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OPP I Exam 2 > Forearm, Wrist and hand - Masterson > Flashcards

Forearm, Wrist and hand - Masterson Flashcards

1
Q
A
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2
Q

What Causes…

  1. Medial elbow pain
  2. Lateral Elbow Pain
  3. Tennis & golfer’s elbow
A
  1. UCL (Tommy-John Ligament)
  2. RCL or annual lig abt radial head
  3. Lateral(tennis) & medial epicondylitis (golf)
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3
Q
  1. What forms carrying angle?
  2. What does increasing it cause…

Decreasing it….

A
  1. Angle formed at the elbow b/w2 lines …

1st along long axis of humerus

2nd median aspect of forearm in valgus position

  1. Inc= wrist aDduction

Dec= wrist ABduction

(i like to remember this as Decrease already has a D in it so it adds a B)

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4
Q
  1. normal degrees for men & women
  2. Greater than

less than normal

A
  1. women 10-15 °

men 5°

  1. Cubitus Valus … If >

Cubitus varus -aka- Gun Shot..If <

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5
Q

Parallelogram of Forearm

As Olecranon of the ulna

  1. aBducts …the wrist–>
  2. aDucts ….the wrist–>
A

Oppostite…

The wrist

  1. aDducts (movement of wrist toward pinkie)
  2. aBducts (mvmt of the wrist toward thumb)

as the olecranon….

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6
Q

Somatic Dysfunction of Elbow

-aka-

Olecranon (ulnohumeral) Dysfunction

  1. Clincial
  2. Primary & Secondary cause
A
  1. Cause- Subtle Add or Abd elbow
  2. Primary- Olecranon (ulnohumeral) joint SD

Secondary- radiohumeral joit

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7
Q

Olecranon (ulnohumeral) SD

_aBduction _

  1. Type of Glide
  2. Carrying angle
  3. Distal forearm prefers (Da same)
  4. Radial head is..
  5. Hand (wrist) may prefer… (Hoppostie)
A
  1. Medial Glide
  2. Increased Carrying angle
  3. Distal Forearm Prefers -aBduction
  4. Radial Head- compressed on the capitulum of humerus
  5. Hand (wrist) aDduction at radiocarpal joing
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8
Q

Olecranon (ulnohumeral) SD

aDduction

  1. Type of Glide
  2. Carrying angle
  3. Distal forearm prefers (Da same)
  4. Radial head is..
  5. Hand (wrist) may prefer… (Hopposite)
A
  1. Lateral Glide
  2. Gunshot -aka- Decreased carrying angle
  3. Distal Forearm- aDduction
  4. Radial Head gapped at capitulum & drawn into annular lig
  5. Hand (wrist)- aBduction at radiocarpal joint
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9
Q

Muslces of Supination and Pronation

A

Supinate- Supinator

Pronate- Pronator teres & pronator quadratus

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10
Q

Radial Head Dysfunction

A
  • Radius has Reciprical motion
  • Pronate hand= Posterior glide of Radial head
  • Supinate hand= Anterior glide of Radial head
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11
Q

Pronation

  1. Radius crosses….
  2. Creates…
  3. Distal Radius moves___ causes Radial Head to move__
A
  1. Radius crosses - Ulna
  2. Creates Fulcrum
  3. Distal radius moves anteriorly … causes radial head to move

_Posteriorly _

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12
Q

SUPINATION

At endpoint distal radius moves _______

______causes raidal head to glide _____

A

At endpoint distal radius moves _______ (posteriorly)

______(interosseous lig) causes raidal head to glide _____ (anteriorly)

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13
Q

Cause of SD

Hand is in..

  1. Pronation
  2. Supination
A
  1. Pronation- Fall forward & bracing with hands

Result: Posterior radial head

  1. Supination- Backward fall & Bracing with hands

Result: anterior radial head

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14
Q

RAIDAL HEAD MNEMONIC

**SAPP **

A

Supination of Forearm= Anterior radial head

Pronation of forearm= Posterior radial head

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15
Q
A
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16
Q

Falling Forward onto palm

with out stretched palm causes…

A
  1. The hand is in a pronated position
  2. forward force vector pushes the distal radius into greater anterior rotation
  3. causing the radial head to move posteriorly
17
Q

FALLING BACKWARD ONTO PALM

w/ Extended Arm

A
  1. ¨The hand is in a supinated position
  2. impacting force vector pushes the distal radius into greater posterior rotation
    1. causing the radial head to move anteriorly.
18
Q

When evaluating Joints look for SD always look in….

A

1 joint up and 1 joint down

19
Q

SD WRIST

A
  • Pain in wrist – small gliding motion
  • look at elbow- might have large motion loss in flex & ext
  • Compression compenent - if cause by fall
20
Q

SD CMC (Carpometacarpal) Joint

Almost always have a _______component

especially if motion is restricted in _____and/or ______

A

Almost always have a _______( compression) component

especially if motion is restricted in _____(dorsal) and/or ______(ventral) _GLIDE _

21
Q

1st CMC (thumb) most like to have…….

A
  • compression strain or true sprain (NOT SD)
  • Due to freedom of motion
22
Q

MCPs or IPs SD in (3 things)

accompanied by______

A
  1. AP glide
  2. Mediolateral glide
  3. Rotational Glide (internal/external)

Accompanied by___________(compression)

OPP I Exam 2 (6 decks)

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