M5 Elbow, Wrist, Hand

Question 1

The common name for this condition is Tennis Elbow

Answer 1

Lateral Epicondylitis

Question 2

Lateral epicondylitis is most commonly due to repeated wrist _____

Answer 2

Extension

Question 3

Most typically, the primary pathology of lateral epicondylitis is tendinosis of what muscle tendon?

Answer 3

Extensor carpi radialis BREVIS

Question 4

Typically, lateral epicondylitis affects individuals greater than __ years of age

Answer 4

40

Question 5

Lateral epicondylitis would involve pain while the forearm is ____ (pronated/supinated)

Answer 5

Pronated

Question 6

List 3 orthopedic tests to help diagnose lateral epicondylitis:

Answer 6

1. Cozen’s (pt resists wrist flexion)
2. Kaplan sign (“Dynamometer test”)
3. Mill’s (flex, pronate wrist, extend elbow all in one motion)

Question 7

If a patient has a condition of the elbow, always make sure to examine what other structures/areas?

Answer 7

Shoulder, wrist

Question 8

Repeated steroid injections can cause what? (Soft tissue related)

Answer 8

Rupture of a tendon in the area of injection

Question 9

A condition of ulnar nerve entrapment at the elbow. ___ syndrome

Answer 9

Cubital tunnel

Question 10

List the top two most common compressive neuropathy’s of the upper extremity in order:

Answer 10

1. Carpal tunnel syndrome

2. Cubital tunnel syndrome

Question 11

Cubital tunnel syndrome affects ___ 3-8 times more often than the opposite sex.

Answer 11

Men

Question 12

Elbow flexion reduces the cubital tunnel’s height by __%

Answer 12

55%

Question 13

Hand “clawing”, or abduction of the 5th digit (Wartenberg Sign) are signs of what peripheral nerve being damaged?

Answer 13

Ulnar (cubital tunnel syndrome, commonly)

Question 14

List 3 orthopedic tests to help diagnose cubital tunnel syndrome/ulnar nerve pathology:

Answer 14

1. Elbow flexion test
2. Tinel’s sign
3. Froment’s (piece of paper between thumb/index - thumb in adduction

Question 15

____ is sometimes referred to as “golfer’s elbow)

Answer 15

Medial epicondylitis

Question 16

Medial epicondylitis only accounts for __-__% of epicondylitis diagnoses (lateral would be the other)

Answer 16

10-20%

Question 17

___ elbow is sometimes considered a variant of medial epicondylitis. It involves a traction apophysis of the medial epicondyle.

Answer 17

Little Leaguer’s

Question 18

Medial epicondylitis typically occurs with overuse involving wrist ___ and ___

Answer 18

Flexion, pronation

Question 19

In baseball and softball players, rule out an injury to the _____ ligament, which is more common than medial epicondylitis

Answer 19

Ulnar collateral

Question 20

Is carpal tunnel syndrome more common in males or females?

Answer 20

Females

Question 21

A patient with carpal tunnel syndrome might have ____ atrophy in their hand

Answer 21

Thenar

Question 22

When adjusting the carpal bones in treatment of carpal tunnel syndrome, which vector should you use to help open up space?

Answer 22

A-P

Question 23

____ tenosynovitis is a painful inflammation of the abductor pollicis longus and extensor pollicis brevis tendons leading to the thumb.

Answer 23

Dequervain’s

Question 24

Name this orthopedic test for Dequervain’s tenosynovitis: patient make a fist around the thumb and ulnar deviates the wrist.

Answer 24

Finkelstein’s test

Question 25

A ___ cyst is a sometimes painless (35%) tumor or swelling on top of a joint or the covering of a tendon

Answer 25

Ganglion

Question 26

Ganglion cysts are also sometimes referred to as ____ cysts, and are more common in women.

Answer 26

Bible

Question 27

Most commonly (60-70%), where are ganglion cysts located?

Answer 27

Dorsum of the hand/wrist

Question 28

The most commonly fractured carpal bone?

Answer 28

Scaphoid

Question 29

___ sign is an orthopedic test where the patient is instructed to make a fist, but keep the fingers uncurled. A positive is if the fingers are “askew”. This will help detect carpometacarpal or phalangeal derangement

Answer 29

Cascade