Upper Extremity Flashcards

(77 cards)

1
Q

what is the weak site in the GH capsule that is usually torn in anterior GH dislocation

A

Weitbrecht’s foramen

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2
Q

which tests used to assess inferior instability of the AC joint

A

shear test

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3
Q

scapular retraction test is used to identify what

A

role of scapular dysfunctional pathology

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4
Q

drop arm test assess what

A

rotator cuff
SITS

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5
Q

poorest bony stability of any major joint

A

SC joint

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6
Q

angle of inclination, the relationship between the humerus and humeral head in the frontal plane, should normally be

A

130-150 degrees

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7
Q

tests to identify biceps brachaii tendinitis

A

Speed’s test

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8
Q

what muscle inersts on coracoid process

A

pectoralis minor

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9
Q

what is the pain during the follow-through phase of pitching most commonly associated with

A

rotator cuff

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10
Q

what motion occurs during the Apley scratch test

A

GH adduction
H. adduction
internal rotation

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11
Q

given the specificity of the external rotation lag sign, this special test is useful for

A

ruling IN supraspinatus/infraspinatus pathology

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12
Q

what directional force can cause secondary injury to the SC joint and affect other organs

A

posterior

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13
Q

Bankart lesion can be formed by which ligament pull away from labrum

A

inferior GH ligament

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14
Q

starting position of the empty can test

A

GH abducted to 90 degrees in the scapular plane with humerus internally rotated

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15
Q

weakness of what muscle causes scapular winging

A

serratus anterior

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16
Q

what structures is stressed when gliding the distal clavicle inferior to AC joint

A

superior fibers of the AC ligament

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17
Q

the superior angle of the scapular should sit at what spinous level

A

T3

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18
Q

most common site for clavicle fractures

A

junction of convex and concave curvature of the clavicle

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19
Q

what direction of force is applied during a anterior slide test

A

anterior and superior

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20
Q

severe winging of the scapular can occur from injury to what nerve

A

long thoracic

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21
Q

separated shoulder is common name for what injury

A

AC sprain

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22
Q

tears most commonly occur in which rotator cuff muscle

A

supraspinatus

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23
Q

the liklihood ratios of the apprehension test are useful for

A

ruling IN shoulder instability

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24
Q

what 2 tests can be used to evaluate posterior GH instability

A

Jerk test
posterior apprehension test

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25
anterior subluxation and dislocation at shoulder typically occur when the arm is forced into what positions
abduction and lateral rotation
26
tests used to identify TOS
Allen test Adson's test military brace test
27
the upper extremity's only attachment side to the axial skeleton is
SC joint
28
the ration that exists between GH elevation and upward scapular rotation
2:1
29
what joints allow pronation to occur
humeroradial proximal radioulnar distal radioulnar
30
what is indicated by a hard end-feel with passive elbow flexion
loose body in the joint
31
what muscle is innervated by the musculocutaneous nerve
biceps brachaii
32
which nerve is compressed with pronator teres syndrome
anterior interosseous
33
condition marked by increased levels of uric acid in the blood and can lead to arthritis affecting the great toe and foot
gout
34
what is the most stabilizing structure of the lateral aspect of the elbow
lateral ulnar collateral ligament (LUCL)
35
a patient with an acutely injured elbow will frequently assume an elbow resting position of what degree of flexion to minimize forces on the joint
70 degrees of flexion
36
what is the most important history finding regarding elbow trauma
onset and location of symptoms
37
what nerve innervates the flexi carpi ulnaris muscle and the medial portion of the flexor digitorum profundus in the forearm
ulnar nerve
38
what elbow ligament is divisible into 3 sections
ulnar collateral ligament (UCL)
39
the radioulnar joints are what type of joints
syndesmotic
40
male patients over what age commonly have a biceps tendon rupture
40 yo
41
what bundles of the UCL is the primary restraint against valgus force when the elbow is flexed beyond 60 degrees
posterior portion
42
normal carrying angle for women of cubitus valgus
13-16 degrees
43
what muscles influences pronation and supination of the elbow
biceps brachaii brachioradialis anconeus
44
what muscle group does the palmaris longus belong to
wrist flexor
45
what elbow angle represents the correct position when performing the varus stress test
25 degrees
46
what forms the lateral humeral articulating surface on the distal border of the lateral epicondyle
capitellum
47
what nerve enters the elbow at the arcade of Struthers
ulnar
48
what joint play assessment is performed with the patient supine while placing the elbow in 70 degrees flexion and 10 degrees supination
humeroulnar
49
what wrist pathology is commonly associated with clicking on the ulnar side of the wrist
TFCC tear
50
what ligament is most important in controlling motion and wrist stability
palmar radiocarpal
51
manual muscle testing finger abduction will examine motor function for which peripheral nerve
ulnar nerve
52
dermatomal distribution to the thumb, index, and half of the middle finger and hand area is distributed by which neurological level
C6
53
a reverse Phalen's test is used to assess which nerve
median
54
trauma or pathology to which nerve results in a drop-wrist deformity
radial nerve
55
a boxer's fracture affects which metacarpal neck
5th
56
ulnar nerve palsy is usually associated with prolonged pressure to the thenar eminence in what common activity
cycling
57
which nerve travels through the tunnel of Guyon
ulnar nerve
58
what nonarticular fracture of the radius occuring approx 1.5 inches proximal to the radiocarpal joint, causing the distal radius to be displaced dorsally
Colles' fracture
59
a ball that inadvertently strikes the tip of an extended finger can cause what injury
mallet injury
60
what passes through the carpal tunnel
median nerve flexor pollicis longus flexor digitorum profundus tendons
61
the circulatory integrity of the hand is examined using which test
Allen test
62
radial fracture displaced palmarly
Smith's fracture
63
upon suffering a scapholunate dislocation, what ROM is painful
flexion and extension
64
the extensor pollicis brevis is what muscle of the wrist
extrinsic
65
intrinsic muscles of the hand
flexor digit minimi abductor pollicis brevis flexor pollicis brevis
66
what nerve travels through the carpal tunnel
median
67
what carpal bone is palpable as the floor of the anatomical snuffbox
scaphoid
68
in the wrist, which joint mobility test examines general joint mobility
distraction
69
true facts of the scaphoid fracture
-most commonly fractured carpal -common in ages between 15-30 -high incidence in nonunion fracture
70
most common dislocated carpal
lunate
71
small cuts or abrasions over the dorsal surface of the MCP or IP joints
Russell's sign
72
what digit is not commonly sprained
3rd
73
upon suffering a perilunate or lunate dislocation, AROM is painful in which motion
extension
74
what special test indicates a scapholunate ligament injury
Watson
75
what pulleys are located on the distal aspect of the MCP and the most proximal member of the pulley system
palmar aponeurosis
76
a trigger finger is a condition associtated with tenosynovitis of the flexor tendons resulting from repetitive trauma, related to what occurence
stenosis
77
what is an infection around the periphery of the fingernail that results in redness and swelling
paronychia