Hand MMT Flashcards

1
Q

2 muscles responsible for wrist flexion and how to differentiate while testing

A

FCR = over 2nd MC
- flexion and rad dev
FCU = over 4-5th MC
- flexion and uln dev

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2
Q

Wrist flexion substitution

A

Finger flexors should stay relaxed

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3
Q

Muscles responsible for wrist extension and how to differentiate while testing

A

ECR - 2-3 MC
- ext and rad dev
ECU - 4-5 MC
- ext and uln dev

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4
Q

Wrist extension palpation

A

ECRL 2nd MC
ECRB 3rd MC
ECU 5th MC distal to ulnar styloid

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5
Q

Wrist extension substitution

A

Finger extensors should stay relaxed

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6
Q

Lunbricals/interossei testing position

A

Forearm supinated - resist MCP flexion and IP extension

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7
Q

Interossei and lumbricals are _______ muscles

A

Intrinsic

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8
Q

Substitution for lumbricals/interossei

A

Long finger flexors - IPs should remain extended

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9
Q

FDS testing position

A

Forearm supinated - hold all fingers extended except finger to be tested (eliminated FDP)
Pt flexes PIP

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10
Q

FDS palpation

A

Palmar surface of wrist between wrist flexors

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11
Q

FDS subs

A

FDP
Tenodesis action by extending wrist - results in passive flexion
Relaxing IP ext results in passive flexion

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12
Q

FDP testing position

A

Forearm supinated, stabilize middle phalanx - pt flexes DIP

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13
Q

Palpation for FDP

A

Palmar surface of middle phalanx

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14
Q

FDP substitutions

A

Tenodesis by extending wrist - results in passive flexion

Relaxing IP ext results in passive flexion

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15
Q

Finger extension position

A

Forearm pronated, pt extends MCP

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16
Q

Finger extension resistance

A

Applied toward flexion on proximal phalanx

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17
Q

Finger extension sub

A

Tenodesis action produces passive IP ext

18
Q

Finger abduction test position/resistance

A

Forearm pronated, pt spreads fingers

Resistance applied toward adduction at distal phalanx

19
Q

Below fair for finger abduction

A

Partial range

20
Q

Palpation for abduction

A

1st DI at base of prox phalanx, radial side of index finger

Abd DM - ulnar border of hand

21
Q

Finger adduction test position/resistance

A

Pronated, adduction toward middle finger

Resistance ad middle phalanx

22
Q

Adduction sub

A

Finger flexion

23
Q

Thumb MP flexion test position/resistance

A

Forearm supinated, pt flexes MP with IP extended

Resistance toward extension @ prox phalanx

24
Q

Thumb MP flexion palpation

A

Ulnar side of FP longus tendon in thenar eminence

25
Thumb IP flexion position/resistance
Forearm sup, stabilize MP in extension, pt flexes IP | Resistance @ distal phalanx
26
Thumb IP palp
Tendon on palmar surface of prox phalanx of thumb
27
Thumb IP flexion sub
Relaxation of IP ext produces passive flexion
28
Thumb MP ext position/resistance
Forearm neutral - stabilize MC, pt extends MP | Resistance @ prox phalanx
29
Thumb MP ext palp
Base of 1st MC lies between tendons of abd pollicus and EPL
30
Thumb MP sub
EPL - see ext of IP and CMC adduction
31
Thumb IP ext position/resistance
Forearm neutral - stabilize prox phalanx, pt extends IP | Resistance @ distal phalanx
32
Thumb IP ext palp
Ulnar side of anatomical snuff box or dorsal surface of prox phalanx
33
Thumb IP ext sub
Thenar muscles - flex CMC resulting in passive IP extension
34
Thumb abduction position/resistance
Forearm supinated APB - pt abducts thumb APL - pt abducts thumb in plane halfway between abd/ext Resistance @ proximal phalanx (APB), distal end of 1st MC (APL)
35
Thumb abduction palp
APB - center of thenar eminence, medial to OP | APL - base of 1st MC on radial side of EPB
36
Thumb abduction subs
EP brevis subs for APL - abduction moves toward dorsum of hand
37
Thumb adduction position/resistance
Forearm pronated Pt adducts thumb to palm Resistance @ proximal phalanx
38
Thumb add palp
Web space between thumb and index finger
39
Thumb add sub
FP longus/brevis - see thumb flexion | EPL - see CMC extension
40
Opposition position/resistance
Forearm supinated | Pt opposes - resistance spreads out hand
41
Opposition palp
OP - along radial shaft of 1st MC lateral to APB | ODM - hypothenar eminence radial side of 5th MC
42
Opposition sub
FPL/B - see finger flexion | APB - no rotation seen