Elbow and Hand quiz 2 prep Flashcards
Elbow is what type of joint?
hinge joint
Common conditions of the elbow?
Epicondylitis Ligament instability medial valgus stress overload UCL injury Cubitus valgus/ varus
Tennis Elbow?
Lateral epicondylitis
Golfers Elbow?
Medial epicondylitis
Condition that affects common wrist extensors (extensor carpi radialus longus, extensor carpi radialis brevis, extensor digitorum and digiti minimi)
Lateral epicondylitis
Condition that affects common flexors (pronator teres, flexor carpi radialis, flexor digitorum sublimis, flexor carpi ulnaris)
Medial epicondylitis
Initial acute management of epicondylitis
Ice massage over affected area
rest, protection of area from unwanted stress to allow healing, splint or brace to increase tolerance of activities, avoid aggravated motions
What are considerations when beginning exercises for epicondylitis management
Perform all exercises w/n pain free motion, progress from pain-free ISOM - concentric and eccentric muscle contractions, light resistance when having these pts perform these exercises for first time and perform in slow controlled eccentric contraction
Normal ROM for Elbow extension and flexion, Pronation and Supination
Extension: 0
Flexion: 145
Pronation: 75
Supination: 50
What ligament is injured or stressed by athletes with valgus stress overload
Ulnar collateral ligament
Finkelstein’s test
Performed?
Postive Sign?
Diagnostic?
Performed passively by clinician via a abrupt ulnar deviation
+ sign: pain w stretch of APL/ EPB tendons
Diagnostic: DeQuervains disease
Wrist Dorsal Glide restoring what motion?
Emphasised on restoring wrist flexion
Wrist ventral (Volar) glide purpose and improves what motion?
To increase movement of the proximal row of the carpal bones on the radius on the ulna.
to improve overall wrist extension
CRSP sign and symptoms
Pain, tropic changes, autonomic disturbances, edema usually present, functional impairment,
Complex region pain syndrome the difference between type 1 and 2
Type 1: w/o a nerve injury
Type 2: w/ a nerve injury
What are symptoms of carpal tunnel?
Decreased sensation, pain or tingling in digits innervated by median nerve
Formation of pits and firm nodules that lie just below skin of the palm
Dupuytrens disease
Dupuytrens disease postop care
Dorsal splint that allow full flexion but limit extension, ROM, strengthening, and scar management
DeQuervains disease
Presents as pain on radial side of wrist…Condition affecting abductor pollicis longus, and extensor pollicis brevis
DeQuervains disease protection phase
Activity modification, immobilization, pain and edema reduction
DeQuervains disease Controlled motion phase
strengthening emphasizing eccentric and concentric motions
Acute sprain of the UCL ligament of thumb
Skier’s thumb
Skiers thumb treatment
Splint 3-4wks, edema reduction, active thumb and joint motions,
STRENGTHENING @ 5-6wks
Primary focus of scaphoid fx
Edema reduction, and ROM of the uninvolved distal joints
result of a minor fall on the palm w/ a wrist hyperextended and radially deviated
Scaphoid fx
Why does a Scaphoid fx take longer to heal?
B/c of decreased blood supply issue
Scaphoid fx Controlled motion phase
Strengthening w/ exercise putty, sustained grip tolerance activities, gradual closed chain activities
A fx where the distal fragment is displaced in a dorsal direction
Colles fx
Varus and Valgus Stress test
Valgus testing medial side of elbow
Varus testing lateral side of elbow
Cozens test
Subject pronates and radially deviates the arm extending the wrist against the examiners resistance
Mills test
Examiner passively pronates the forearm and flexes the subject wrist
Intrinsic Muscles of hand
All For One And One For All
A: abductor pollicis brevis F: flexor pollicis brevis O: opponens pollicis A: adductor pollicis O: opponens digiti minimi F: flexor digiti minimi A: abductor digiti minimi
Extrinsic Muscles of the hand
Flexor carpi radialis, Palmaris longus, Flexor carpi ulnaris, Flexor digitorum superficialis, Flexor digitorum profundus, Flexor pollicis longus, Pronator quadratus: Extensor carpi radialis longus: Extensor carpi radialis brevis: Extensor digitorum: Extensor digiti minimi: Extensor carpi ulnaris Extensor indicis:
