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Year 1: 2019 PCM I Midterm > OSCE: Elbow, Wrist, and Hand > Flashcards

OSCE: Elbow, Wrist, and Hand Flashcards

1
Q

What is the elbow carrying angle for males and females?

A

Males: 5o

Females: 10-15o

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2
Q

What is the normal ROM for elbow flexion?

What muscles are involved?

A

140-150o

Biceps Brachii, Brachialis, Brachioradialis, Coracobrachialis

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3
Q

What is the normal ROM for elbow extension?

What muscles are involved?

A

0 - (-5o)

Triceps Brachii, Anconeus

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4
Q

What is the normal ROM for elbow supination?

What muscles are involved?

A

90o

Supinator, Biceps Brachii

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5
Q

What is the normal ROM for elbow pronation?

What muscles are involved?

A

90o

Pronator Teres and Pronator Quadratus

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6
Q

What is the normal ROM for elbow abduction and adduction?

A

5o

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7
Q

What is the normal ROM for wrist flexion?

What muscles are involved?

A

80-90o

Flexor Carpi Radialis, Flexor Carpi Ulnaris, Palmaris Longus

Coupled with posterior carpal glide

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8
Q

What is the normal ROM for wrist extension?

What muscles are involved?

A

70o

Extensor Carpi Radialis Longus and Brevis, Extensor Carpi Ulnaris

Coupled with Anterior Carpal Glide

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9
Q

What is the normal ROM for wrist adduction?

What muscles are involved?

A

30-40o

Flexor Carpi Ulnaris and Extensor Carpi Ulnaris

Coupled with Ulnar Abduction

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10
Q

What is the normal ROM for wrist abduction?

What muscles are involved?

A

20-30o

Flexor Carpi Radialis, Extensor Carpi Radialis Longus and Brevis

Coupled with Ulnar Adduction

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11
Q

What does the C5 deep tendon reflex test?

A

Biceps Brachii

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12
Q

What does the C6 deep tendon reflex test?

A

Brachioradialis

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13
Q

What does the C7 deep tendon reflex test?

A

Triceps Brachii

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14
Q

What dermatome tests the lateral arm?

A

C5

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15
Q

What dermatome tests the lateral forearm and thumb?

A

C6

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16
Q

What dermatome tests the middle finger?

A

C7

17
Q

What dermatome tests the medial forearm and little finger?

A

C8

18
Q

What dermatome tests the medial arm?

A

T1

19
Q

Valgus Stress Test

How do you peform this test?

What does a positive test indicate?

A
  1. Arm slightly abducted and externally rotated.
  2. Forearm supinated and flexed to approx. 30º.

Elbow toward body and forearm goes away

Positive test (pain/laxity/tenderness) indicates Sprained Medial (Ulnar) Collateral Ligament

20
Q

Varus Stress Test

How do you peform this test?

What does a positive test indicate?

A
  1. Arm slightly abducted and internally rotated.
  2. Elbow flexed to approximately 15º.

Elbow away from body and forearm goes toward

Positive test (pain/laxity/tenderness) indicates Sprained Lateral (Radial) Collateral Ligament

21
Q

Tinel Test

How do you peform this test?

What does a positive test indicate?

A
  1. Tap between olecranon and medial epicondyle in
    ulnar groove

Elbow away from body and forearm goes toward

Positive test (tingling sensation in forearm) indicates Ulnar Nerve Entrapment/Cubital Tunnel Syndrome

22
Q

Medial Epicondylitis

How do you peform this test?

What does a positive test indicate?

A
  1. Place eblow in full extension
  2. Have patient resist wrist flexion

Positive test (pain/tenderness around medial epicondyle) indicates Golfer’s Elbow/Medial Epicondylitis.

23
Q

Lateral Epicondylitis

How do you peform this test?

What does a positive test indicate?

A
  1. Place eblow in full extension
  2. Have patient resist wrist extension

Positive test (pain/tenderness around lateral epicondyle) indicates Tennis Elbow/Lateral Epicondylitis.

24
Q

Tinel Sign

How do you peform this test?

What does a positive test indicate?

A
  1. Tap over the transverse carpal ligament/flexor
    retinaculum

Positive test (pain/tingling sensation in lateral side of hand) indicates Carpal Tunnel Syndrome

25
Q

Phalen’s Sign

How do you peform this test?

What does a positive test indicate?

A
  1. Place dorsal aspects of patient’s hands together and force into wrist flexion.
  2. Hold for 60 seconds.

Positive test (paresthesia in lateral side of hand) indicates Carpal Tunnel Syndrome

26
Q

DeQuervain’s Tenosynovitis

How do you peform this test?

What does a positive test indicate?

A

Finkelstein Test

  1. Examiner asks patient to make a fist encompassing their thumb
  2. Ulnar deviate the wrist.

Positive test (increased pain in lateral wrist) indicates DeQuervain’s Tenosynovitis.

Year 1: 2019 PCM I Midterm (16 decks)

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