Eval & Diagnosis Flashcards

1
Q

Forearm Extensor muscles (posterolateral)

A
  1. Extensor carpi radialis longus
  2. Extensor carpi radialis brevis
  3. Extensor carpi ulnaris
  4. Brachioradialis
  5. Extensor pollicis longus
  6. Extensor pollicis brevis
  7. Adductor pollicis longus
  8. Extensor indicus supinator
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2
Q

Forearm Flexor Muscles

A
  1. Flexor carpi radialis
  2. Flexor carpi ulnaris
  3. Palmaris longus
  4. Flexor digitorum superficialis
  5. Flexor digitorum profundus
  6. Flexor pollicis longus
  7. Pronator quadratus
  8. Pronator teres
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3
Q

Colles’ fracture

A
  • Lower end of radius or ulna
  • FOOSA -hyperextention
  • Out for 1-2 months
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4
Q

Silver Fork Deformity

A

Fwd displacement of the radius that causes a visible deformity to the wrist

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5
Q

Bishop’s or Benediction deformity

A
  • Results from injury to ulnar nerve

* Flexion of pinky and ring finger

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6
Q

Claw Hand

A
  • Results from compression of he median and ulnar nerve

* Flexion of all fingers and thumb

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7
Q

Drop Wrist

A
  • Results from palsy of the radial nerve

* Wrist flexion

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8
Q

Ape Hand

A

Results from palsy of the median nerve

*Thumb is pulled into extension and fingers 2-5 into flexion

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9
Q

What runs through the carpal tunnel?

A
  1. Flexor digitorum profundus (4 tendons)
  2. Flexor digitorum superficialis (4 tendons)
  3. Flexor pollicis longus (1 tendon)
  4. Median nerve
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10
Q

De Quervain’s Disease (Hoffman’s Disease)

A
  • Stenosing tenosynovitis in the thumb

* Effects the extensor pollicis brevis & abductor pollicis longus

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11
Q

Bowler’s Thumb

A

Perineural fibrosis of the subcutaneous ulnar digital nerve of the thumb

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12
Q

Trigger Finger/Thumb

A

Stenosing tenosynovitis commonly occurring in a flexor tendon

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13
Q

Mallet Finger

A
  • Avulsion of an extensor tendon in the finger from the insertion.
  • PIP into 30° of flexion
  • splinted in extensio for 6-8 weeks
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14
Q

Boutonniere (Buttonhole) Deformity

A
  • Rupture of the extensor tendon dorsal to the middle phalanx
  • DIP joint into extension and PIP into flexion
  • Splinting for 5-8 weeks
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15
Q

Jersey Finger

A
  • Rupture of the flexor digitorum profundus tendon from the insertion of the distal phalanx
  • DIP cannot be flexed
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16
Q

Dupuytren’s Contracture

A
  • Nodules develop in the palmar aponeruosis

* Limit extension and eventually cause felxion deformity

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17
Q

Gamekeepers Thumb

A

*Sprain of the UCL of the MCP in the thumb
*Forceful abduction and possible hyperextension of the thumb
*

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18
Q

Swan Neck (Pseudoboutonniere) Deformity

A
  • Injury to the proximal volar plate of the PIP

* Hyperextenstion of the PIP and flexion of the DIP

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19
Q

Bennett’s Fracture

A
  • Fx in at the CMC of the thumb

* From axial and abduction forces

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20
Q

Degrees of ROM in the Shoulder

A
  1. Flexion: 180°
  2. Extension: 50°
  3. Abduction: 180°
  4. Adduction: 40°
  5. Internal Rotation: 90°
  6. External Rotation: 90°
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21
Q

Scapulohumeral Rhythm

A

Scapular/Humeral
0°-30°: 0°/30°
30°-60°: 1°/2°
60°-90°: 1°/1°

22
Q

Tests for GH instability (8)

A
  1. Load Shift
  2. Anterior Drawer
  3. Posterior Drawer
  4. Sulcus
  5. Clunk
  6. O’Brian
  7. Apprehension
  8. Relocation
23
Q

Tests for Shoulder Impingement

A
  1. Neers

2. Hawkins-Kennedy

24
Q

Tests for Supraspinatus Weakness

A
  1. Drop Arm

2. Empty Can

25
Q

Test for Serratus Anterior Weakness

A

Wall push-ups (winging scapula)

26
Q

Tests for Biceps Tendonitis

A
  1. Yegerson’s
  2. Speed’s
  3. Ludington’s
27
Q

Tests for Thoracic Outlet Syndrome

A
  1. Adson’s (Anterior scalene syndrome test)
  2. Roo’s (Costoclavicular syndrome test)
  3. Military Brace Position
  4. Allen’s (Hyperabduction syndrome test)
28
Q

Adson’s Test

A
  • Indicated compression of the subclavian artery at the point between the heads of the anterior & middle scalenes
  • Arm extended -> add head
29
Q

Roo’s Test

A
  • Indicates compression of the subclavian artery between the first rib and clavicle
  • flashing field goal
30
Q

Military Brace Test

A
  • Indicates compression of the subclavian artery between the first rib and clavicle
  • Athlete standing -> shoulders retracted ->arm abducted to 30° and extended
31
Q

Allen Test

A
  • Subclavian, axillary vessels &brachial plexus are compressed behind the pec. minor and beneath the coracoid process
  • Pules is taken with arm full extended over head
32
Q

AC Sprain Grades

A

1: No disruption
2: Tear/rupture of AC ligaments and coracoclavicular ligaments
3: Complete rupture of AC and CC ligaments
4: Post. dislocation of clacicle
5: Rupture AC and CC with tearing of trap and deltiod attachments
6: Clavivle is displaced inferior to the coracoid behind the coracobrachialis

33
Q

Muscles to Strengthen for TOCS

A
  1. Traps
  2. Rhomboids
  3. Serratus anterior
  4. Errector spinae muscles
34
Q

Muscles to Stretch for TOCS

A
  1. Pec. minor

2. Scalenes

35
Q

Bicipital bursae

A
  • Anterior aspect of the bicipital tuberosity

* Cushions the tendons in forearm pronation

36
Q

Olecranon Bursea

A

*Between the olecranon process and skin

37
Q

Elbow Flexors

A
  1. Biceps brachii
  2. Brachialis
  3. Brachioradialis
38
Q

Elbow Extensors

A
  1. Triceps brachii

2. Anconeous

39
Q

Elbow Pronators

A
  1. Brachioradialis
  2. Pronator teres
  3. Pronator quadratus
40
Q

Elbow Supinators

A
  1. Biceps brachii
  2. Brachioradialis (semisupination)
  3. Supinator
41
Q

Normal Carrying Angle

A
  • Females: 10°-15°

* Males: 5°-10°

42
Q

Elbow ROM

A
  • Flexion: 145°

* Supination/Pronation: 90°

43
Q

Cubitus Valgus

A

*Abnormally increased carrying angle of the elbow

44
Q

Cubitus Varus

A

*Abnormally decreased carrying angle of the elbow

45
Q

Cubitus Recurvatus

A

*Abnormally increased extension of the elbow (hyperextension)

46
Q

Medial/Lateral Epicondylitis Tests

A
  • Resisted extention: pain on lateral epicondyle

* Resisten felxion: pain on medial epicondyle

47
Q

Tennis Elbow

A
  • Lateral Epicondylitis
  • Involves: carpi radialis brevis, extensor digitorum communus, (Sometimes: pronator teres, flexor carip radialis, & triceps)
48
Q

Golfer’s Elbow

A
  • Medial Epicondylitis

* Involves: pronator teres, flexor carpi radialis, ulnaris & palmaris tongus

49
Q

Tendinosis

A

Degeneration of the tendon without inflammation

50
Q

Osteochondritis Dissecans

A
  • Impairment of blood supply to the ant. surfaces lead to fragmentation and separation of a portion of articular cartilage and bone- creates loose bodies in the joint
  • Most common in knee, also occurs in the elbow
51
Q

Panner’s Disease

A

OCD in children younger than 10

52
Q

Gunstock Deformity

A
  • From an elbow fx

* When arm is extended there is a varus angle to the elbow