The forearm, wrist & hand, an osteopathic introduction

Question 1

increase carrying angle

Answer 1

wrist ADDUCTS

Question 2

decrease carrying angle

Answer 2

wrist ABDUCTS

Question 3

medial elbow pain?

Answer 3

maybe ulnar collateral ligament

or maybe golfer’s elbow (medial epicondylitis)

Question 4

nursemaids elbow in children?

Answer 4

annular ligament

Question 5

lateral elbow pain could be…

Answer 5

radial collateral ligament

Question 6

what is it called if the carryign angle is greater than 15 degrees noraml

Answer 6

cubitus valgus

Question 7

if it s decreased by more than 15 degrees

Answer 7

varus cubitus (gunstock deformity)

Question 8

as the olecranon of the ulna abducts

Answer 8

the wrist adducts

Question 9

as the olecranon of the ulna (elbow) adducts

Answer 9

the wrist abducts

Question 10

Elbow (Forearm) aBDuction with Medial Glide

Answer 10

Findings
Increased carrying angle
Olecranon prefers medial glide
Distal forearm prefers abduction
Radial head may be compressed on the capitulum of the humerus
Hand (wrist) may prefer relative adduction at radiocarpal joint

Question 11

Elbow (Forearm) aDDuction with Lateral glide

Answer 11

Findings
Gunstock deformity
Olecranon prefers lateral glide
Distal forearm prefers adduction
Radial head is gapped at the capitulum and drawn into the annular ligament.
Hand (wrist) may prefer relative abduction at the radiocarpal joint

Question 12

what is the main supinator

Answer 12

biceps

Question 13

what is the main pronator

Answer 13

pronator teres

working with the pronator quadratus

Question 14

SAPP

Answer 14

supination anterior

pronation posterior

Question 15

what happens when someone flals forward on an outstretched hand?

Answer 15

posterior radial head somatic dysfunciton

because the hand is in a pronated position

The hand is in a pronated position and the forward force vector pushes the distal radius into greater anterior rotation thereby causing the radial head to move posteriorly

Question 16

backward fall bracing self with hands casuse what type of SD

Answer 16

anterior radial head SD

The hand is in a supinated position and the impacting force vector pushes the distal radius into greater posterior rotation thereby causing the radial head to move anteriorly.

Question 17

if the wrist hurts

Answer 17

look at the elbow

Question 18

what type of somatic dysfunciton is seen in the carpals

Answer 18

Somatic dysfunction is usually seen in the anterior or posterior glide of these joints.

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Question 19

major motion of the MCP’s and PIP/DIP”s

Answer 19

flexion and extension

abduction and adduction (MCP’s)

Question 20

SD of hands and fingers

Answer 20

CMC (carpometacarpal) joints SD almost always have a compression component to them esp if motion is restricted in both dorsal and ventral glide

Dysfunction is usu found in dorsal/ventral glide
1st CMC (thumb) generally has compression SD or strain or a true sprain rather than a pure somatic dysfunction

Soccer goalies, boxers, fencers

Question 21

compression SD

Answer 21

is almost always part of SD of joints in hands and fingers