The Elbow (midterm) Flashcards

1
Q

A patient experiences pain in elbow when brushing hair. How do you splint them?

A. Elbow @ 0 degrees
B. Elbow @ 30 degrees
C. Elbow @ 60 degrees
D. Elbow @ 90 degrees

A

Answer: B – most natural angle, especially for sleep (NEVER @ full extension)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

A patient is referred to you for activity modification for tennis elbow (lateral epicondylitis). Which of the following modification precautions would you not recommend?

A. Keeping the elbow close to the body when lifting heavy objects
B. Pronating the forearm when reaching to grasp objects
C. Use of adaptive tools to reduce gripping
D. Pushing objects when possible

A

Answer: B – with tennis elbow you want to avoid elbow extension, forearm pronation, and wrist extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which provocative test would confirm tennis elbow?

A. Cozen’s test
B. Phalen’s test
C. Hawkin’s test
D. Empty can test

A

Answer: A – can also do Mill’s (reverse cozen’s and reverse mills suggests medial epicondylitis)

B – carpal tunnel syndrome
C – impingement in subacromial space
D – supraspinatus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

T/F: The LCL of the elbow stabilizes against valgus stress and MCL against varus stress.

A

Answer: False – LCL against varus stress

Stress moving toward Radius = vaRus
* Radial collateral ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

You see a patient with cubital tunnel syndrome. You expect to see all but…

A. Increased thenar muscles
B. Parathesia of digits 4 + 5
C. Intrinsic wasting
D. Clawing

A

Answer: A – you’d see wasting; you would expect to see the rest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which of the following are appropriate cubital tunnel interventions? (SATA)

A. Nighttime splint, elbow @ 30 degrees
B. Nerve gliding
C. Strength and ranging
D. Rest and protect

A

Answer: all except C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which muscle group is most effected in lateral epicondylitis?

A. Pronators
B. Supinators
C. Flexors
D. Extensors

A

Answer: C

A – bicep
B – supinator
D – lateral epicondyle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Patient just had an LCL tear repair. What functional movement can they do?

A. Reaching behind the back to tuck a shirt
B. Latch a bra behind them
C. Pick up heavy groceries by the handle
D. Brush their hair

A

Answer: D – extrinsic rotation

A + B – internal rotation
C – Gripping

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Patient just had an MCL tear repair. What functional movement can they do?

A. Brush their hair
B. Brush their teeth
C. Doff a T-Shirt
D. Take off a back-pack

A

Answer: B – internal rotation

A, C, D – external rotation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

T/F: If a patient suffered an MCL tear from an elbow dislocation, they should be educated on avoiding/adapting functional movements that are in the terminal extension, pronation position, such as picking up a heavy object far from your body.

A

True – for LCL, avoid terminal extension and supination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

T/F: It is important not to mobilize the elbow early post dislocation and subsequent ligament repair

A

FALSE – you DO want to mobilize cautiously AND early

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

OT management for an open reduction internal fixation includes… (SATA)

A. Surgical protection immediately post-op
B. Gentle ROM immediately post-op
C. Gradual strengthening
D. Splinting

A

All the above

How well did you know this?
1
Not at all
2
3
4
5
Perfectly