Quiz 9: 1

Question 1

Name 3 special questions to ask a pt with c/o elbow pain?

Answer 1

• Play racquet sports?
• What do you do for exercise?
• Any hx of dislocation?
• Grip problems?
• N/T?

Question 2

What is a special test you can do to corroborate a complaint of n/t on the volar side of the pt’s forearm?

Answer 2

pronator teres syndrome test

Question 3

What does the pronator teres syndrome test do?

Answer 3

• pronator teres contracts

- compresses/constricts the median nerve

Question 4

What are 3 ligaments of the elbow?

Answer 4

• UCL
• RCL
• annular

Question 5

Attachments: UCL

Answer 5

• medial epicondyle

- sublime tubercle

Question 6

Attachments: RCL

Answer 6

• lateral epicondyle

- radial head

Question 7

Attachments: annular ligament

Answer 7

anterior/posterior margins of radial notch of ulna

Question 8

What is a nursemaid’s elbow?

Answer 8

dislocation of radial head from annular ligament

Question 9

How does nursemaid’s elbow occur?

Answer 9

• yank on a child’s hand

- traction on wrist can dislocate head of radius

Question 10

What is the mobile wad of 3?

Answer 10

• brachioradialis
• ECRL
• ECRB

Question 11

What superficial muscles attach to the medial epicondyle?

**in order radial » ulnar

Answer 11

• pronator teres (supracondylar ridge)
• FCR
• palmaris longus
• FCU

Question 12

What superficial muscles attach to the lateral epicondyle?

Answer 12

• ECRL (supracondylar ridge)
• ECRB
• extensor digitorum
• ECU

Question 13

Name 3 special tests for UCL

Answer 13

• valgus stress test at 0˚and 30˚
• “good hands”
• milking test at 120˚ and 70˚
• dynamic milking test

Question 14

How do you test for osteophyte growth in posteromedial olecranon fossa?

Answer 14

J-stroke

Question 15

What test should also be performed for a pt with VEOS in addition to the J-stroke and other special tests we talked about?

Answer 15

radiocapitellar compression test

Question 16

What are 2 mobs you can do for elbow flexion deficits?

Answer 16

• distal traction
• anterior glides
• varus mobilization
• physiologic flexion

Question 17

What are 2 mobs you can do for elbow extension deficits?

Answer 17

• posterior glides
• valgus mobs
• physiologic extension

Question 18

Describe the internal brace for a UCL injury

Answer 18

allows damaged ligaments/tendons to naturally reattach themselves to bone instead of being artificially reattached

Question 19

What is the main advantage to the internal brace for UCL injury?

Answer 19

return to sport in about 1/2 the time as the usual UCL-R

Question 20

What is the common name of the UCL surgery?

Answer 20

Tommy John surgery

Question 21

Which muscles should you differentiate with MMT elbow flexion?

Answer 21

• biceps
• brachialis
• brachioradialis

Question 22

Describe how to differentiate biceps, brachialis, brachioradialis

Answer 22

• biceps: supinate
• brachioradialis: neutral
• brachialis: pronate