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PCMI Exam 2 > Elbow, Wrist, Hand Pain > Flashcards

Elbow, Wrist, Hand Pain Flashcards

1
Q
  • Normal Carrying angle for Males/Females
A

Males-5

Females 10-15

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2
Q
  • Cubitus varus
A

<5 deg carrying angle

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3
Q
  • Cubitus valgus
A
  • >15 deg (ABduction of ulna)
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4
Q

Medial border of the anatomical snuffbox

A

Extensor pollicus longus

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5
Q

Lateral border of anatomic snuffbox

A

Extensor pollicus brevis, ABductor pollicus longus

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6
Q

Proximal border of anatomical snuffbox

A

Radial styloid process

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7
Q

Normal Elbow ROMs

A
  • Flexion: 140-150 (Biceps, brachialis, brachioradialis, coracobrachialis)
  • Extension: 0-(-5) (Triceps brachii, anconeus)
  • Pronation: 90 (Pronator teres, pronator quadratus)
  • Supination: 90 (Supinator, biceps brachii)
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8
Q
  • Normal Wrist/Hand ROMs
A
  • Flexion: 80-90 (Coupled movement: Posterior carpal glide)
  • Extension: 70 (Coupled movement: Anterior carpal glide)
  • ADduction (30-40 w ulnar ABduction)
  • ABduction 20-30 (Coupled with ulnar ADduction)
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9
Q
  • Varus stress test
A

Testing function of LCL

Positive test indicative of sprained lateral (radial) collateral ligament

Perform with elbow flexed at 90 deg

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10
Q
  • What is the Tinel’s Test for?
  • How do you perform?
A
  • ulnar nerve entrapment/cubital tunnel syndrome
  • Tap between olecranon and medial epicondyle in ulnar groove
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11
Q
  • How do you test for Golfer’s Elbow?
  • Which epicondyle is inflammed?
A
  • Patient’s elbow flexed to 90 deg and forearm is placed in supination with wrist neutral and palm facing up
  • Doc has one hand under proximal forearm for stabilization and the other over the wrist to resist movement
  • Patient flexes wrist
  • + test with pain around MEDIAL epicondyle
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12
Q
  • How do you test for Tennis Elbow?
  • Which epicondyle is inflammed?
A
  • Patient’s elbow is flexed to 90 deg and forearm is placed in pronation with wrist neutral and palm facing down
  • Doc has one hand over patient’s proximal forearm and other on hand to resist movement
  • Patient instructed to extend wrist
  • + test with pain
  • Lateral epicondylitis
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13
Q

Olecranon bursitis

A
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14
Q

Nursemaids Elbow

A

Subluxation of radial head from annular ligament or annular ligament tear

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15
Q
A

Boxer’s fracture

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16
Q
  • What is the following test used for?
A
  • Testing for Carpal Tunnel
  • Tapping over transverse carpal ligament/flexor retinaculum with patient’s wrist held in extension
17
Q
  • What is the following test used for?
A
  • Diagnosing carpal tunnel syndrome
  • Pt holds this position for 60 sec and notes if there is paresthesia in distribution of the median nerve
18
Q

Possible inflammation sites in DeQuervian’s Tenosynovitis?

What test is used to diagnose?

A

Tendon Sheath

Abductor Pollicis Longus

Extensor Pollicis Brevis

Finkelstein’s test (patient makes a fist and ulnar deviates the wrist)

19
Q
  • Ulnar nerve entrapment/Handlebar Palsy
A
  • Ulnar nerve trapped in Guyon’s canal (space between pisiform and hook of hamate)
  • Numbness, tingling, weakness of 4th and 5th digits
20
Q
  • Gamekeeper’s thumb
A

Tear of UCL of the MCP Joint

21
Q

Mallet Finger

A

Extensor injury at DIP Joint

22
Q

Trigger Finger

A

Inflammation and narrowing of the flexor tendon sheath

23
Q

Jersey Finger

A

Avulsion of flexor digitorum profundus from fingertip

24
Q

Dupuytren’s Contracture

A

Abnormal CT thickening in the palmar fascia

25
Q

R.A

A

Ulnar deviation of fingers, PIP, DIP, and subcutaneous nodules along extensor surface of proximal ulna

26
Q

Identidfy the following fracture

A

Scaphoid Fracture

Likely from FOOSH injury

Need to treat immediately d/t risk of avascular necrosis

27
Q

Identify the following fracture

A

Galeazzi fracture

Fracture of distal radius and dislocation of the ulna

28
Q

Identify the following fracture

A

Galeazzi fracture

Fracture of distal radius and dislocation of the ulna

29
Q

Identify the following fracture

A

Monteggia fracture

Fracture of the proximal ulna from direct blow

30
Q

Identify the following fracture

A

Nightstick fracture

Direct blow to mid/distal ulna

31
Q

Identify the following fracture

A

Smith’s fracture

32
Q

Identify the following fx

A

Colle’s fracture

33
Q

If patient can’t make OK sign, what nerve is damaged?

What does this nerve innervate?

A
  • Anterior interosseous
  • Flexor pollicis longus
  • Deep flexor tendons of digits 2-3
  • Pronator quadratus
34
Q
A

PCMI Exam 2 (11 decks)

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