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os Fall Midterm II > OS Compression Neuropathies > Flashcards

OS Compression Neuropathies Flashcards

1
Q

Neuro Testing-Motor:

Shoulder Abduction

A

C5

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2
Q 
Neuro Testing-Motor:
Elbow:
1. Flexion
2. Extension
3. Supination
4. Pronation
A
  1. C5,6
  2. C7
  3. C6
  4. C7,8
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3
Q

Neuro Testing-Motor:
Wrist:
1. Extension
2. Flexion

A
  1. C6

2. C7

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4
Q 
Neuro Testing-Motor:
Fingers:
1. Extension
2. Flexion
3. Ab/Adduction
A
  1. C7
  2. C8
  3. T1
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5
Q 
Neuro Testing-Sensation:
Peripheral:
1. Radial
2. Ulnar
3. Median
A
  1. C6,7,8
  2. C8, T1
  3. C5,6,7,8
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6
Q

Neuro Testing-Sensation:
Peripheral:
1. Musculocutaneous
2. Axillary

A
  1. C5-7

2. C5,6

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7
Q

Neuro Testing-Sensation:
Central:
Dermatomes?

A

C4-T1

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8
Q

Neuro Testing-Reflexes:

  1. C5
  2. C6
  3. C7
A
  1. Biceps
  2. Brachioradial
  3. Triceps
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9
Q

CNS Neuropathy test/

A

Spurlings Sign-Compression

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10
Q

Spurlings test % sensitivity and specificity?

A
  1. 30% sensitivity

2. 93% specificity

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11
Q

Neck distraction positive test?

A

Relief of symptoms

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12
Q

Another test to look for central neuropathy?

A

Valsalva maneuver

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13
Q

The thoracic outlet is broken into 2 segments. What are they?

A
  1. Vasculogenic

2. Neurogenic

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14
Q

What structures are involved in the thoracic outlet? (3)

A
  1. Brachial Plexus

2. Subclavian vein and Artery

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15
Q

Think of Thoracic outlet as 3 zones-?

A
  1. Scalene Triangle
  2. Costoclavicular space
  3. Retropectoraliz Minor (Pectoralis minor)
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16
Q

What are possible compressions for thoracic outlet? (3)

A
  1. First Rib and Scalenes
  2. Pec Minor
  3. Clavicle
    - The scalene triangle
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17
Q

Brachial plexus inferior or superior of coracoid?

A

Inferior

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18
Q

Brachial Plexus inf or sup of pec minor tendon?

A

Inferior

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19
Q

Roos Test: EAST?

A

Elevated arm stress test

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20
Q

What does Roos test for?

A

Compression of sublclavian A.

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21
Q

Roos test: Pt position? Pt do?

A

Sit
Abduct shoulder -90

Ext rotate w/elbow flexed - 90

-Open close fist for 3 min. (reproduce symptoms = positive test

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22
Q

Roos test % sensitive/specific

A

84% sensitive

30% specific

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23
Q

Adson Maneuver tests for?

A

Compression of subclavian A. Between first cervical rib and scalenes

24
Q

Adson Maneuver: What to do?

A
  1. Palpate radial pusle of affected arm
  2. Extend/ext. rt shoulder while palpating
  3. Extend/Rt head TPWARD affected side (1st rib etiology
  4. Pt takes deep breath
  5. Repeat w/AWAY Rt (Tight Scalene)
25
Q

What confirms a positive Adsons?

A

Loss or change in pulse

26
Q

Adson: Sensitivity and Specificity

A
  1. Sensitivity: 18-90%

2. Specificity: 76%

27
Q

Wrights Heyperabduction tests for?

A

Neurovascular entrapment by pec minor

28
Q

Wrights: How do you do it?

A
  1. Dr. Behind pt and monitors effected side pulse

2. Pt Abduct arm above head. W/extension`

29
Q

Positive Wrights =?

A

Change in pulse or reproduction of symptoms

30
Q

Wrights: Sensitivity/specifity?

A

Sensitivity: 90%

Specificity: 29%

31
Q

Halstead: Testing for?

A

Decreased space btw rib 1 and clavicle

-Costoclavicular/military test

32
Q

Halstead: How to?

A
  1. Contact ipsilateral wrist at radial pulse

2. Extend shoulder and apply caudal pressure on shoulder

33
Q

Halstead: Positive test?

A

Decrease in radial pulse

34
Q

First rib ME: General?

A

Follow exhalation

Resist inhalation

35
Q

First rib Pump handle ME position?

A

Flex neck

36
Q

1st rib bucket ME position

A

Flex neck and SB towards

37
Q

Scalene MFR (Direct): position

A

SB away from effected side

38
Q

Scalene MFR: Force?

A

Perpendicular force. Wait for creep

39
Q

Scalene ME: Position

A

Same as MFR

W/ME principles

40
Q

Seated Scalene Tx w/inhalation dysfunction rib?

A
  1. Oppo leg on table and drape pt oppo arm over
  2. Thumb on anteromedial aspect of ant. scalene
  3. rotate head 30-45 deg away from effected side
  4. Hand side of affected head side. ME principles
  5. Reasses rib dysfunction
41
Q

Pec minor MFR: How?

A
  1. Grab moth mecs
  2. Cephalad force

Linear stretch to pec minor

Parallel stretch to pec major

42
Q

Pec Minor MFR Dirct:

A
  • Pt supine w/ affected arm abducted 180 deg w/slight distraction (linear stretch).
  • Apply perpendicular force into muscle
  • Wait for creep
43
Q

Pt home stretches: general

A
  1. 5-15 sec

2. multiple reps few times a day

44
Q

Home stretch: Pec?

A

Wall corner and push

45
Q

Home stretch scalene

A

just pull your head with arm

46
Q

Test for cubital tunnel -elbow?

A

Tinel sign

47
Q

What is Froments sign/ what does it test?

A
  1. Ulnar N.
  2. Paper between thumb and fingers. Pull.
  3. If thumb doesn’t go flat = positive test
48
Q

Carpal Tunnel N and test?

A
  1. Median N.

2. Phalen’s and Tinel’s test

49
Q

DTRs:
Knee
Achiles

A
  1. L4

2. S1

50
Q

Common Fib N. Compression (3)

A
  1. Post Fib Head
  2. Gastroc/Soleus M. Dysfunction
  3. Biceps Femoris M. Dysfunction
51
Q

Ant. Tarsal Tunnel Syndrome =?

A

Deep Fib. N. Compression

52
Q

Causes and Tx of Ant. Tarsal Tunnel Syndrome?

A
  1. Cuboid-navicular dysfunction (Hiss whip)

2. Extensor Retinaculum (MFR)

53
Q

Tarsal Tunnel Syndrome: Causes and Tx

A
  1. Flexor Retinaculum (MFR)

2. Eversion of SD of ankle (HVLA)

54
Q

Meralgia paresthetica N.?

A

Lat. Fem Cutaneous N.

55
Q

Meralgia Paresthetica Tx?

A

Ant. Hip Dysfuntion (Flexion SD)

Tx: ME and MFR

os Fall Midterm II (6 decks)

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