Othro

Question 1

Lateral epicondylitis Pathology

Answer 1

Inflammation of :
Extensor Carpi Radialis Brevis
Extensor Carpi Unlaris
Extensor Digitorum

Question 2

Lateral epicondylitis Sx

Answer 2

Pain in medial side of elbow
Pain grip
muscle weakness in forearm

Question 3

Lateral epicondylitis Ax

Answer 3

palpation of lateral epicondyle of humerus

Mill test: full extension of elbow; pronation of forearm ; wrist flexion

Cozen test:
flex the elbow in 90; radial deviation of wrist; wrist extension against manual resistance

Question 4

Tx of Lateral/medial epicondylitis/De Quervain’s syndrome

Answer 4

RICE
Energy conservation technique
Adaptive aids
strength
ROM
Flexibility
Occupation adaptation

Question 5

Medial epicondylitis Pathology

Answer 5

Inflammation of :
Flexor Carpi Radialis
Flexor Carpi Unlaris
Flexor Digitorum superficalis
Pronator teres
Palmaris longus

Question 6

Medial epicondylitis Sx

Answer 6

Pain in medial side of elbow

may have numbness

Question 7

Radial styloid tenosynovitis (De Quervain’s syndrome) Pathology

Answer 7

Inflammation of the lining of sheath surrounds abductors pollicis longus and extensor pollicis brevis

Question 8

De Quervain’s syndrome Sx

Answer 8

shape pain over Radial styloid process

Question 9

De Quervain’s syndrome Ax

Answer 9

Finkelstein’s test

flex the thumb and ulnar deviates

Question 10

De Quervain’s syndrome Tx

Answer 10

Resting splint: To maintain neutral position
regime: put on at night; off at daytime

Working splint: Provide support
regime: put on at work; off when resting of both hand

Question 11

Tx(splint) of Lateral/medial epicondylitis

Answer 11

Counter force band:
regime: Put on at work//take off at rest

to decrease the tensile tress by constrains muscle expansion when muscle contracted

to decrease the muscle activity and the force generated by muscle to promote healing of common extensor/flexor origin

Question 12

Carpal tunnel syndrome pathology

Answer 12

compression of median nerve at carpal tunnel level by inflamed tendons

most common sit of compression at proximal edge of the flexor retinaculum

Question 13

Carpal tunnel syndrome Sx

Answer 13

pain

numbness over thumb, index finger, middle finger
Tingling

nocturnal awakening

muscle wasting: thenar atrophy

(Activities involved wrist flexion)

Question 14

Carpal tunnel syndrome Ax

Answer 14

tinel’s sign test: to detect irritated nerve

Phalen’s test: allow wrist fall freely into max

wrist flexion and maintain the position for 60s

Question 15

Carpal tunnel syndrome splint

Answer 15

wrist splint: proper position that prevent wrist flex and promote slightly wrist extend(10)

working splint: relief the inflamed tendon/decrease the load of tendons at day time

night splint: allow the tendon have rest (night only)

Question 16

Carpal tunnel syndrome Tx

Answer 16

rest
hot pad or hot bath
energy conservation
aids
occupation adaptation

Question 17

trigger finger pathology

Answer 17

inflammatory thickening of fibrous sheath(Pulley) of flexor tendons

Question 18

trigger finger Sx

Answer 18

Pain clicking or snapping when flex or extend of thumb/finger

difficult to flex/extend the finger with catching or triggering sensation

palpable nodule

tenderness at A1 pulley with finger flexion

Question 19

trigger finger splint

Answer 19

finger extension splint:

decrease MCP** Flex

Regime: 24hrs as tolerated for finger resting

other tx:
rest
ice(hot pad in chronic)