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Patho Exam 2 > Module 7 > Flashcards

Module 7 Flashcards

1
Q

Lateral epicondylitis is also known as

A

Tennis elbow

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2
Q

Tendonitis/tendonosis of the ECRB is known as

A

Lateral epicondylitis

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3
Q

Repetitive eccentric forces on the common extensor tendon attachment causes

A

Lateral epicondyltitis

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4
Q

When do pt report pain with lateral epicondylitis

A

Gripping and lifting activities

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5
Q

Physical exam includes 3 actions

A

Push it, stretch it, contract it

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6
Q

Your patient presents with focal tenderness at the ECRB attachment on the lateral epicondyle, limited wrist flexion and limited wrist extension strength

A

Lateral epicondylitis

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7
Q

The cozens test, mills test, and maudsleys test are special tests for what

A

Lateral epicondylitis

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8
Q

What special test is revisited wrist extension with elbow fully extended and forearm pronated

A

Cozens test

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9
Q

What special test is passive wrist flexion in pronation

A

Mills test

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10
Q

What special test is resisted extension of 3rd digit

A

Maudsleys test

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11
Q

Goals of PT for lateral epicondylitis

A

Protect / rest
Counter force strap
Iontophoresis
Manual and ther ex

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12
Q

What is a contraindication to counter force strap

A

Radial tunnel syndrome

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13
Q

How long does treatment have to not work to get surgery for lateral epicondylitis (ECRB debridement)

A

6-12 months

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14
Q

What is medial epicondylitis also known as

A

Golfers elbow

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15
Q

What is tendonitis of pronation teres, FCR and FDS

A

Medial epicondylitis

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16
Q

Repetitive eccentric force on what causes medial epicondylitis

A

Common flexor tendon

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17
Q

Pt with medial epicondylitis have pain with what motions

A

Gripping and lifting

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18
Q

Physical exam contains 3 actions

A

Push it stretch it contract it

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19
Q

Your patient presents with focal tenderness on FCR/PT tendon medial epicondyle, limited wrist extension, weak wrist flexion and pronation

A

Medial epicondylitis

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20
Q

What are special tests for medial epicondylitis

A

Golfers test (active and passive)

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21
Q

What special test resist wrist flexion with arm extended and supinated

A

Golfer elbow test active

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22
Q

What special test tests passive wrist extensions in supination

A

Golfer elbow test passive

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23
Q

PT goals for medial epicondylitis

A

Rest / protect
Counter force strap
Iontophoresis
Manual / ther ex

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24
Q

T/f people can get steroid injection for medial and lateral epicondylitis

A

True

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25
PT and FCR debridement occurs after how long of unsuccessful treatment
6-12 month
26
What starts at the radiocapitelar joint and extends distally to proximal edge of supinator
Radial tunnel
27
What is the motor branch of the radial nerve called
PIN (posterior interosseus nerve)
28
When the pin becomes entrapped what two syndromes can it cause
Radial tunnel syndrome PIN compression syndrome
29
What syndrome compresses the PIN in the radial tunnel that causes forearm pain but does not cause strength loss
Radial tunnel syndrome
30
What compression of the PIN in the radial tunnel causes forearm pain and strength loss
PIN compression syndrome
31
What mechanism of injury does PIN and RTS occur
Repetitive supination and pronation
32
You palpate your pt forearm and they have tenderness distal to the lateral epicondylitis what could this be
PIN or RTS
33
Your pt presents with tenderness distal to lateral epicondyle and has weakness in wrist finger and thumb extension, what is it
PIN
34
Your pt presents with tenderness distal to the lateral epicondyle and has no strength deficits what is it
RTS
35
Maudsleys test, resisted wrist supination, and wrist flexion with passive pronation are all special tests compress what nerve and test for what
Radial PIN or RTS
36
What test is resisted extension of the third digit
Maudsleys test
37
What are PT goals for PIN and RTS
Rest/protect Iontophoresis Manual and ther ex DO NOT USE counter force strap
38
T/f you can use counter force strap with RTS
False
39
What is the surgical option for PIN or RTS
Pin release
40
What is a sprain or rupture of the ulnar collateral ligament of elbow
UCL injury
41
Does a UCL injury cause valgus or varus instability
Valgus
42
What action or sport causes a UCL injury
High force throwing athlete Acute trauma
43
T/f athletes hear a pop with onset pain and loss of throwing ability with UCL injury
True
44
Your pt presents with medial elbow pain and functional loss of throwing what is it
UCL injury
45
Your pt presents with tenderness on UCL, loss of extension, good strength, positive elbow valgus test what is it
UCL injury
46
What special test do you flex the elbow 20 degrees ER humerus and apply valgus force
Elbow valgus test
47
What is PT goals for UCL injury
Protect / rest Restore stability and function
48
What is the surgery for UCl injury
Tommy john surgery
49
What is a compression of the median nerve in carpal tunnel that causes pain / numbness in the median nerve in hand
Carpel tunnel syndrome
50
Repetitive motion of flexor / extensor tendons within carpal tunnel compress the median nerve
Flexors
51
Pt complain of numbness and pain on which digits
Palmar side digits 1-3
52
T/f carpal tunnel pain is worse at night
True
53
Your pt comes in with thenar atrophy, pain / numbness end range wrist ROM, weak thenar muscles, weak grip what could it be
Carpal tunnel syndrome
54
What special test for CTS do you press thumbs over carpal tunnel for 30s to provoke symptoms
Carpal tunnel syndrome test
55
What special test for CTS do is there passive wrist flexion 1 minute
Phalens test
56
What special test for CTS do you tap on the median nerve over the carpal tunnel
Tinels test
57
What special test do you monafilament sensation testing
Somme’s-Weinstein testing
58
Goals of PT for CTS
Protect, rest, activity mods Night splint Man and ther ex
59
Carpal tunnel release is a cut of what structure
Flexor retinaculum
60
What is a compression of the ulnar nerve in cubital tunnel causing pain and numbness in ulnar nerve and motor weakness in intrinsic muscles of the hand
Cubital tunnel syndrome
61
Is cubital tunnel syndrome more common in people who flex or extend the elbow
Flex
62
Pt typically complain of numbness on what finger with cubital tunnel syndrome
Pinky some ring, palmar and dorsal surface
63
Your pt presents with CLAW HAND, good strength, sensory loss along ulnar nerve what is it
Cubital tunnel syndrome
64
What cubital tunnel syndrome special test do you flex elbow 60s to provoke
Elbow flexion test
65
What cubital tunnel syndrome special test do you flex thumb IP to compensate weak thumb adduction
Froments sign
66
What cubital tunnel syndrome special test do you tap ulnar nerve over cubital tunnel
Tinels test
67
What cubital tunnel syndrome special test is there a monofilament sensation testing
Somme’s-Weinstein test
68
Pt goals for cubital tunnel syndrome
Protect/rest/activity mods Splint/brace Manual therapy / ther ex
69
True / false Decompression of ulnar nerve in cubital tunnel moves ulnar nerve anterior
True
70
What is guyons canal syndrome also known as
Ulnar tunnel syndrome
71
What is the compression of the ulnar nerve in guyons canal
Guyons canal syndrome
72
Waht causes pain/numbness in ulnar nerve and weak hand muscles (not cubital tunnel)
Guyon canal syndrome
73
What is the most common causes of guyons canal syndrome
Ganglion cyst Compression acitvity
74
Your pt comes in with interossei weakness, claw hand, tender guyon canal, no strength loss
Guyon canal syndrome
75
What are the 4 special tests for guyon canal syndrome (similar to cubital tunnel)
Elbow flexion test Froments sign Tinel test Somme’s Weinstein testing
76
Pt goals for guyon canal syndrome
Protect rest activity mods Night splint Manual and ther ex
77
Where does decompression of ulnar nerve for guyon canal syndrome occur
Guyon canal
78
What is thickening and swelling of extensor retinaculum causes increased tendon friction in 1st dorsal compartment , pain in abductors and extensors of thumb
De quervain tenosynovitis
79
What test is typically used to test de quervains (pain over extensor and abductor when pt makes fist around thumb and ulnar deviate wrist
Finkelsteins test
80
What is when finger gets stuck in flexion and unable to extend due to impingement of flexor tendons in the A1 pulley of hand
Trigger finger
81
Pt has flexion/ extension motion that causes pain clicking snapping and gets stuck in flexion
Trigger finger
82
What digits are most common for trigger finger
Ring finger and thumb
83
Waht is a benign thickening of the digital and palmar fascia that lays between skin and flexor tendons of hand, creates flexion contractures and pain
Duputrens contracture
84
Waht fingers are most prominent in dupuytrens contracture
Pinky and ring
85
Your pt comes in with painful nodules in the palm with digital contracture
Dupuytrens contracture
86
T/f collagenase injections (breaks down collagen) and fasciectomy are common treatments for dupuytrens contracture
True
87
What is chronic pressure on elbow creates inflammation and swelling of bursa
Olecranon bursitis
88

Patho Exam 2 (3 decks)

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