Elbow , Wrist Hand Exam Flashcards
What is classical presentation for lateral epicondylitis?
- Aggravated by resisted wrist extension (pt feels pain with wrist extension)
- Pain over lateral epicondyle
Tennis elbow is overuse of ….?
Extensor tendons
Golfers elbow is overuse of …?
Common flexor tendons
Classic presentation of medial epicondylitis?
- Pain with resisted wrist FLEXION
2. With or without grip weakness
Medial epicondylitis could affect what nerve?
Ulnar nerve
This commonly results after trauma from leaning on elbow ….
Olecranon bursitis
Tinel sign can be used to test for 3 things. What are they?
Medial epicondylitis
Olecranon bursitis
Carpal tunnel
What is the most common compression neuropathy ? What nerve is involved?
Carpal tunnel
Median N.
Flick sign would be associated with?
Carpal tunnel
DeQuervains Tenosynovitis is inflammation of?
Tendon and synovial sheath covering:
Extensor pollicis brevis
Abductor pollicis longus
Positive Finkelstein test is indicative of ?
De quervains tenosynovitis
What joints are involved in RA?
Wrists, MCP, PIP joints
Which condition presents with symmetric joint pain, swelling or stiffness?
Rheumatoid arthritis
Osteoarthtritis involves which joint?
DIP
Felty syndrome manifestations (3)?
Neutropenia
splenomegaly
Severe RA
Swan neck deformity and boutonnie deformity is observed in pts with?
RA
Most common arthritis in adults?
Osteoarthritis
Assymetric joint pain is associated with?
Osteoarthritis
Heberdeb nodes on exam indicate?
Ostroarthritis
What is the cause of ganglion cyst?
Herniation of connective tissue from tendon sheaths, ligaments or bursa
Avascular necrosis can be a result of ?
Scaphoid fracture
Pain of the floor of the anatomic snuffbox could indicate?
Scaphoid fx
What artery could be damaged in scaphoid fx?
Palmar carpal branch of radial artery
elbow joint exam first three steps?
inspection, palpation, range of motion
ranges of motion to look for in the elbow joint exam?
flexion, extension, supination, pronation
common causes of elbow pain?
gout, osteoarthritis, lateral epicondylitis, carpal tunnel syndrome, medial epicondylitis, olecranon bursitis
what two types of olecranon bursitis can you have?
septic or aseptic
ulnar nerve entrapment/cubital tunnel syndrome occurs often w/ which epicondyle?
medial humeral epicondyle
what elbow movement constricts the ulnar nerve?
flexion of elbow
what carpal bone is in the anatomic snuffbox?
scaphoid
wrist and hand exam first three steps?
inspection, palpation, range of motion
what ranges of motion do you test in the wrist?
flexion, extension, radial/ulnar flexion
what ranges of motion do you test in the hand?
flexion, extension, abduction, adduction
wrist and hand joint exam?
speciality exam: phalen’s signs, tinel’s sign, finkelstein test, checking trigger finger
common causes of wrist pain?
- palmar ulnar neuropathy (Guyon’s canal syndrome)
- distal radial fracture (Colle’s)
common causes of hand pain?
carpal tunnel syndrome, benign bone tumor, infection (paronychia, cellulitis or abscess, herpetic whitlow, mallet finger)
pregnancy increases the chance of what syndrome?
carpal tunnel syndrome
what is phalen sign? what is it used to diagnose?
??
what is tinel sign? what is it used to diagnose?
tap on proximal to middle of anterior wrist, carpal tunnel syndrome
de quervain’s tenosynovitis uses which special test to diagnose?
finkelstein test
key features of rheumatoid arthritis
- symmetric joint pain
