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MT-YR 2 > Module 6-Elbow, Wrist, Hand > Flashcards

Module 6-Elbow, Wrist, Hand Flashcards

1
Q

What two joints make up the elbow?

A

Humeroulnar and Humeroradial Joints

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2
Q

What actions happen at the elbow?

A

Flexion and Extension

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3
Q

What makes the wrist?

A

Radias

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4
Q

Where do the wrist flexors and wrist extensors attach too?

A

Wrist flexors-Medial Epicondyle
Wrist Extensors-Lateral Epiconydle

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5
Q

What ligament is considered the “Seatbelt” holding the head of the radius in against the Ulna?

A

Annular Ligament

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6
Q

Is the Olecranon burse deep or superficial to the olecranon process?

A

Superficial

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7
Q

What is the only blood supply to the hand?

A

Brachial Artery

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8
Q

What joint makes the wrist?

A

Radiocarpal Joint ( Radias and Proximal row of Carpals)

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9
Q

Acronyms for carpal bones (Lateral to Medial)

A

Some- Scaphoid
Lovers-Lunate
Try-Triquetrum
Positions- pisiform
That-Trapezium
They-Trapezoid
Can’t-Capitate
Handle-Hamate

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10
Q

What is another term for elbow?

A

Cubital

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11
Q

What is the normal “Carrying Angle” in the elbow, for women and men?

A

Women-10-15 Degrees
Men-5-10 Degrees

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12
Q

What condition is identical to carpal tunnel syndrome?

A

Pronator Teres Syndrome

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13
Q

What conditions compresses the median nerve?

A

Pronator Teres Syndrome and carpal tunnel syndrome

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14
Q

What runs through the carpal tunnel?

A

9 flexor tendons and median nerve

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15
Q

Capsular pattern of the elbow

A

Flexion more than extension

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16
Q

Capsular pattern of the wrist

A

Pronation more than supination

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17
Q

Which side of the forearm do the wrist extensors attach too?

A

Posterior/Lateral Side

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18
Q

What side of the forearm do the wrist flexors attach to?

A

Anterior/Medial Side

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19
Q

Brachialis Origin and Insertion

A

Origin: The distal half of the anterior surface of the humerus
Insertion: Tuberosity and Coronoid process of the ulna

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20
Q

Pronator Teres Origin and Insertion

A

Origin: Common Flexor tendon of the medial epicondyle of the humerus and the coronoid process of the ulna
Insertion: Middle of lateral surface of the radius

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21
Q

Actions of the Pronator Teres

A

1.Assist to flex the elbow humeroulnar joint
2.Pronates the wrist at the radioulnar joint.
Innervated: Median Nerve

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22
Q

What is the Mill’s Test testing for?

A

Wrist Extensor tendonitis/Tendonosis, or lateral epicondylitis (tennis elbow).

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23
Q

What actions happen at the proximal and distal radioulnar joints?

A

Pronation and Supination

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24
Q

What is the only blood supply to the hand?

A

Brachial Artery

25
What does the brachial artery split into?
radial and ulnar arteries
26
What type of joint is the Humeroulnar joint?
Synovial Hinge Joint
27
What type of joint is the proximal Radioulnar Joint?
Synovial Pivot Joint
28
What type of joint is the proximal Radiocarpal Joint?
synovial ellipsoid (condyloid)
29
What's another word for "Upper Arm"?
Brachium
30
What is Elbow Hypomobility?
Loss or decrease of motion at a joint
31
What is Elbow Hypermobility?
Increased motion available at a joint Joint laxity within joint capsule or ligaments
32
What is hypermobility of joints also called?
Double Jointed or Loose Joints
33
Lateral Epicondylitis is also called what?
Tennis Elbow
34
What is Lateral Epicondylitis?
Chronic Collagen degeneration in extensor tendons at the lateral epicondyle of the humerus.
35
What muscle does Lateral Epicondylitis affect the most?
Extensor Carpi Radialis brevis- Microtearing- because it is the most common due to line of pull-no pain at night.
36
Treatment techniques for Lateral Epicondylitis
1. Warm up tissues- MFR, TRPS, lengthening 2. identify adhesions in common flexor tendons and only treat 1-2 per session 3. Cross Fiber Friction small section per session, 6 or more deep strokes 4. Stretch Extensors 6. Ice-Immediately - teach self massage
37
What is Medial Epicondylitis?
Chronic Collagen degeneration in wrist flexors at the medial epicondyle of the humerus.
38
What muscle does Medial Epicondylitis affect the most?
Pronator Teres-Due to coordinated effort with the wrist flexors and the proximity of the attachment site
39
What is medial Epicondylitis also referred as?
Golfer's Elbow
40
What is Pronator Teres Syndrome?
Compression of the median nerve as the median nerve passes between the two heads of the pronator Teres- Identical to carpal Tunnel Syndrome
41
Treatment for Pronator Teres Syndrome?
- Treat HT in flexor group -pin and stretch pronator Teres -Deep stripping, active engagement, compression broadening -Treat for both pronator teres and carpal tunnel
42
Explain the cubital tunnel
The cubital tunnel is the space between the two heads of the flexor Carpi Ulnaris.
43
What is cubital tunnel syndrome?
The compression of the ulnar nerve between the heads of the flexor carpi ulnaris (FCU) or aponeurotic band hat connects the two heads.
44
Treatment of cubital tunnel syndrome
-Reduce Hypertonicity in FCU and wrist flexors -treat tissue along nerve pathway -Stretch and mobilize ulnar nerve (same as ULTT4 Position) -Stretch wrist flexors -heat to reduce pain and hypertonicity
45
What contraindications are for Cubital Tunnel Syndrome?
ice- may damage ulnar nerve no increased deep work on cubital tunnel syndrome
46
Treatment of carpal tunnel:
1. Warm up- MFR, TRIGGER POINTS 2. Treatment of trigger points in subscapularis and scalenes 3. treatment of swelling- ice therapy, lymph drainage 4. Deep stripping flexor group, brachioradialis, pronator teres 5. treatment of flexor retinaculum 6. Stretch
47
What does radial tunnel syndrome affect?
Terminal motor branch called the posterior interosseous nerve (PIN) aka, resistant tennis elbow, often mistaken for lateral epicondylitis.
48
Treatment of Radial Tunnel Syndrome
-Reduce nerve compression: pin and stretch supinator -Reduce Hypertonicity in muscles compressing nerves- stripping and broadening on wrist and finger extensors and supinator -Stretch extensors and supinator
49
What is Guyon's Canal Syndrome also called?
Ulnar Tunnel Syndrome- Compression of Ulnar nerve
50
True or False: There are no tendons in the Guyon's Canal
True- No tendons run through Guyon's Canal
51
What is a treatment for Guyon's Canal?
Reduce Activity, surgical, wrist splints, compression broadening on the wrist flexors, deep stripping, ice to reduce inflammation
52
What is De Quwevain's Tenosynovitis?
Tenosynovitis of two tendons and their sheth in the anatomical snuff box of wrist.
53
What muscles are affected in De Quervain's Tenosynovitis?
Abductor pollicis longus and Extensor Pollicis brevis.
54
A client with swan neck deformity can most likey not do what?
Make a fist- Severe loss of function caused by contracture of intrinsic muscles of hand.
55
What fingers are mostly commonly affected with Dupuytrens Constracture?
MCP and IP joints of the fourth through fifth fingers
56
What is Dupuytren's Contracture?
Contracture affected palmar surface of the hand resulting in a deformity of the fingers, where they are in a flexed state. Nodules appear, no inflammation present. slow progression. tends to be bilateral
57
What are the different types of Polio?
Spinal Polio Bulbar Polio: rare and most serious Non-Paralytic polio: flu like symptoms, meningeal irritation
58
Capsular pattern for the elbow and forearm:
-Flexion more than extension -Pronation more than supination
59
Reflex Testing for elbow and forearm:
Biceps Reflex Brachioradialis Reflex Triceps Reflex

MT-YR 2 (13 decks)

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