Elbow/Wrist/Hand Flashcards

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1
Q

What is the membrane found between the radius and ulna?

A

Interrossseous membrane

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2
Q

What is the ligament that runs at the base of the wrist and is on top of the carpal tunnel?

A

Transverse carpal ligament

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3
Q

Describe median nerve innervation.

A

Innervates the first 3 fingers and lateral aspect of ring finger. Involved in carpal tunnel syndrome.

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4
Q

What is the connective tissue on top of the carpal tunnel?

A

Flexor retinaculum

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5
Q

Describe radial nerve innervation.

A

Wrist and some of muscles of hand

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6
Q

Describe ulnar nerve innervation.

A

Medial aspect of ring finger and pinky finger.

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7
Q

Describe the pathology associated with medial epicondylitis.

A

Golfer’s elbow. At the medial epicondyle, where muscles attach, the common flexor tendons have become inflamed.

  • repetitive trauma
  • associated weakness
  • limited ROM
  • reduced grip strength
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8
Q

List the MET criteria for medial epicondylitis. (5)

A
  • medical clearance
  • minimal swelling and pain
  • full passive ROM
  • Full upper extremely motor function
  • Sensation intact
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9
Q

List three key concepts for MET management of golfer’s elbow.

A
  • increase ROM/strength in wrist flexors/extensors
  • increase grip size & reduce repetitive activities
  • improve forearm pronator & supinator strength and endurance
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10
Q

List 3 key exercises for MET management of golfer’s elbow.

A
  • stretching of wrist flexors
  • strengthening of wrist flexors
  • strengthening pronators/supinators
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11
Q

Describe the pathology associated with lateral epicondylitis.

A

Inflammation of the common extensor tendon where it attaches at the lateral epicondyle. -repetitive trauma

  • associated weakness
  • limited ROM
  • reduced grip strength
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12
Q

List the MET criteria for lateral epicondylitis. (4)

A
  • medical clearance
  • minimal swelling and pain
  • full hand motor function
  • sensation intact
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13
Q

List the 3 key exercises for MET management of tennis

elbow.

A
  • stretching of wrist extensors
  • strengthening of wrist extensors
  • strengthening pronators/supinators
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14
Q

List 4 key concepts for the MET management of tennis elbow.

A
  • manage/reduce pain
  • increase ROM/strength in wrist
  • increase grip size & reduce repetitive movements
  • improve anterior shoulder girdle flexibility
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15
Q

What is the importance of pronation/supination strengthening for conditions of the elbow/wrist/hand?

A

Important for any injury of elbow or wrist as they become weak with all the conditions and they are really important for day to day life activities.

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16
Q

What is the importance of increased grip size in managing conditions of the elbow/wrist/hand?

A

Larger grips reduce the stress.

17
Q

Describe the pathology associated with carpal tunnel

syndrome.

A
  • median nerve compression
  • weakness/numbness/tingling
  • due to repetitive trauma
  • nerve damage
  • C-spine involvement possible (TOS)
18
Q

List the MET criteria for carpal tunnel syndrome. (4)

A
  • Fair grip and wrist strength (make fist and open it, fully flex/extend wrist)
  • minimal pain
  • medical clearance
  • in required, client wears brace
19
Q

List the three key concepts in MET management of carpal

tunnel syndrome.

A
  • avoid repetitive activities
  • use splints if prescribed
  • strengthen wrist and forearm
20
Q

List the three key exercises for MET management of carpal tunnel
syndrome.

A
  • stretch anterior shoulder girdle
  • strengthening of wrist/hand/forearms
  • postural reinforcement
21
Q

Explain the two uses of Tinel’s sign in assessment of elbow/hand
conditions.

A
  • Wrist-flicking wrist-provokes median nerve-carpal tunnel

- elbow-tap lateral aspect of elbow-provokes ulnar nerve-ulnar nerve entrapment

22
Q

Describe procedure used to perform the Phanel’s test.

A

Have them put the outside of their hands together and raise elbows. Hold for 30 seconds, see how long it takes for tingling to go away. Carpal tunnel.

23
Q

Describe procedure used to perform the Tennis Elbow test.

A

Have them make a fist and push their wrist down and have them fight it. See if they have pain in the common extensor tendon.