November 3, 2015 - Upper Extremity Clinical

Question 1

Carpal Tunnel Syndrome

Answer 1

A medical condition in which the median nerve is compressed as it travels through the wrist at the carpal tunnel and can cause pain, numbness and tingling.

Common history is numbness and tingling that can wake the sufferer from sleep. Shaking out the hands is typical

Question 2

Carpal Tunnel Syndrome - Physical Exam

Answer 2

Thenar wasting

Decreased sensation in the median nerve

Durkan’s test

Question 3

Carpal Tunnel Syndrome - Treatment

Question 4

Anterior Shoulder Dislocation

Answer 4

The most common upper extremity injury.

Mechanism of injury is usually a posteriorly directed force to an abducted and extended arm.

Question 5

Bankart Lesion

Answer 5

Detachment of the labrum and inferior glenohumeral ligament from anterior glenoid. Makes it more likely to pop out again.

Question 6

Hill-Sachs Lesion

Answer 6

Dent in the humeral head. Fracture from the glenoid during dislocation.

Question 7

Posterior Shoulder Dislocation

Answer 7

Less common, but still seen.

Usually the result of electricity, epilepsy, or EtOH withdrawal.