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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
Loss of control of small finder. Name and nerve
Wartenberg’s sign | Ulnar nerve—cubital tunnel syndrome
26
Hand signs seen with cubital tunnel syndrome
Wartenberg’s sign (loss control of small finger—stuck in abduction) - claw deformity - benediction hand
27
Claw deformity, and benediction hand associated with what and what nerve
Cubital tunnel syndrome | Ulnar nerve
28
Wartenberg’s sign
Loss of control of small finger—gets caught in pocket because stuck in abducted posture
29
Unoppposed extensor tone at 4/5th MCP joints and unopposed flexor tone at IP joint
Claw deformity
30
NR for radial nerve
C5-T1
31
Radial nerve exits through where
Axilla
32
Descends posterior medial arm while giving off cutaneous and muscular branches
Radial
33
Radial nerve splits into what
Superficial radial sensory nerve | -posterior interosseous nerve (wrist and finger extensors, supinator, abductor pollicis longus)
34
Wrist drop seen with what nerve entrapment
Radial
35
Crutch palsy Saturday night palsy Bride-groom honeymoon
Radial nerve entrapment
36
Lateral epicondylitis
Musculotendinous lesion at lateral epicondylitis Mc: extensors carpi radialis brevis
37
Lesion Mc where in lateral epicondylitis
ECRB | Ext. carpi radialis brevis
38
S/s of lateral epicondylitis
Grip impaired due to pain Tenderness over area Localized pain
39
Aka for lateral epicondylitis
Tennis elbow
40
Aka for medial epicondulitis
Golfers elbow/baseball elbow
41
Medial epicondylitis
Micro tearing of tendon | Damage/stress to wrist flexors
42
Excessive force to flex wrist may lead/cause what
Medial epicondylitis/golfers elbow
43
Elbow ROM
Flex: 140-150 Ext: 0-10 Sup: 90 Pron: 80-90
44
Tingling with tinel sign indicates
Regeneration of nerves
45
Tingling and pain with tinsel sign at elbow indicates what
Injury/degeneration
46
What muscles does the main branch of median nerve supply
Abductor pollicis brevis Opponents pollicis Lat head of flexor pollicis brevis 1/2 lumbricles
47
What type of loss is causes if main trunk of median nerve is entrapped
Motor and sensory
48
What type of loss is causes if anterior interosseous nerve is entrapped
Motor only —has no sensory function Motor: flex digitorum profundus, flex pollicis longus, pronator quadratus
49
Difficulty flexing distal thumb and index what nerve may be entrapped
Median nerve
50
Treatment for lateral epicondylitis
``` Anti-inflammatory drugs Corticosteroid injection Ultrasonography Brace-counterforce brace distal to epicondylitis Resistance exercises Oral NSAIDs Mobilization Acupuncture Surgery ```
51
What does medial epicondylitis damage/stress
Wrist flexors
52
Pinch grip tests what nerve
Anterior interosseous nerve for entrapment/syndrome (median branch)
53
Elbow flexion test tests what and for what
Ulnar nerve for cubital tunnel syndrome
54
Froment paper sign tests what and tests for what
Ulnar nerve for paralysis
55
Mills test tests what and for what
Lateral epicondylitis for epicondylitis/tennis elbow
56
Cozen test tests what and for what
Lateral epicondyle for epicondylitis or radiohumeral bursitis
57
Golfer elbow test: what and for?
Medial epicondyle for epicondylitis
58
Lift test: what and for?
Lateral/medial epicondyle: epicondylitis
59
Ligamentous instability test: what and for?
Ligaments | Sprain
60
Ligamentous instability test testing what with varus/valgus test
Varus: lateral collateral ligament Valgus: medial collateral ligament

NMS (12 decks)

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