Elbow, Wrist, Hand Pain Flashcards
- Normal Carrying angle for Males/Females
Males-5
Females 10-15
- Cubitus varus
<5 deg carrying angle
- Cubitus valgus
- >15 deg (ABduction of ulna)
Medial border of the anatomical snuffbox
Extensor pollicus longus
Lateral border of anatomic snuffbox
Extensor pollicus brevis, ABductor pollicus longus
Proximal border of anatomical snuffbox
Radial styloid process
Normal Elbow ROMs
- Flexion: 140-150 (Biceps, brachialis, brachioradialis, coracobrachialis)
- Extension: 0-(-5) (Triceps brachii, anconeus)
- Pronation: 90 (Pronator teres, pronator quadratus)
- Supination: 90 (Supinator, biceps brachii)
- Normal Wrist/Hand ROMs
- 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)
- Varus stress test
Testing function of LCL
Positive test indicative of sprained lateral (radial) collateral ligament
Perform with elbow flexed at 90 deg
- What is the Tinel’s Test for?
- How do you perform?
- ulnar nerve entrapment/cubital tunnel syndrome
- Tap between olecranon and medial epicondyle in ulnar groove
- How do you test for Golfer’s Elbow?
- Which epicondyle is inflammed?
- 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
- How do you test for Tennis Elbow?
- Which epicondyle is inflammed?
- 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
Olecranon bursitis
Nursemaids Elbow
Subluxation of radial head from annular ligament or annular ligament tear
Boxer’s fracture
- What is the following test used for?
- Testing for Carpal Tunnel
- Tapping over transverse carpal ligament/flexor retinaculum with patient’s wrist held in extension
- What is the following test used for?
- Diagnosing carpal tunnel syndrome
- Pt holds this position for 60 sec and notes if there is paresthesia in distribution of the median nerve
Possible inflammation sites in DeQuervian’s Tenosynovitis?
What test is used to diagnose?
Tendon Sheath
Abductor Pollicis Longus
Extensor Pollicis Brevis
Finkelstein’s test (patient makes a fist and ulnar deviates the wrist)
- Ulnar nerve entrapment/Handlebar Palsy
- Ulnar nerve trapped in Guyon’s canal (space between pisiform and hook of hamate)
- Numbness, tingling, weakness of 4th and 5th digits
- Gamekeeper’s thumb
Tear of UCL of the MCP Joint
Mallet Finger
Extensor injury at DIP Joint
Trigger Finger
Inflammation and narrowing of the flexor tendon sheath
Jersey Finger
Avulsion of flexor digitorum profundus from fingertip
Dupuytren’s Contracture
Abnormal CT thickening in the palmar fascia
