Elbow and Wrist

Question 1

If your client has pain at the wrist extensors, what actions are going to cause pain in functional testing (AF, PR, AR)?
(Pain with contraction and stretch)

Answer 1

AF: P w EXTENSION, P w FLEXION
PR: P w FLEXION
AR: P w EXTENSION

Question 2

On what part of the hand does the ulnar nerve provide sensory distribution?

Answer 2

PINKY and 1/2 of RING FINGER

Question 3

On what part of the hand does the median nerve provide sensory distribution?

Answer 3

FIRST 3 FINGERS (PALMAR SIDE)
\+
DORSAL TIPS OF FIRST 3 FINGERS
\+
MEDIAL THUMB

Question 4

On what part of the hand does the radial nerve provide sensory distribution?

Answer 4

DORSAL HAND TO KNUCKLES OF FIRST 3 FINGERS
+
LATERAL THUMB

Question 5

Name the syndrome associated with compression of the median nerve resulting in tingling in median nerve distribution - lateral 3 1/2 digits?

Answer 5

CARPAL TUNNEL SYNDROME

Question 6

What are the roof and floor of the carpal tunnel composed of?

Answer 6

ROOF - CARPAL BONES
+
FLOOR - FLEXOR RETINACULUM

Question 7

List the structures that pass through the carpal tunnel? (4)

Answer 7

MEDIAN NERVE
\+
4 TENDONS OF FLEXOR DIGITORUM SUPERFICIALIS
\+
4 TENDONS OF FLEXOR DIGITORUM PROFUNDUS
\+
TENDON OF FLEXOR POLLICIS LONGUS

Question 8

Name the 2 ways compression of the median nerve can occur, resulting in carpal tunnel?

Answer 8

SIZE OF TUNNEL DECREASES
or
SIZE OF CONTENTS PASSING THROUGH TUNNEL INCREASES

Question 9

__________ and ___________ nodes are typical of OSTEOarthritis, and develop in later stages to help stabilize the joint.

Answer 9

BOUCHARDS NODES (at PIPs)
and
HERBERDEN NODES (at DIPs)

Question 10

Untreated RHEUMATOID arthritis can have chronic flare ups leading to joint degeneration and capsule weakening and subluxations/deformities, known as what?

Answer 10

BOUTONNIERE
+
SWAN NECK

Question 11

DeQuervain’s Tenosynovitis is the repetitive strain injury (RSI) of the tendon sheath of which 2 muscles?

Answer 11

ABDUCTOR POLLICIS LONGUS
+
EXTENSOR POLLICIS BREVIS