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OS Final. 100 or bust! > Elbow, Wrist, Hand Just how we planned. 12 > Flashcards

Elbow, Wrist, Hand Just how we planned. 12 Flashcards

1
Q

Elbow:

Carrying angle-normal?

A

5-15

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2
Q

Elbow:

Carrying angle-normal?

A

5-15

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3
Q

Elbow:

Carrying angle-small?

A
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4
Q

Elbow:

Carrying Angle-Large

A

> 15 = Cubitus Valgus

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5
Q

Elbow:

Where is the ulnar N?

A

Between medial epicondyle and Olecranon

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6
Q

Elbow ROM:

Flexion

A

140-150

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7
Q

Elbow ROM:

Extension

A

0 to -5

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8
Q

Elbow Radial head glide:

Anterior glide with?

A

Supination of the forearm

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9
Q

Elbow Radial head glide:

Post glide with?

A

Pronation

The P’s stay together!

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10
Q

MFR-Interosseous release:

Pt position?

A

Seated or Supine

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11
Q

MFR-Interosseous release:

Doc does?

A
  1. Palpate affected arm above interosseous membrane
  2. Note texture, pain and asymmetry with thumbs on pt’s anterior forearm and fingers encircling forearm.
  3. Palpate R/L, Clock/Cclock, cephalad/caudad
  4. MFR techniques.
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12
Q

ME Post Radial Head-Pronation dysfunction:

Pt position?

A
  1. Seated

2. Doc flexes elbow into full supination (restrictve barrier)

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13
Q

ME Ant. Radial Head-Supination dysfunction:

Doc setup?

A

Doc takes flexed elbow into full pronation (restrictive barrier)

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14
Q

ME Ant. Radial Head-Supination dysfunction:

Doc setup?

A

Doc takes flexed elbow into full pronation (restrictive barrier)

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15
Q

Elbow:

Carrying angle-small?

A

less than 5 =Cubitus Varus

-GUNSTOCK deformity

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16
Q

Elbow:

Carrying Angle-Large

A

> 15 = Cubitus Valgus

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17
Q

Elbow:

Where is the ulnar N?

A

Between medial epicondyle and Olecranon

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18
Q

Elbow ROM:

Flexion

A

140-150

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19
Q

HVLA AB/ADduction Ulnar dysfunctions:

Where is landmark for AB/ADduction?

A

at the wrist

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20
Q

Elbow Radial head glide:

Anterior glide with?

A

Supination of the forearm

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21
Q

Elbow Radial head glide:

Post glide with?

A

Pronation

The P’s stay together!

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22
Q

MFR-Interosseous release:

Pt position?

A

Seated or Supine

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23
Q

MFR-Interosseous release:

Doc does?

A
  1. Palpate affected arm above interosseous membrane
  2. Note texture, pain and asymmetry with thumbs on pt’s anterior forearm and fingers encircling forearm.
  3. Palpate R/L, Clock/Cclock, cephalad/caudad
  4. MFR techniques.
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24
Q

ME Post Radial Head-Pronation dysfunction:

Pt position?

A
  1. Seated

2. Doc flexes elbow into full supination (restrictve barrier)

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25
Q

ME Post Radial Head-Pronation dysfunction:

Where is patient’s force?

A

Pt attempts to pronate isometrically against doc

-ME principles followed

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26
Q

ME Ant. Radial Head-Supination dysfunction:

Doc setup?

A

Doc takes flexed elbow into full pronation (restrictive barrier)

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27
Q

ME Ant. Radial Head-Supination dysfunction:

Pt force?

A

Pt attempts to supinate isometrically.

Radial head can’t move post. (remember P’s go together)

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28
Q

HVLA AB/ADduction Ulnar dysfunctions:

Patient position?

A

Supinate and fully extend elbow

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29
Q

HVLA AB/ADduction Ulnar dysfunctions:

Doc setup?

A
  1. Grasp elbow on either side of olecranon w/one hand
  2. Other hand grasps radius/ulnar
  3. Asses dysfunction barriers and apply corrective thrust into barrier.
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30
Q

Wrist and Hand:

Wrist extension with?

A

Ventral carpal glide

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31
Q

HVLA AB/ADduction Ulnar dysfunctions:

Restriction to ABduction

A

ADduction dysfunction

Requires Valgus force for Tx

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32
Q

HVLA AB/ADduction Ulnar dysfunctions:

Where is landmark for AB/ADduction?

A

at the wrist

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33
Q

HVLA Anterior Radial Head Dysfunction?

Associated with?

A

supination disfunction

34
Q

HVLA Anterior Radial Head Dysfunction?

Doc setup?

A
  1. 2nd and 3rd fingers of one hand into crease of elbow. -Contacting directly over radial head
  2. Other hand flexes elbow and pronates forearm
35
Q

HVLA Anterior Radial Head Dysfunction?

Force?

A

Take elbow to hyperflexion while simultaneously thrusting dorsally on radial head.

36
Q

HVLA Posterior Radial Head Dysfunction?

More or less common than Ant.?

A

More common

37
Q

HVLA Posterior Radial Head Dysfunction?

Associated with?

A

Pronation disfunction

38
Q

HVLA Posterior Radial Head Dysfunction?

Doc Setup?

A
  1. Engage barrier with one hands thumb over post radial head.
  2. Other hand grasps pt’d distal radius/ulna bringing elbow into extension and supination
39
Q

HVLA Posterior Radial Head Dysfunction?

Force?

A

HVLA thrust simultaneous w/ventral force on radial head and elbow hyperextension

40
Q

Wrist and Hand:

Observations?

A
  1. Masses-ganglion syst
  2. Bouchard’s PIP or Heberden’s DIP nodes
  3. Ulnar drift of fingers
  4. Usual stuff
41
Q

ME Ulnar deviation/Addiction wrist dysfunction:

Patient force?

A

Pt ulnar deviates against resistance

42
Q

Wrist and Hand:

Wrist flexion with?

A

Dorsal carpal glide

43
Q

Wrist and Hand:

Wrist extension with?

A

Ventral carpal glide

44
Q

Wrist and Hand:

Ulnar deviation?

A

Towards pinky

45
Q

Wrist and Hand:

Radial Deviation?

A

Towards thumb

46
Q

Wrist and Hand:

Finger apposition?

A

OK sign etc.

-Tests for anterior interosseous N.

47
Q

MFR Wrist flexor retinaculum dysfunction:

Dx?

A
  1. Palpate TART and tenderness deep in wrist between thenar/hypothenar eminence
48
Q

MFR Wrist flexor retinaculum dysfunction:

Tx-Patient position?

A
  1. Seated

2. Palm up with wrist in extension

49
Q

MFR Wrist flexor retinaculum dysfunction:

Tx-Doctor position?

A

Facing patient

50
Q

MFR Wrist flexor retinaculum dysfunction:

Tx-Doctor setup

A
  1. Dr’s thumbs over anterior aspect, one on each retinaculum

2. Fingers wrap around dorsal aspect

51
Q

MFR Wrist flexor retinaculum dysfunction:

Tx-Force?

A
  1. Thumbs press posteriorly and apart.

2. Maintain for tissue creep 60 sec.

52
Q

MFR Wrist flexor retinaculum dysfunction:

Tx-Stop?

A
  1. Pain/Paresthesias in median nerve
53
Q

HVLA Radial Deviation/ABduction wrist dysfunction:

Doctor setup

A
  1. Elbow flexed
  2. doc facing patient on side of dysfunction
  3. Contact hand w/one hand and distal radius with other
54
Q

ME Ulnar deviation/Addiction wrist dysfunction:

Patient force?

A

Pt ulnar deviates against resistance

55
Q

ME Ulnar deviation/Addiction wrist dysfunction:

Doc force?

A

Brings to radial deviation barrier

56
Q

ME Radial deviation/ABdiction wrist dysfunction:

ROM

A

20-30

57
Q

HVLA Ulnar Deviation/ADduction wrist dysfunction:

Tx

A

Move into radial/ABduction barrier and provide HVLA thrust

58
Q

ME Radial deviation/ABdiction wrist dysfunction: Doc force?

A

Ulnar deviation

59
Q

ME Extesion wrist/Ventral Carpal Dysfunction:

ROM

A

70

60
Q

ME Extension wrist/Ventral Carpal Dysfunction:

What happens?

A

Doc Flexes

Patient extends

61
Q

ME Flexion wrist/Dorsal Carpal Dysfunction:

ROM

A

80-90

62
Q

ME Flexion wrist/Dorsal Carpal Dysfunction:

What happens?

A

Doc extends

Patient tries to flex

63
Q

HVLA Extension wrist/Ventral Carpal Dysfunction:

Doc Setup?

A
  1. Grasp Patient’s hand, thumbs contact dorsally at proximal carpal bones (radiocarpal joint)
  2. Deliver whip-like thrust moving from extension to flexion and dorsal glide through dysfunction
64
Q

HVLA Flexion wrist/Dorsal Carpal Dysfunction:

A
  1. Grasp Patient’s hand, thumbs contact dorsally at proximal carpal bones (radiocarpal joint)
  2. Deliver whip-like thrust flexion to extension with ventral glide into dysfunction
65
Q

HVLA Radial Deviation/Abduction wrist dysfunction:

ROM

A

20-30

66
Q

HVLA Radial Deviation/Abduction wrist dysfunction:

Doctor setup

A
  1. Elbow flexed
  2. doc facing patient on side of dysfunction
  3. Contact hand w/one hand and distal radius with other
67
Q

HVLA Radial Deviation/ABduction wrist dysfunction:

Tx

A

Move into Ulnar/ADduction barrier and provide HVLA thrust

68
Q

Articulatory Squeeze technique:

Doc setup?

A
  1. Pt sits and doc stands in front of pt.

2. Dr’s thumbs on oneside of dysfunction articulations-fingers on other side of hand

69
Q

HVLA Ulnar Deviation/ADduction wrist dysfunction:

Doc Setup

A
  1. Elbow flexed
  2. doc facing patient on side of dysfunction
  3. Contact hand w/one hand and distal radius with other
70
Q

HVLA Ulnar Deviation/ADduction wrist dysfunction:

Tx

A

Move into radial/ABduction barrier and provide HVLA thrust

71
Q

HVLA Phalangeal Dysfunction:

ROM assesment

A
  1. F/E
  2. ABD/ADD
  3. Int/ext rotation
72
Q

HVLA Phalangeal Dysfunction:

Doc setup and Tx?

A
  1. Isolate dysfunctional joint
  2. Provide traction
  3. Deliver hyperflexion thrust
73
Q

Articulatory wrist/Carpal dysfunctions (flexion and extension with glide and ABD/ADD dysfunctions):
Dx?

A
  1. Assess ROM for these movements
74
Q

Articulatory wrist/Carpal dysfunctions (flexion and extension with glide and ABD/ADD dysfunctions):
Tx- Positions?

A
  1. Pt. Seated

2. Doc in front of pt

75
Q

Articulatory wrist/Carpal dysfunctions (flexion and extension with glide and ABD/ADD dysfunctions):
Tx-Doc setup?

A
  1. Dr. palms placed over dysfunctional carpal bone articulations and interlaces fingers
  2. applies squeeze btw hands w/TRACTION between joints
76
Q

Articulatory wrist/Carpal dysfunctions (flexion and extension with glide and ABD/ADD dysfunctions):
Tx-Articulatory force

A

Applied via circumduction of pt’s wrist (clockwise than CC) Figure 8 motion!

-Carries restrictions through barriers

77
Q

Articulatory Phalangeal dysfunction:

Dx?

A

Look at ranges of motion

78
Q

Articulatory Phalangeal dysfunction:

Doc Setup?

A
  1. Isolate MCP joint by blocking metacarpal bone

2. other hand, take phalanx through range of motion while applying TRACTION

79
Q

Articulatory Intersegmental bonus technique:

How do it?

A
  1. Isolate metacarpal bone by blocking out those around it

2. Articulate in A/P glide and rotation

80
Q

Articulatory Squeeze technique:

What is it?

A

Alternative to Wrist/carpal dysfunction technique

81
Q

Articulatory Squeeze technique:

Doc setup?

A
  1. Pt sits and doc stands in front of pt.
82
Q

Articulatory Squeeze technique:

Force?

A
  1. Doc squeeze btw thumbs and fingers and adds traction at joints
  2. Applies articulatory force as circumduction of patients’s wrist. figure 8 stuff through barriers.

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