teres syndrome

A

Pain in proximal forearm

  • tenderness of pronator muscles
  • hard to flex distal thumb and index
  • if main trunk affected have sensory loss over median nerve distribution
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16
Q

Ligament of struthers may cause entrapment of what nerve

A

Median

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17
Q

Hand signs seen with median nerve entrapment

A

Ape hand
Simian hand
Monkey paw

TheNar atrophy and thumb resting in adduction

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18
Q

Thenar atrophy with thumb resting in adduction . Sign and nerve?

A

Ape hand/simian hand/monkey paw

Median nerve

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19
Q

NR with ulnar nerve

A

C7-T1

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20
Q

Ulnar nerve Passes through _____ and into upper arm. Then descends in posterior compartment of arm and enters ______ groove. Runs between humeral and ulnar heads of ___ _____ ____ muscle and descends along ulnar aspect of forearm to ___ and ____

A

Axilla
Retroepicondylar (ulnar)
Flexor carpi ulnaris
Wrist and hand

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21
Q

Ulnar nerve entrapment aka

A

Cubital tunnel syndrome

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22
Q

Cubital tunnel is small and smaller with what action

A

Elbow flexion

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23
Q

Repetitive elbow flexion may cause entrapment of what nerve

A

Ulnar

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24
Q

S/s of ulnar nerve entrapment/cubital tunnel syndrome

A

Intermittent numbness/tingling in ulnar distribution

Weakness of grasp/pinch and loss of dexterity

  • weakness of adductor pollicis
  • loss of control of small finger-wartenbergs sign
  • claw deformity
  • benediction hand
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25
Q

Loss of control of small finder. Name and nerve

A

Wartenberg’s sign

Ulnar nerve—cubital tunnel syndrome

26
Q

Hand signs seen with cubital tunnel syndrome

A

Wartenberg’s sign (loss control of small finger—stuck in abduction)

  • claw deformity
  • benediction hand
27
Q

Claw deformity, and benediction hand associated with what and what nerve

A

Cubital tunnel syndrome

Ulnar nerve

28
Q

Wartenberg’s sign

A

Loss of control of small finger—gets caught in pocket because stuck in abducted posture

29
Q

Unoppposed extensor tone at 4/5th MCP joints and unopposed flexor tone at IP joint

A

Claw deformity

30
Q

NR for radial nerve

A

C5-T1

31
Q

Radial nerve exits through where

A

Axilla

32
Q

Descends posterior medial arm while giving off cutaneous and muscular branches

A

Radial

33
Q

Radial nerve splits into what

A

Superficial radial sensory nerve

-posterior interosseous nerve (wrist and finger extensors, supinator, abductor pollicis longus)

34
Q

Wrist drop seen with what nerve entrapment

A

Radial

35
Q

Crutch palsy
Saturday night palsy
Bride-groom honeymoon

A

Radial nerve entrapment

36
Q

Lateral epicondylitis

A

Musculotendinous lesion at lateral epicondylitis

Mc: extensors carpi radialis brevis

37
Q

Lesion Mc where in lateral epicondylitis

A

ECRB

Ext. carpi radialis brevis

38
Q

S/s of lateral epicondylitis

A

Grip impaired due to pain
Tenderness over area
Localized pain

39
Q

Aka for lateral epicondylitis

A

Tennis elbow

40
Q

Aka for medial epicondulitis

A

Golfers elbow/baseball elbow

41
Q

Medial epicondylitis

A

Micro tearing of tendon

Damage/stress to wrist flexors

42
Q

Excessive force to flex wrist may lead/cause what

A

Medial epicondylitis/golfers elbow

43
Q

Elbow ROM

A

Flex: 140-150
Ext: 0-10
Sup: 90
Pron: 80-90

44
Q

Tingling with tinel sign indicates

A

Regeneration of nerves

45
Q

Tingling and pain with tinsel sign at elbow indicates what

A

Injury/degeneration

46
Q

What muscles does the main branch of median nerve supply

A

Abductor pollicis brevis
Opponents pollicis
Lat head of flexor pollicis brevis
1/2 lumbricles

47
Q

What type of loss is causes if main trunk of median nerve is entrapped

A

Motor and sensory

48
Q

What type of loss is causes if anterior interosseous nerve is entrapped

A

Motor only —has no sensory function

Motor: flex digitorum profundus, flex pollicis longus, pronator quadratus

49
Q

Difficulty flexing distal thumb and index what nerve may be entrapped

A

Median nerve

50
Q

Treatment for lateral epicondylitis

A 
Anti-inflammatory drugs
Corticosteroid injection
Ultrasonography
Brace-counterforce brace distal to epicondylitis
Resistance exercises
Oral NSAIDs
Mobilization
Acupuncture
Surgery
51
Q

What does medial epicondylitis damage/stress

A

Wrist flexors

52
Q

Pinch grip tests what nerve

A

Anterior interosseous nerve for entrapment/syndrome (median branch)

53
Q

Elbow flexion test tests what and for what

A

Ulnar nerve for cubital tunnel syndrome

54
Q

Froment paper sign tests what and tests for what

A

Ulnar nerve for paralysis

55
Q

Mills test tests what and for what

A

Lateral epicondylitis for epicondylitis/tennis elbow

56
Q

Cozen test tests what and for what

A

Lateral epicondyle for epicondylitis or radiohumeral bursitis

57
Q

Golfer elbow test: what and for?

A

Medial epicondyle for epicondylitis

58
Q

Lift test: what and for?

A

Lateral/medial epicondyle: epicondylitis

59
Q

Ligamentous instability test: what and for?

A

Ligaments

Sprain

60
Q

Ligamentous instability test testing what with varus/valgus test

A

Varus: lateral collateral ligament
Valgus: medial collateral ligament

nms (12 decks)

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