Sample Q&A Elbow, hand, wrist Flashcards
allen’s test
tests the patency of the radial and ulnar arteries
positive allen’s test
delay in refill of the hand (greater than 5 seconds)
indication of allen’s test
loss of patency of the artery being tested
possible causes of allen’s
subluxation, raynaud’s, old fracture, scar tissue, TOS
positive finklestein’s
- unable to bring thumb across and/or muscle wasting
2. pain along the radila side of the forearm
indications for finklestein’s
- ulnar nerve palsy
2. stenosing tenosynovitis of DeQuervain
differential diagnoses for finklestein’s
scaphoid fracture, carpal subluxation
treatment for positive Finkelstien’s
ice, biomechanical correction
what tendons make up tunnel of dequervain?
extensor pollicis brevis
abductor pollicis longus
what are some causes of ulnar nerve palsy?
trauma to the ulnar nerve, elbow subluxation
froment’s positive
patient’s thumb flexes in order to hand onto the paper
indication for positive froment’s
ulnar nerve palsy.
by flexing the thumb the patient recruits the median nerve in order to hand to the paper
most important thing to do for froment’s during a practical?
doctor should make sure that they could visualize the patient’s thumb. they must be able to see if the patient flexes the thumb
what ways are there to verify a positive froment’s
look for thenar or hypo-thenar muscle wasting; loss of strength in muscle tests, or utilize EMG
english test
remember to occlude the arteries before pumping the hand (hold for 6- seconds)
positive english
upon removing the arterial occlusion the symptoms of CTS are reproduced
indication for positive english
carpal tunnel syndrome
two reasons english test works
hypoxia, pooling of blood around the carpal tunnel increases presure on the median nerve
when will you most often see a positive reaction in english test?
when you release the blood supply after it has already pooled (at the end)
phalen’s test
hold position for up to a minut (if symptoms occur before one minute, stop test)
positive phalen’s
reproduction of the symptoms of CTS
indication for positive phalen’s
carpal tunnel syndrome
tinel tap test
perform for 10 seconds
positive tinel tap
reproduction of the symptoms of CTS