Elbow and Hand quiz 2 prep Flashcards

1
Q

Elbow is what type of joint?

A

hinge joint

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2
Q

Common conditions of the elbow?

A
Epicondylitis
Ligament instability
medial valgus stress overload
UCL injury
Cubitus valgus/ varus
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3
Q

Tennis Elbow?

A

Lateral epicondylitis

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4
Q

Golfers Elbow?

A

Medial epicondylitis

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5
Q

Condition that affects common wrist extensors (extensor carpi radialus longus, extensor carpi radialis brevis, extensor digitorum and digiti minimi)

A

Lateral epicondylitis

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6
Q

Condition that affects common flexors (pronator teres, flexor carpi radialis, flexor digitorum sublimis, flexor carpi ulnaris)

A

Medial epicondylitis

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7
Q

Initial acute management of epicondylitis

A

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

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8
Q

What are considerations when beginning exercises for epicondylitis management

A

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

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9
Q

Normal ROM for Elbow extension and flexion, Pronation and Supination

A

Extension: 0
Flexion: 145
Pronation: 75
Supination: 50

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10
Q

What ligament is injured or stressed by athletes with valgus stress overload

A

Ulnar collateral ligament

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11
Q

Finkelstein’s test
Performed?
Postive Sign?
Diagnostic?

A

Performed passively by clinician via a abrupt ulnar deviation
+ sign: pain w stretch of APL/ EPB tendons
Diagnostic: DeQuervains disease

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12
Q

Wrist Dorsal Glide restoring what motion?

A

Emphasised on restoring wrist flexion

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13
Q

Wrist ventral (Volar) glide purpose and improves what motion?

A

To increase movement of the proximal row of the carpal bones on the radius on the ulna.

to improve overall wrist extension

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14
Q

CRSP sign and symptoms

A

Pain, tropic changes, autonomic disturbances, edema usually present, functional impairment,

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15
Q

Complex region pain syndrome the difference between type 1 and 2

A

Type 1: w/o a nerve injury

Type 2: w/ a nerve injury

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16
Q

What are symptoms of carpal tunnel?

A

Decreased sensation, pain or tingling in digits innervated by median nerve

17
Q

Formation of pits and firm nodules that lie just below skin of the palm

A

Dupuytrens disease

18
Q

Dupuytrens disease postop care

A

Dorsal splint that allow full flexion but limit extension, ROM, strengthening, and scar management

19
Q

DeQuervains disease

A

Presents as pain on radial side of wrist…Condition affecting abductor pollicis longus, and extensor pollicis brevis

20
Q

DeQuervains disease protection phase

A

Activity modification, immobilization, pain and edema reduction

21
Q

DeQuervains disease Controlled motion phase

A

strengthening emphasizing eccentric and concentric motions

22
Q

Acute sprain of the UCL ligament of thumb

A

Skier’s thumb

23
Q

Skiers thumb treatment

A

Splint 3-4wks, edema reduction, active thumb and joint motions,
STRENGTHENING @ 5-6wks

24
Q

Primary focus of scaphoid fx

A

Edema reduction, and ROM of the uninvolved distal joints

25
Q

result of a minor fall on the palm w/ a wrist hyperextended and radially deviated

A

Scaphoid fx

26
Q

Why does a Scaphoid fx take longer to heal?

A

B/c of decreased blood supply issue

27
Q

Scaphoid fx Controlled motion phase

A

Strengthening w/ exercise putty, sustained grip tolerance activities, gradual closed chain activities

28
Q

A fx where the distal fragment is displaced in a dorsal direction

A

Colles fx

29
Q

Varus and Valgus Stress test

A

Valgus testing medial side of elbow

Varus testing lateral side of elbow

30
Q

Cozens test

A

Subject pronates and radially deviates the arm extending the wrist against the examiners resistance

31
Q

Mills test

A

Examiner passively pronates the forearm and flexes the subject wrist

32
Q

Intrinsic Muscles of hand

All For One And One For All

A
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
33
Q

Extrinsic Muscles of the hand

A
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: