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Physical Disabilities > FINAL TENDINOPATHIES OF THE UE > Flashcards

FINAL TENDINOPATHIES OF THE UE Flashcards

1
Q

What are some consideration in treating tendinosis?

A

Avoid painful activities
Symptoms may come/go over years
Pasture is important to assess and provide education
Increasing aerobic exercises
Ergonomic modification
proper positioning during tasks
Exercise proximally if joint is to painful.

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2
Q

Lateral Epicondylosis know for?

A

AKA tennis elbow

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3
Q

What are the signs and symptoms of lateral epicondylosis ?

A

Pain with palpation to LE, often times distal to LE and into extensor wad
Stiffness
Pain with gripping (Elbow extension )
Tight extrinsic extensors

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4
Q

What two muscles are involved with lateral epicondylosis?

A

ECRB

EDC 2nd most common

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5
Q

Special testing for tennis elbow is?

A

Cozen’s Test

Mills Tennis Elbow Test

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6
Q

Treatment for LE in acute phase include?

A

ICE, US, friction massage, orthoses, counterforce brace, AROM, gentle isometrics.

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7
Q

True or False?

A

Counterforce brace placement over the RN, pay attention to complaints of nerve symptoms or wrist pain

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8
Q

Treatment of LE in restorative phase?

A

ROM, strengthening (concentric and eccentric ex with caution

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9
Q

Medial Epicondylosis what is the name other ?

A

Golfer’s Elbow

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10
Q

What are common muscles associated with ME?

A

Pronator teres, flexor carpi radialis, palmaris longus.

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11
Q

What are the symptoms of ME?

A

Pain with resisted elbow ext with forearm supinated and wrist ext
Repetitive pronation and resisted wrist flex also causes pain.

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12
Q

What is treatment for ME?

A

Follow the same guidlines as LE however the focus is on flexors.

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13
Q

What muscles are involved with DeQuervain’s Tenosynovitis?

A

APL and EPB

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14
Q

What are the symptoms of DeQuervain’s Tenosynovitis?

A

Pain localized over the radial styloid

Swelling can often be observed.

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15
Q

What activities or factors can contibute to DeQuervain’s Tenosynovitis?

A

Pregnany women and new mothers high risk
Women are 4 times likely then men
Between 33-55 yo
Forcefull, repetitive thumb abd with UD of wrist.
Knitting, wringing towels, opening jars, scissors, typing, piano, racket sports.

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16
Q

What are specialty test for DeQuervain’s Tenosynovitis?

A

Finkelstein’s test.

17
Q

Nonoperative treatment for DeQuervain’s Tenosynovitis?

A

Forearm based thumb spica
Treatment methods same as LE/ME
Isometric strengthening of EPB, APL, wrist ext/flex, AROM and thumb IP flex/ect

18
Q

What are operative treatment of DeQuervain’s Tenosynovitis?

A

Release of the first dorsal compartment
Orthosis postop
AROM, scar mgt, gradual strengthening

19
Q

What is another name for Digital stenosis tenosynovitis ?

A

Trigger finger

20
Q

What are the symptoms of trigger finger?

A

Inability to smoothly flex/ext digit

digit gets locked in flexion

21
Q

What are common sites for trigger fingers?

A

A1 pulley
RF and TH
common in women.

22
Q

What are the nonoperative treatment for trigger finger

A

Orthosis fabrication
avoid triggering
hook fisting, passive fisting with no triggering
corticosteroid injection.

23
Q

What is an operative for trigger finger?

A

Release of the AJ pulley

OT tx edema and sacre mgt, ROM and strengthening.

24
Q

What tendon is commonly involved with lateral epicondylitis?

A

ECRB

25
Q

A pt is referred to you for lateral epicondylitis. You decide to add a splint into your treatment protocol. What splint would be most appropriate?

A

Wrist immobilization splint

26
Q

Cumulative trauma injuries can benefit from a general exercise program such as aerobic fitness?

A

True

27
Q

Golfers elbow is another name for lateral epicondylitis?

A

False

28
Q

What type of splint would you use on a pt referred to you with De Quervains?

A

Long thumb spica with IP jt free

29
Q

De Quervains is a tenosynovitis of which tendon?

A

APL and EPB

30
Q

When assessing a patient with lateral epicondylitis grip strength will be increased with the elbow ext?

A

False

31
Q

Which dorsal wrist compartment are involved with DeQuervains?

A

1st

32
Q

DeQuervains is associated with use of the wrist with which of the following motions?

A

ulnar deviation

33
Q

A 50 yo female is referred for ring and small finger triggering. Which of the following attributes are associated with trigger finger?

A

All of these answers

Physical Disabilities (12 decks)

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