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MSK upper extemity Flashcards

1
Q

red flags

A
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2
Q

different types of pain can indicate certain diagnosis

Sharp pain –

Crampy pain –

Pain more prominent in morning –

Pain worse in morning, better midday

Pain progressing through the day –

Proximal weakness –

Distal weakness –

Morning stiffness – Rheumatoid arthritis (usually lasts longer), Osteoarthritis (goes away after 30 minutes or so)

A
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3
Q

physical exam of upper extremity

A

swelling, crepitus, tenderness, temperature

IPROMS”
-Inspect
-Palpate
-Range of Motion (first active
then passive)
-Special Maneuvers

inpection:
sad sad mf
swelling asymmetry deformity— scarring, abnormal positioning, discoloration—muscle-atrophy fasciculation

palpation: CSTT
crepitus,swelling, tenderness, temperature

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4
Q

inspection of upper extremity

A

inpection:

sad sad mf
swelling asymmetry deformity— scarring, abnormal positioning, dislocation —muscle-atrophy fasciculation

palpation: SCTT

swelling, crepitus, tenderness, temperature

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5
Q

palpation of upper extremity

A
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6
Q

range of Motion of upper extremity

A
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7
Q

inspection of shoulder

A
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8
Q

shoulder palpation

A
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9
Q

Normal Range of Motion for Shoulder degree

A

Normal Range of Motion for Shoulder
Flexion: 180 degrees
Extension: 50 degrees
Abduction: 180 degrees
Adduction: 50 degrees

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9
Q

shoulder range of motion, active range of motion

A
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10
Q

shoulder range of motion- active

A

stabilize shoulder

Pain/limitation on active ROM but not on passive ROM indicates a structural problem with the muscles/tendons

Crepitus indicates degenerative disc disease

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11
Q

Clinical Spotlight– Shoulder Impingement or Bursitis

A
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12
Q

Subacromial Palpation
how do you do it
what does it test for

what type of test is it

A
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13
Q

– Shoulder Impingement: Neer Impingement
how do you do it
what does it test for

A
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14
Q

Hawkin’s Impingement

A
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15
Q

rotator cuff injury

common symptoms

A
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16
Q

Empty Can Test
how do you do it
what does it test for

A
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17
Q

External Rotation Lag Test
how do you do it
what does it test for

A
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18
Q

External Rotation Resistance Test
how do you do it
what does it test for

A
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19
Q

Internal Rotation Lag Test (Gerber’s Lift Off)
how do you do it
what does it test for

A
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20
Q

Drop Arm Test
how do you do it
what does it test for

A
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21
Q

adhesive capsulitis

22
Q

Apley Scratch Test:
how do you do it
what does it test for

23
Q

Crossover or Crossed Body Adduction Test
how do you do it
what does it test for

24
Q

Shoulder Apprehension or Apprehension Test
how do you do it
what does it test for

25
Q

Elbow Inspection

things to note

Olecranon bursitis:

Rheumatoid nodules

26
Q

elbow palpation

27
Q

elbow range of motion

28
Q

Clinical Spotlight: Epicondylitis

Medial Epicondylitis (Golfer’s Elbow)
vs
Lateral Epicondylitis (Tennis Elbow)

29
Q

Olecranon Bursitis

Non-Inflammatory Bursitis:
vs
Inflammatory Bursitis:

30
Q

Ulnar Nerve Entrapment AKA Cubital Tunnel Syndrome

and what test can you do for it?

A

cubital tunnel because ulnar nerve runs inside the cubital tunnel at the elbow

31
Q

inspection of the wrist and hand

32
Q

_______ Idiopathic, painless, on dorsal aspect of wrist. Will transilluminate with light

A

Ganglion Cyst: Idiopathic, painless, on dorsal aspect of wrist. Will transilluminate with light

33
Q

palpation of wrist and hand

34
Q

wrist and hand range of motion

35
Q

fingers ROM

36
Q

thumb range of motion

37
Q

sensation testing for hand and wrist

38
Q

De Quervain Tenosynovitis

symptoms and causes

what test can you do for it?

A

Grip weakness + wrist pain likely de Quervain tenosynovitis

or De Quervain Tenosynovitis Finkelstein Test

39
Q

Pain/limitation on active ROM but not on passive ROM indicates a _________

*Crepitus indicates ________

A

structural problem with the muscles/tendons

degenerative disc disease*

40
Q

hand grip test

how do you do it and positive test indicates_____

41
Q

Thumb movement (Finkelstein
Test)

how do you do it and positive test indicates_____

42
Q

carpal tunnels test:

43
Q

inspection: sad sad mf
swelling asymmetry deformity— scarring, abnormal positioning, dislocation —muscle-atrophy fasciculation

palpation: SCTT

swelling, crepitus, tenderness, temperature

44
Q

wrist bone

A

some lovers try positions that they can’t handle

trapezium

47
Q
A

Heberden Nodes (High ) vs Bouchard’s Nodes (below)

48
Q

THIS HAPPENS WHILE MAKING A FIST

WHAT IS IT?

49
Q

what nerve is not fuctioning?

50
Q

WHILE EXTENDING FINGERS

51
Q

wrist drop

52
Q

seen in what patients ?

TDP (7 decks)

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