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Eval/Asses Phy Trauma > Exam 3 > Flashcards

Exam 3 Flashcards

1
Q

which carpal bone is the most fractured bone?

A

scaphoid

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2
Q

If someone has carpal tunnel syndrome what nerve is affected?

A

-Median nerve
-transverse carpal ligament and carpal bones compress
-does not involve pinky but half of ring finger

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3
Q

wrist drop is what nerve?

A

radial nerve

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4
Q

what nerve go through the tunnel of Guyon?

A

Ulnar nerve
also known as the Ulnar Tunnel Syndrome

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5
Q

if the ulnar nerve is involved, which part of your hand is affected?

A

The pinky and half of the ring finger

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6
Q

If the radian nerve is impinged, there are several names for it.

A

-Honeymoon palsy
-Saturday night palsy
-crutch palsy
-radial nerve palsy

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7
Q

Lateral epicondylitis

A

○ Inflammation or repetitive stress at the lateral
epicondyle
○ Swelling
○ Tender to palpate
○ Pain with wrist extension
○ “Tennis elbow”

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8
Q

Test for lateral epicondylalgia (Tennis Elbow)

A

○ Position: seated with tested elbow flexed 90 degrees, forearm flexed 90 degrees, and the fingers flexed. applying force at the lateral epicondyle

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9
Q

Cubitus valgus

A

elbow goes in medially

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10
Q

Cubitus varum

A

elbow goes out laterally

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11
Q

Cubital recurvatum

A

elbow hyperextension

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12
Q

4 shoulder joints

A

○ Acromioclavicular
○ Glenohumeral
○ Sternoclavicular
○ Scapulothoracic articulation

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13
Q

To accomplish 180 degrees of glenohumeral elevation

A

○ 120 degrees from GH movement
○ 60 degrees from scapula
○ 2:1

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14
Q

Snuff-box

A

○ Medial border: tendon of the extensor pollicis longus
○ Lateral border: tendons of the extensor pollicis brevis
and abductor pollicis longus
○ Floor: carpal bones: scaphoid and trapezium

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15
Q

What bones you can palpate in the snuff box?

A

scaphoid and trapezium

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16
Q

Cubital Fossa

A

○ Brachichioradialis laterally
○ Pronator teres medially
○ Brachial artery runs through and subdivides into the
radial and ulnar arteries

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17
Q

What nerve runs through the middle of the cubital fossa?

A

median nerve and musculocutaneous nerve

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18
Q

SITS muscles

A

○ Supraspinatus: abduction
○ Infraspinatus: external rotation
○ Teres minor: external rotation
○ Subscapularis: internal rotation

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19
Q

Olecranon Bursitis

A

○ Inflammation of elbow
○ Student’s elbow
○ Miner’s elbow
○ Draftsman’s elbow

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20
Q

Medial epicondylitis

A

○ “Little leaguer’s elbow”
○ Neuropathy of the ulnar nerve

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21
Q

Arthrokinematics: shoulder abduction

A

head of humerus glides inferiorly

22
Q

Arthrokinematics: shoulder flexion

A

head of humerus glides posteriorly up to 90 degrees then glides inferiorly to 90 degrees..

23
Q

Arthrokinematics: shoulder external rotation

A

head of humerus glides anteriorly as it rolls posteriorly.

24
Q

Arthrokinematics: shoulder internal rotation

A

head of humerus glides posteriorly as it rolls anteriorly.

25
Q

Arthrokinematics: shoulder extension

A

head of humerus glides anteriorly and medially

26
Q

Handlebar Palsy (Guyon’s canal syndrome)

A

○ Ulnar nerve: between pisiform and hamate
○ Tingling in little finger and progresses to weakness in
intrinsic hand muscles
○ Weakens power grip

27
Q

Shoulder vs Hip

A

Shoulder has more mobility than stability

28
Q

Most dislocated joint of the body

A

Shoulder

29
Q

SLAP

A

○ Superior
○ Labrum
○ Anterior
○ Posterior

30
Q

2 shoulder test that look familiar

A

○ AcromioClavicular traction: scapula and humerus drops (sprain of acromioclavicular
ligament or coracoclavicular ligament)
○ Sulcus sign: humerus drops (superior GH ligament torn)

31
Q

Colle’s fracture

A

○ Fracture of the radius just above the wrist.
○ Result of a fall with wrist extended

32
Q

Terrible triad

A

○ Dislocation
○ Fracture of radial head
○ Fracture of coronoid process

33
Q

Shoulder impingement

A

Supraspinatus tendon

34
Q

Shoulder subluxation

A

Happens during stroke

35
Q

Ganglion cyst

A

Check distal radius and ulna

36
Q

Elbow valgus stress test

A

Sprain of ulnar collateral ligament

37
Q

Elbow varus stress test

A

damage to radial collateral ligament

38
Q

Gerber Lift Off Test

A

-subscapularis pathology
(+) If the hand is unable to lift from the spine.
-standing with humerus internally rotated

39
Q

Acromioclavicular traction test

A

torn or sprained AC or coracoclavicular ligament
(+) the humerus and scapula move inferior to clavicle
-standing or sitting

40
Q

Anterior Apprehension Test

A

-test for GH Laxity
(+) apprehension or pain in maybe the anterior capsule, anterior labrum, inferior GH
-supine, sitting, standing

41
Q

Posterior Apprehension Test

A

-test for GH laxity
(+) if the shoulder displays apprehension in maybe the posterior capsule or posterior labrum and produces muscles guarding to prevent the shoulder from subluxating posteriorly.

42
Q

Sulcus Sign Test

A

-test for inferior GH laxity
(+) humerus move away from scapula.
-sitting

43
Q

Neers Shoulder Impingement Test

A

-used test for impingement in the long head of bicep or supraspinatus
(+) pain in the anterior or posterior shoulder
-sitting or standing

44
Q

Hawkins Shoulder Impingement Test

A

-used test for impingement in the long head of bicep or supraspinatus
(+) pain with motion, near end of ROM

45
Q

Speeds Test

A

-test for long head of bicep brachii tendinopathy
-sitting or standing
(+) pain along the long head of the biceps brachii tendon

46
Q

Obrien’s Test

A
  • used to test for SLAP lesion or AC joint pathology
    (+) pain is experienced during internal rotation but decreased during external rotation.
47
Q

GRIND Test

A

-test for SLAP lesion
-supine
(+) pain or snapping

48
Q

Phalen’s Test

A

-test carpal tunnel syndrome
-standing
(+) tingling develops or increases.

49
Q

Heberden’s nodes

A

small bony growth that appears closest to the tip of the finger.

50
Q

Pulse location at wrist?

A

the radial pulse is felt on the wrist, just under the thumb.

Eval/Asses Phy Trauma (1 decks)

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