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E&M > MMT hand > Flashcards

MMT hand Flashcards

1
Q

innervation of FCR

A

median C6 - C7

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2
Q

innervation of FCU

A

ulnar C7 - T1

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3
Q

action of FCR/FCU

A

wrist flexion

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4
Q

fair and above position for wrist flexion

A

forearm supinated
FCR = wrist flexed and radial deviated
FCU = wrist flexed and ulnar deviated

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5
Q

resistance for wrist flexion

A

across dorsum of wrist in direction of extension
FCR = over 2nd MC
FCU = over 4 - 5th MC

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6
Q

below fair position for wrist flexion

A

forearm neutral

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7
Q

palpation for wrist flexion

A

palpate tendons on volar (palmar) surface of wrist

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8
Q

substitutions for wrist flexion

A

finger flexors

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9
Q

innervation for ECR

A 
Longus = radial nerve C6 - 7 
brevis = C7 - C8
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10
Q

innervation for ECU

A

Radial nerve C7 - C8

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11
Q

action of ECR and ECU

A

wrist extension

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12
Q

fair and above position for wrist extension

A

forearm pronated
ECR = wrist extension and radial deviation
ECU = wrist extension and ulnar deviation

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13
Q

resistance for wrist extension

A

across dorsum of wrist in direction of extension
ECR over 2 - 3rd MC
ECU over 4th - 5th MC

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14
Q

below fair position for wrist extension

A

forearm neutral

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15
Q

palpation for wrist extension

A

palpate tendons on dorsal surface of wrist
ECR longus in line with 2nd MT
ECR brevis in line with 3rd MT
ECU in line with 5th MT distal to ulnar styloid process

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16
Q

substitution for wrist extension

A

finger extensors

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17
Q

innervation for lumbricals and interossei

A

Ulnar C8 - T1

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18
Q

fair and above position for MCP flexion with IP extension

A

forearm supinated
start with IP flexed and MCP neutral
move to MCP flexed and IP extended

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19
Q

action of lumbricals

A

MCP flexion with IP extension

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20
Q

resistance for MCP flexion with IP extension

A

toward MCP extension and IP flexion

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21
Q

below fair position for MCP flexion with IP extension

A

forearm neutral

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22
Q

substitutions for MCP flexion and IP extension

A

long finger flexors - IPs should remain extended

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23
Q

innervation for FDS

A

median nerve C8 - T1

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24
Q

action of FDS

A

PIP flexion

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25
Q

fair and above position for PIP flexion

A

forearm supinated
hold all fingers extended except for finger to be tested (eliminating FDP)
patient flexes PIP

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26
Q

resistance for PIP flexion

A

middle phalanx, making sure you have a floppy DIP

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27
Q

below fair position for PIP flexion

A

forearm neutral

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28
Q

palpation for FDS

A

palmar surface of wrist between wrist flexors

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29
Q

substitutions for PIP flexion

A

FDP tendosis action by extending wrist results in passive flexion, relaxing IP extension results in passive flexion

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30
Q

innervation for flexor digitorum profundus

A

dig 2 - 3 = median C8 - T1

dig 4 - 5 = ulnar C8 - T1

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31
Q

position for FDP

A

forearm supinated, stablize middle phalanx, patient flexes DIP

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32
Q

resistance for FDP

A

distal phalanx

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33
Q

position for below fair FDP

A

forearm neutral

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34
Q

palpation for FDP

A

palmar surface of middle phalanx

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35
Q

substitution for FDP

A

tendosis action by extending wrist which results in passive flexion

relaxing IP extension results in passive flexion

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36
Q

innervation of Extensor digitorium and extensor indicis

A

radial nerve C7 - C8

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37
Q

action of Extensor digitorium and extensor indicis

A

finger extension

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38
Q

position for finger extension

A

forearm pronated patient extends MCP

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39
Q

resistance for finger extension

A

applied toward flexion on proximal phalanx

40
Q

below fair position for finger extension

A

forearm neutral

41
Q

palpation for finger extension

A

tendons apparent on dorsum of hand

42
Q

substitutions for finger extension

A

tenodesis action produces passive IP extension

43
Q

innervation of dorsal interossei

A

ulnar C8 - T1

44
Q

action of dorsal interossei

A

finger abduction

45
Q

position for finger abduction

A

forearm pronated, patient spreads fingers

46
Q

resistance for finger abduction

A

resistance toward adduction at distal phalanx

47
Q

below fair position for finger abduction

A

partial range

48
Q

palpation for dorsal interossei

A

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

49
Q

innervation of palmar interossei

A

ulnar C8 - T1

50
Q

action of palmar interossei

A

finger adduction

51
Q

position for finger adduction

A

hand pronated, patient adducts fingers toward middle finger

52
Q

resistance for finger adduction

A

toward abduction at middle phalanx

53
Q

below fair position for finger adduction

A

partial range

54
Q

substitutions for finger adduction

A

finger flexion

55
Q

action of thumb flexor pollicus brevis

A

thumb MP flexion

56
Q

innervation of FP brevis

A

superficial head = median nerve C8 - T1

deep head = ulnar nerve C8 - T1

57
Q

position to test thumb MP flexion

A

forearm supinated

patient flexes MP with IP extended

58
Q

resistance for thumb MP flexion

A

resistance applied toward extension on the proximal phalanx

59
Q

below fair position for thumb MP flexion

A

partial range

60
Q

palpation pf FP brevis

A

ulnar side of FP longus tendon in thenar eminence

61
Q

action of FP longus

A

thumb IP flexion

62
Q

innervation of FP longus

A

median nerve C8 - T1

63
Q

position for thumb IP flexion

A

forearm supinated, stabilize MP in extension, patient flexes IP

64
Q

resistance for thumb IP flexion

A

toward extension on distal phalanx

65
Q

below fair thumb IP flexion

A

partial range

66
Q

palpation for FP longus

A

tendon on palmar surface of proximal phalanx of thumb

67
Q

substitution of thumb IP flexion

A

relaxation of IP extension produces passive flexion

68
Q

action of EP brevis

A

thumb MP extension

69
Q

position for thumb MP extension

A

forearm midposition

stabilize MC patient extends MP

70
Q

innervation of EP brevis

A

radial nerve c7 - c8

71
Q

resistance of EP brevis

A

toward flexion at proximal phalanx

72
Q

palpation of EP brevis

A

lies between tendons of abd pollicis and EPL

73
Q

substitution of EP brevis

74
Q

EP longus action

A

thumb IP extension

75
Q

innervation of EP longus

A

radial nerve c7-c8

76
Q

position for thumb IP extension

A

forearm midposition
stabilize proximal phalanx
patient extends IP

77
Q

resistance for IP extension

A

resistance applied toward flexion at distal phalanx

78
Q

palpation for EP longus

A

ulnar side of anatomy snuff box or dorsal surface of proximal phalanx

79
Q

substitution for EP longus

A

thenar muscles flex CMC resulting in passive IP extension

80
Q

action of AbPB and AbPL

A

thumb abduction

81
Q

innervation of AbPL

A

radial nerve C7 - C8

82
Q

innervation of AbPB

A

Median nerve c8 - T1

83
Q

position for thumb abduction

A

forearm supinated

AbPB patient abducts thumb
AbPL patient abducts thumb in plant halfway between true abduction and extension

84
Q

resistance for thumb abduction

A

applied toward adduction

AbPB on proximal phalanx

AbPL on distal end of 1st MC

85
Q

palpation of AbPB and AbPL

A

AbPB center of thenar eminence, medial to OP

AbPL at base of 1st MC on radial side of EPB

86
Q

substitution for AbPB and AbPL

A

EP brevis substitutes for AbPL - abduction moves toward dorsum of hand

87
Q

action of AdP and 1st DI

A

thumb adduction

88
Q

innervation of AdP

A

ulnar C8 - T1

89
Q

position to test thumb adduction

A

forearm pronated, patient adducts thumb to palm

90
Q

resistance for thumb adduction

A

toward abduction at proximal phalanx

91
Q

palpation of AdP

A

web space between thumb and index finger

92
Q

substitutions for thumb adduction

A

FP longus and brevis

93
Q

action of OP and ODM

A

opposition

94
Q

innervation of OP and ODM

A 
OP = median C8 - T1
ODM = ulnar C8 - T1
95
Q

position to test opposition

A

forearm supinated

patient brings tips of thumb and little finger together

96
Q

resistance for opposition

A

palmar eminence to spread out hand

97
Q

palpation for OP and ODM

A

OP along radial shaft of 1st MC lateral to AbpB

ODM hypothenar eminence radial side of 5th MC

E&M (3 decks)

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