TEST 3: Osteopathic Testing of the Elbow and Wrist PPT

Question 1

where do the wrist extensors attach?

Answer 1

lateral epicondyle

Question 2

where do the wrist flexors attach?

Answer 2

medial epicondyle

Question 3

where does the ulnar nerve run?

Answer 3

b/w medial epicondyle and olecranon (funny bone)

Question 4

explain cubitus varus

Answer 4

carrying angle less than 5 deg (gunstock)

Question 5

explain cubitus valgus

Answer 5

carrying angle greater than 15 deg

Question 6

what should you notice when observing elbow and wrist?

Answer 6

• carrying angle
• swelling
• erythema
• nodules
• scars

Question 7

landmarks of the elbow for palpation

Answer 7

• olecranon process
• medial epicondyle
• lateral epicondyle
• radial head
• lymph nodes
• brachial pulse

Question 8

dermatomes of the arm

Answer 8

• T1-2 on the medial aspect of the arm
• C5-8 from the lateral aspect of the arm towards the middle
  
  • C6: thumb
  • C7: index thru ring and most of palm
  • C8: pinky finger

Question 9

ROM of flexion of elbow

Answer 9

140-150 deg

Question 10

ROM of extension of elbow

Answer 10

0 to -5 deg

Question 11

ROM of supination of elbow

Answer 11

90 deg

Question 12

ROM of pronation of elbow

Answer 12

90 deg

Question 13

what is the reference point used for ulnar adduction and ulnar abduction?

Answer 13

distal ulna

Question 14

what is ulnar ADduction coupled with?

Answer 14

forearm supination

Question 15

what is ulnar ABduction coupled with?

Answer 15

forearm pronation

Question 16

what is posterior glide of the radial head coupled with?

Answer 16

pronation and extension

Question 17

what causes a posterior radial head somatic dysfunction?

Answer 17

Fall On OutStretched Hand (hand in pronation)

-FOOSH

Question 18

what causes an anterior radial head SD?

Answer 18

fall back on outstretched hand (hand in supination)

Question 19

what to palpate at the wrist?

Answer 19

• thenar and hypothenar eminences
• radial styloid process
• ulnar styloid process
• anatomic snuff box
• carpal bones
• MCP, PIP, DIP

Question 20

ROM of wrist flexion

Answer 20

80-90 deg

Question 21

ROM of wrist extension

Answer 21

70 deg

Question 22

ROM of ulnar deviation

Answer 22

30-40 deg

adduction

Question 23

ROM of radial deviation

Answer 23

20 deg

abduction

Question 24

posterior sensation testing of the hand

Answer 24

• radial N: thumb, metacarpal of index finger, metacarpal of half of middle finger
• median N: phalanges of index and middle and 1/2 of ring
• ulnar N: 1/2 of metacarpal of middle finger, metacarpals of ring and pinky fingers, phalanges of pinky and 1/2 of ring fingers

Question 25

anterior sensation testin g of the hand

Answer 25

- radial N: small patch on thenar eminence - median N: thumb, metacarpals of index, middle, 1/2 of ring; phalanges of index, middle, and 1/2 of ring - ulnar N: 1/2 of metacarpal of ring finger and metacarpal of pinky; phalanges of pinky and 1/2 of ring finger

Question 26

what is wrist flexion coupled with?

Answer 26

dorsal carpal glide

Question 27

what is wrist extension coupled with?

Answer 27

ventral carpal glide

Question 28

what does wrist ABduction result in?

Answer 28

ulnar adduction

Question 29

what does wrist ADduction result in?

Answer 29

ulnar abduction

Question 30

understand thumb adduction and thumb abduction

Answer 30

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