The Upper Extremities Exam Version (: Flashcards
growth plates are what type of joints
synchondrosis or primary cartilagenous
What type of joint is the sternoclavicular joint
synovial and saddle
What type of joint is the acromioclavicular joint
synovial, plane/gliding
What type of joint is the glenoid joint
synovial, ball and socket
What type of joint is the is the elbow joint
synovial and hinge
What type of joint is the proximal and distal radioulnar joint
synovial and pivot
What type of joint is the radiocarpal joint
synovial and condyloid
What type of joint is the intercarpal joint
synovial and plane/gliding
What type of joint is the carpometacarpls 2-5
synovial, plane/gliding
What type of joint is the carpometacarpal 1 joint
synovial saddle
What type of joint is the intermetacarpal joint
synovial, plane/gliding
What type of joint is the intermetacarpal joint ?
synovial, condyloid
What type of joint is the the distal interphalangeoul and the proximal interphalngeal joint
synovial and hinge
C6 dermatome is unequviocally where
thumb
c7 dermatome is unequivacoally where
middle finger
c8 dermatome is unequivacoally where
pinky
T1 dermatome is unequivacoally where
medial forearm and (distal arm)
referred pain for peritonitis, gall bladder inflammation, hepatic abcess
should pain c3-c5
referred pain for heart GVA pain accompanying symapthic innervation to heart
chest wall and medial aspect of LEFT upper limb
Dupuytrens Contracture
pathological thickening and shortening of the bundles of the palmar aponeurosis which draws fingers into the palm to such a degree they become useless (commonly affects digit 4 and 5 and can appear as ulnar claw hand
What structures are in danger when the calvical breaks
suprascapular vein, artery, nerve, supraclavicular nerve, brachial plexus and subclavein
Complete separation of the AC joint results in rupture of what
acromioclavicular and coracoclaviular ligaments
bursitis
inflammation of the subdeltoid and subacromial bursa
what is the most commonly injured rotator cuff muscle
supraspinatus
What are the rotator cuff muscles
Supraspinatus
infraspinatus
teres minor
subscapualris
What is the drop arm test
testing supraspinatus muscle
going down from 90 degree abduction is supposed to be a smooth controlled motion
if not it usually means the supraspiinatus muscle is injured
What is a boxers fracture
fracture of the 5th metacarpal (pinky mentacarpal)
Golfers wrist
fracture of hook of hamate
What is the most commonly fractured carpal bone
scaphoid
If you fall on an outstretched hand
youth- displacement of distal radial epiphysis
adolescent-clavicular fracture
elederly-colles fracture
what is the most commonly dislocated carpal bone
lunate
What is the terrible triad
injury to the elbow charcterisized by disocation, radial head fracture and avulsion to coronoid process
What is Tommy John Surgery
reconstruction of a torun ulnar collateral ligament
tearing of the annular ligament causes what
dislocation of the radial head common in children
colles fracture
transverse fracture of distal radius with dorsal displacement off the handl
What is the Allen’s Test
pale hand test, testing the radial and ulnar arteries
if the axillary vein is lacerated what must be preserved in order to maintain blood return
cephalic vein
Characteristics of Erb’s Duchenne Palsy
injury to C5 and C6
paralysis to flexors, abductors and LATERAL rotators of the arm
arm is adducted, medially roatted and extendedq
Klumpke’s Palsy
injury to c8/t1 nerve root
catching oneself while hanging on to something
paralysis of intrinsic hand muscles
loss of long thoracic nerve result in
winged scapular do to serratus anterior muscle innervated by it
dorsal scapular nerve injury
protracted scapula due to loss of innervation of the rhomboid muscles
axillary nerve injury
wasting of deltoid muscle
radial tunnel syndrome
entrapment of posterior interosseous nerve which innervates the extensors and supinators of wrist and hand
musculocutaneous nerve injury
muscle wasting of biceps, coracobrachialis and brachilais
injury to median nerve
ape hand or hand of benediction
pronator syndrome
entrapment of median nerve
anterior interosseous injury
weakness in FDP, fpl and pronator teres
million dollar nerve
recurrent branch of median nerve results in paralysis of thenar muscles
ulnar nerve injuries injur what two fingers
medial two lubricals digits 4 and 5
Finkelsteins test
thumb under 2 and 3 and medially rotate
tests for tenosynovitis
de Queverians stenosing tendosynovitis
pain in thumb
from thinkening of sheat for APB and EPB
raynaud syndrome
idopathic symathetic innervation dysregulation
thoracic outlet syndrome
decreased blood flow to c8 and t1 roots
boutineere deformity
damage to extensor expansion
results in flection of middle and extension of distal phalange
jersey finger
tearing of flexor digitorum profundus tendon , stuck in extensoin
mallet finger
avultion o extensor tendon, flextion of distal phalanx
trigger finger
stenosing tenosynovitis involving flexor tendon; clicking during flextion and extension
