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PCM > PCM OSCE Elbow, Wrist, Hand > Flashcards

PCM OSCE Elbow, Wrist, Hand Flashcards

1
Q

elbow carrying angle

A

male 5

female 10-15

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2
Q

elbow cubitus varus

A

<5

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3
Q

elbow cubitus valgus

A

> 15

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4
Q

elbow landmarks

A 
olecranon
medial/lateral epicondyles
radial head
flexor/pronator muscles
extensor/supinator muscles
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5
Q

wrist and hand landmarks

A 
palmar/dorsal wrist
thenar/hypothenar eminences
flexor tendons
anatomic snuffbox
distal radius and ulna
carpal bones
MCP/PIP/DIP
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6
Q

elbow motions

A 
flexion
extension
supination
pronation
ulnohumeral adduction
ulnohumeral abduction
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7
Q

elbow flexion angle/muscles

A

140-150
biceps brachii
brachialis
brachioradialis

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8
Q

elbow extension angle/muscles

A

0-(-5)
triceps brachii
anconeus

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9
Q

elbow supination angle/muscles

A

90
supinator
biceps brachii

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10
Q

elbow pronation angle/muscles

A

90
pronator teres
pronator quadratus

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11
Q

elbow ulnohumeral adduction angle/muscles

A

5

no muscle!

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12
Q

elbow ulnohumeral abduction angle/muscles

A

5

no muscle!

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13
Q

wrist motions

A

flexion
extension
adduction
abduction

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14
Q

wrist flexion angle/muscles

A

80-90
flexor carpi radialis
flexor carpi ulnaris
palmaris longus

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15
Q

wrist flexion coupled movement

A

dorsal/posterior carpal glide

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16
Q

wrist extension angle/muscles

A

70
extensor carpi radialis longus and brevis
extensor carpi ulnaris

17
Q

wrist extension coupled movement

A

ventral/anterior carpal glide

18
Q

wrist adduction (ulnar deviation) angle/muscles

A

30-40
flexor carpi ulnaris
extensor carpi ulnaris

19
Q

wrist adduction (ulnar deviation) coupled movement

A

ulnar abduction

20
Q

wrist abduction (radial deviation) angle/muscles

A

20-30
flexor carpi radialis
extensor carpi radialis longus and brevis

21
Q

wrist abduction (radial deviation) coupled movement

A

ulnar adduction

22
Q

elbow valgus stress test

A

positive: pain with palpation and valgus stress, increased laxity
indicates: sprained medial (ulnar) collateral ligament

23
Q

elbow varus stress test

A

positive: pain with palpation and varus stress, increased laxity
indicates: sprained lateral (radial) collateral ligament

24
Q

elbow tinel test

A

positive: tingling sensation down forearm within ulnar nerve distribution
indicates: ulnar nerve entrapment (cubital tunnel syndrome)

25
Q

medial epicondylitis test

A

positive: pain around medial epicondyle
indicates: medial epicondylitis (Golfer’s elbow)

26
Q

lateral epicondylitis test

A

positive: pain around lateral epicondyle
indicates: lateral epicondylitis (Tennis elbow)

27
Q

wrist tinel test and Phalen’s sign

A

positive: tingling sensation down hand within median nerve distribution
indicates: median nerve entrapment (carpal tunnel syndrome)

28
Q

Finkelstein test

A

positive: pain in lateral wrist
indicates: DeQuervain’s tenosynovitis

PCM (6 decks)

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