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OMM II > Elbow n' Such > Flashcards

Elbow n' Such Flashcards

1
Q

What is flick’s sign?

A

Paresthesias in the hand after sleeping that resolve with flicking of the wrist

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2
Q

What are the ssx of carpal tunnel syndrome?

A

Pain and numbness of the thumb, index, middle, and radial side of the ring finger

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3
Q

What are the late ssx of carpal tunnel?

A

Thenar eminence atrophy

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4
Q

What are the spinal levels that contribute to the brachial plexus?

A

C5-T1

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5
Q

What are the viscerosomatics to the UE?

A

T2-T8

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6
Q

What are the four main vascular parts of the axial skeleton?

A

Thoracic inlet
Clavicle
Ribs
Pectoral and axillary folds

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7
Q

What are the muscle attachments of the trapezius?

A

Occiput
C-spine
T1-T12

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8
Q

What are the areas that should be treated to “drain” the UE? (6)

A
  • Thoracic inlet
  • Thoracics and ribs
  • Cervicals
  • Head (OA)
  • Shoulder and elbow
  • Distal SDs
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9
Q

Treating the thoracics and ribs does what for the UE?

A

decreases sympathetic tone and improves V?L return

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10
Q

Treating the AA does what for the UE?

A

Addresses segmental and myofascial dysfunctions

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11
Q

Treating the shoulder and elbows does what for the UE?

A

Relieves bony and articular restrictions

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12
Q

What is the wrist important for?

A

Position of the hand to provide mechanical advantage, and acts as a stabilizer for effective functioning of the hand

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13
Q

What type of joint is the elbow joint?

A

Uniaxial hinge joint

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14
Q

What are the two joints in the elbow?

A

Humeroulnar

Humeroradial

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15
Q

What are the components of the humeroulnar joint?

A

Trochlea to the trochlear notch

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16
Q

What are the components of the humeroradial joint?

A

Capitulum to the radial head

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17
Q

What is the joint that comprises the pivot joint of the elbow?

A

Proximal radioulnar

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18
Q

What are the two ligaments of the elbow? What is their function?

A

Radial (RCL)
Ulnar (UCL)

Limit varus/valgus stress on the elbow joint

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19
Q

What is the purpose of the annular ligament of the elbow joint?

A

Prevents distal displacement of the radius

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20
Q

What is the function of the interosseous membrane between the radius and the ulna? Which way do the fibers run within this?

A

Increases surface area for muscular attachment

Slant upward from the ulna to the radius

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21
Q

Where does the force in the radius travel on an outstretched hand?

A

Loads on the radius will tense the interosseous membrane and be transferred to the ulna

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22
Q

What are the bones of the hand? (8)

A
  • Scaphoid
  • Lunate
  • Triquetrum
  • Pisiform
  • Trapezium
  • Trapezoid
  • Capitate
  • Hamate
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23
Q

What is the most commonly fractured carpal bone?

A

Scaphoid

24
Q

What makes up the floor of the anatomical snuff box?

A

Scaphoid

25
Q

What is the most frequently dislocated carpal bones?

A

Lunate

26
Q

What is the largest carpal bone?

A

Capitate

27
Q

Pain from where can radiate to the hand?

A

neck, shoulder or elbow region

28
Q

What shoulder muscles in particular can cause hand pain?

A
  • Infraspinatus
  • Serratus posterior superior
  • Lat dorsi
  • Scalenes
29
Q

What is Cozen’s test of the elbow?

A

It is a physical examination performed to evaluate for lateral epicondylitis or, tennis elbow. The test is said to be positive if a resisted wrist extension triggers pain to the lateral aspect of the elbow owing to stress placed upon the tendon of the extensor carpi radialis brevis muscle. The test is performed with extended elbow

30
Q

What are the specific areas that may be tender at the elbow?

A

Lateral epicondyle
Medial epicondyle
Olecranon

31
Q

What is the major flexor of the thumb?

A

Abductor pollicis brevis

32
Q

Bringing the thumb anteriorly=?

A

Abduction

33
Q

Bringing the thumb into the plane of the palm = ?

A

Adduction

34
Q

Bringing the thumb away from the palm, but staying within the same plane = ?

A

Extension

35
Q

Bringing the thumb toward the palm, but staying within the same plane = ?

A

Flexion

36
Q

What is opposition of the thumb? What is the opposite motion of this?

A

Opposing the thumb with the other digits.

Reposition is the opposite motion

37
Q

What is the piano key sign?

A

Tests for instability at the distal radioulnar joint

38
Q

What are the two major causes of instability of the radioulnar joint?

A

RA

Trauma

39
Q

What is nursemaid’s elbow?

A

Radial head subluxation away from the annular ligament

40
Q

What are the PE findings with radial head subluxation?

A
  • TTP near the radial head
  • Pain with F/E
  • Supination/pronation intact without pain
41
Q

What does the Cozen’s test assess for?

A

Lateral epicondylitis

42
Q

What does the finkelsteins test assess for?

A

De quervains

43
Q

What is Maudsley’s test, and what does it assess for?

A

The examiner resists extension of the 3rd digit of the hand, stressing the extensor digitorum muscle and tendon, while palpating the patient’s lateral epicondyle. A positive test is indicated by pain over the lateral epicondyle of the humerus.

Lateral epicondylitis

44
Q

What does the Phalens test assess for?

A

Carpal tunnel

45
Q

What does the piano key test assess for?

A

DRUJ instability

46
Q

What does the Snuff box test assess for?

A

Scaphoid fracture

47
Q

What does the tinel sign at the elbow test assess for?

A

Cubital tunnel syndrome

48
Q

What does the tinel sign at the wrist test assess for?

A

carpal tunnel syndrome

49
Q

What does the varus and valgus stress test assess for?

A

UCL/RCL instability

50
Q

What does pain with elbow flexion/extension or supination/pronation test assess for?

A

Elbow subluxation

51
Q

Supination of the arm does what to the radial head?

A

Moves anteriorly

52
Q

Pronation of the arm causes what motion of the radial head?

A

Radial head moves posteriorly

53
Q

What are the three major hand/wrist problems that may be treated with s/cs?

A

Radial head
Coronoid process
Anterior interosseous

54
Q

What are the two major posterior s/cs tender points at the elbow?

A

Medial and lateral olecranon

55
Q

What happens to the anterior radial head with FOOSH?

A

Proximal radial head moves anteriorly, distal moves posteriorly

56
Q

In supination, the radial head is where?

A

Anterior

57
Q

What are the six steps of the DMU UE OMT protocol?

A
  1. Thoracic inlet
  2. Thoracics/ribs
  3. Cervs
  4. OA
  5. Shoulder/elbow
  6. Distal SD

OMM II (43 decks)

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