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Orthopaedic tests/examinations > Elbow, Wrist and Hand > Flashcards

Elbow, Wrist and Hand Flashcards

1
Q

Varus / Valgus Stress Test

A

Varus - stabilises Pts
arm at the elbow, and the other hand
is placed at the wrist, Pts
arm is slightly flexed, and an
adduction/medial force (varus) is applied.
Valgus - Abduction movement applied

Repeated at 0 and 30deg of flexion

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2
Q

What does Varus / Valgus Stress test

A

Valgus/abduction - Medial Ligament Sprain
Varus/adduction - Lateral

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3
Q

+Ve for Varus/valgus stress

A

Pain

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4
Q

Cozen’s

A

Stabilise Pts forearm - palpating lateral epicondyle, pronate arm, Radially deviate and extend the wrist
Resist Pts extension movement

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5
Q

What does Cozens test for

A

Lateral Epicondylitis

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6
Q

+Ve for Cozen’s

A

Weakness and lateral elbow pain

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7
Q

Reverse Cozen’s

A

Stabilise Pts forearm - palpating medial epicondyle, supinate arm, Ulnar deviate and flex the wrist
Resist Pts flexion movement

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8
Q

What does reverse Cozens test

A

Medial Epicondylitis

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9
Q

+Ve for reverse Cozen’s

A

Weakness and medial elbow pain

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10
Q

Mills

A

Palpate the lateral epicondyle while
* passively pronating the forearm,
* flexing the wrist and
* extending the elbow.
No resistance - stretch test

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11
Q

What does Mills test

A

Lateral Epicondylitis

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12
Q

+Ve for Mills

A

Lateral elbow Pain

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13
Q

Reverse Mill’s

A

Palpate the medial epicondyle while
* passively supinating the forearm,
* extending the wrist
* extending the elbow.

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14
Q

What does revere mills test

A

Medial Epicondylitis

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15
Q

+Ve for reverse Mills

A

Medial elbow pain

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16
Q

Tinel’s sign - elbow

A

Gently tap over cubital fossa

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17
Q

What does tinels sign (elbow) test

A

Neuropathy

18
Q

+Ve for Tinel’s (elbow)

A

Parasthesia from Ulnar nerve so in 4th and 5th digits

19
Q

Tinel’s sign - wrist

A

Gently tap over carpal tunnel

20
Q

What does Tinels sign test (wrist)

A

Neuropathy

21
Q

+Ve Tinel’s wrist

A

Parasthesia from median nerve - 1st-4th digits

22
Q

Pronator stretch test

A

Pt elbow flexed 90 deg
Supinated forearm
Pt Pronate with Elbow Ext
Examiner Resisting Pronation during the extension

23
Q

What does Pronator stretch test test for

A

Neuropathy

24
Q

+Ve of Pronator stretch test

A

Parasthesia
Medial N compress Pronator Teres - 1st to 4th digits

25
Q

Allens

A

Pt makes a fist, place contact over radial and ulnar arteries
Pt continuously opens and contracts fist until palm is white
Release radial artery, allow hand to fill
Repeat with ulnar artery

26
Q

What does Allens test for

A

Artery Stenosis or Occclusion

27
Q

+ve for Allens

A

Skin remains white for longer than 5s

28
Q

Finklestein’s

A

Pt grip thumb with fingers (fist)
Ulnar deviate/move hand to floor

29
Q

what does Finklestein’s test

A

Tenosynovitis

30
Q

+Ve Finklestein’s

A

P abductor pollicis longus + extensor pollicis brevis tendons

31
Q

Phalen’s

A

Dorsal side of hands together
Hold for 2 mins
If P is felt during, no need to continue

32
Q

What does Phalen’s test

A

Carpal tunnel syndrome

33
Q

+Ve Phalen’s

A

P, numbness, tingle distal to compression

34
Q

Reverse Phalen’s

A

Prayer position
Hold for 2 mins
If P is felt, stop

35
Q

What does reverse Phalen’s test for

A

Carpal tunnel syndrome

36
Q

+Ve
Reverse Phalen’s

A

P, numbness, tingle distal to compression

37
Q

Ulnomeniscotriquetral dorsal glide

A

Pt seat, pronate arm
Place thumb over ulnar (just over styloid process)
Index on pisiform
Produce ‘clicking motion’

38
Q

What does Ulnomeniscotriquetral dorsal glide test

A

Triangular fibrocartilage complex damage

39
Q

+Ve Ulnomeniscotriquetral dorsal glide

A

P or laxity of TFCC

40
Q

TFCC dorsal glide

A

Apply grip around wrist
Other hand around metatarsals
Produce ulnar deviation with slight compression

41
Q

What does TFCC dorsal glide test for

A

TFCC damage

42
Q

+Ve TFCC dorsal glide

A

P or laxity of TFCC
Crepitus

Orthopaedic tests/examinations (9 decks)

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