Elbow, Wrist, and Hand Lab Flashcards

1
Q

What does the OK sign test for?

A

anterior interosseous nerve - motor branch

pt cannot make an O with thumb and forefinger pinching together

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2
Q

What does a varus test evaluate?

A

lateral/radial collateral L.

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3
Q

What is nursemaid’s elbow or radial head instability?

A

annular ligament tear and/or radial head subluxation from annular ligament
pain w/ palpation of radial head w/ anterior displacement and restriction to posterior glide

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4
Q

What is colle’s fracture?

A

fall with wrist extended –> fracture of distal radius w/ dinner fork deformity

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5
Q

What is Smith fracture?

A

fall with wrist flexed –> ventral displacement of wrist

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6
Q

What does a valgus test evaluate?

A

medial/ulnar collateral L.

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7
Q

How do you do tennis elbow testing?

A

have pt extend wrist against resistance

pain = lateral epicondylitis

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8
Q

How do you test for a scaphoid fracture?

A

physician extends pt’s wrist and applies pressure to snuff box –> tenderness = fracture
*good specificity

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9
Q

What is dupuytren’s contracture?

A

abnormal connective tissue thickening in the palmar fascia

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10
Q

What is little league elbow?

A

group of problems related to stress of throwing in young athletes:
pain over medial epicondyle, initially after throwing, progresses to persistent pain
apophysitis –> avulsion –> ligamentous injury

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11
Q

What are some hallmarks of carpal tunnel syndrome?

A

pain and paresthesia on lateral 3 digits

grip weakness and weakness w/ thumb abduction

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12
Q

What is a galeazzi fracture?

A

fracture of distal radius

dislocation of the ulna

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13
Q

How do you perform Phalen’s sign?

A

have pt place dorsal aspects of hands together and force into wrist flexion –> hold for 60 sec
+ test = any reproduction of symptoms
Indication: carpal tunnel syndrome

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14
Q

What do pts present with who have olecranon bursitis?

A

posterior elbow distention and discomfort due to overuse or occupation
region is often painless and range of motion is normal

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15
Q

What are the possible inflammation sites for dequervain’s tenosynovitis?

A

tendon sheath
abductor pollicis longus
extensor pollicis brevis

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16
Q

What is boxer’s fracture?

A

fracture of distal shaft of the 5th metacarpal

usually due to punching a solid surface

17
Q

What does triceps reflex test for?

A

C7 nerve root

18
Q

What is mallet finger?

A

extensor tendon injury at DIP

19
Q

What is monteggia fracture?

A

fracture of proximal ulna

dislocation of the radial head

20
Q

What is dequervain’s tenosynovitis?

A

pain and inflammation from repetitive overuse of tendons in first dorsal compartment
pt will complain of dorsolateral wrist and thumb pain, occasionally w/ radiation into lateral hand and thumb
grip weakness

21
Q

How do you perform a tinel’s test at elbow?

what does it evaluate?

A

tap on cubital tunnel (by medial epicondyle of elbow

pain/numbness = ulnar n entrapment

22
Q

What determines clubbed fingers?

A

angle btw nail and proximal nail fold > 180
proliferation of connective tissue btw nail matrix and distal phalanx along w/ vasodilation w/ increased blood flow to digits

23
Q

How do you do golfer’s elbow testing?

A

Have pt flex wrist against resistance

pain medial epicondylitis

24
Q

What is trigger finger?

A

inflammation and narrowing of flexor tendon sheath –> finger curled up

25
How do you perform Finkelstein test?
have pt make a fist encompassing their thumb --> ulnar deviate wrist + test = increased pain in first dorsal compartment indication: dequervain's tenosynovitis
26
Where are bouchard nodes? | What disease are they associated with?
proximal interphalangeal joints (PIP) rheumatoid arthritis
27
What is jersey finger?
avulsion fo flexor digitorum profundus from fingertip --> can't bend finger affected
28
What is a nightstick fracture?
isolated fracture of mid-shaft/distal ulna from a direct blow
29
What is gamekeeper's thumb/skier's thumb?
tear of ulnar collateral L of the 1st MCP --> pain on medial aspect of MCP
30
What are the landmarks to palpate on the elbow?
olecranon process medial and lateral epicondyles radial head
31
What are symptoms of rheumatoid arthritis?
``` ulnar deviation of fingers bouchard nodes (PIP) Heberden nodes (DIP) subcutaneous nodules along the extensor surface of the proximal ulna or around the olecranon bursa ```
32
What is ulnar n entrapment/ handlebar palsy?
ulnar n gets entrapped in guyon's canal = space btw hook of hamate and pisiform irritation --> numbness, tingling, weakness/ pain in ulnar nerve distribution
33
Where are heberden nodes? | What disease are they associated with?
DIPs | rheumatoid arthritis
34
What does biceps reflex test for?
C5 nerve root
35
What does brachioradialis reflex test for?
C6 nerve root