Elbow, Wrist, & Hand Pain

Question 1

Tinel’s Sign

Answer 1

-flex elbow to tape where ulnar nerve goes through, and if you have a trapping it will send pain through the arm

Question 2

Valgus/Varus Stress Testing

Answer 2

-checks collateral ligaments at the elbow

Question 3

Medical Epicondylitis

Answer 3

• Cause: Overuse injury from repeated wrist flexion
  1. Pain on medial aspect of the elbow over the medial epicondyle, tenderness with passive extension of the wrist and resisted flexion of wrist

Question 4

Lateral Epicondylitis

Answer 4

• Cause: Overuse injury from repeated extension of the wrist
• Pain on lateral aspect of the elbow, Pain on palpation of the lateral epicondyle, tenderness with resisted wrist extension

Question 5

Phalens

Answer 5

flexion of the wrist to compress the nerve

• for carpal tunnel
• hold palms together for 30 seconds to bring back symptoms

Question 6

Tinels

Answer 6

compression of the median nerve by tapping on the nerve

• for carpal tunnel
• extend wrist, tap over extensor retinaculum, lead

Question 7

Finkelstein

Answer 7

• wrap fingers around thumb, ulnar deviate

- for De Quervain Tenosynovitis

Question 8

Scaphoid shift/Watson’s

Answer 8

• dislocations of scaphoid

- palpate scaphoid, ulnar deviate, dislocates scaphoid bone