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KNAT 502 > Upper Extremity > Flashcards

Upper Extremity Flashcards

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
Q

anterior subluxation and dislocation at shoulder typically occur when the arm is forced into what positions

A

abduction and lateral rotation

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26
Q

tests used to identify TOS

A

Allen test
Adson’s test
military brace test

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27
Q

the upper extremity’s only attachment side to the axial skeleton is

A

SC joint

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28
Q

the ration that exists between GH elevation and upward scapular rotation

A

2:1

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29
Q

what joints allow pronation to occur

A

humeroradial
proximal radioulnar
distal radioulnar

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30
Q

what is indicated by a hard end-feel with passive elbow flexion

A

loose body in the joint

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31
Q

what muscle is innervated by the musculocutaneous nerve

A

biceps brachaii

32
Q

which nerve is compressed with pronator teres syndrome

A

anterior interosseous

33
Q

condition marked by increased levels of uric acid in the blood and can lead to arthritis affecting the great toe and foot

A

gout

34
Q

what is the most stabilizing structure of the lateral aspect of the elbow

A

lateral ulnar collateral ligament (LUCL)

35
Q

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

A

70 degrees of flexion

36
Q

what is the most important history finding regarding elbow trauma

A

onset and location of symptoms

37
Q

what nerve innervates the flexi carpi ulnaris muscle and the medial portion of the flexor digitorum profundus in the forearm

A

ulnar nerve

38
Q

what elbow ligament is divisible into 3 sections

A

ulnar collateral ligament (UCL)

39
Q

the radioulnar joints are what type of joints

A

syndesmotic

40
Q

male patients over what age commonly have a biceps tendon rupture

A

40 yo

41
Q

what bundles of the UCL is the primary restraint against valgus force when the elbow is flexed beyond 60 degrees

A

posterior portion

42
Q

normal carrying angle for women of cubitus valgus

A

13-16 degrees

43
Q

what muscles influences pronation and supination of the elbow

A

biceps brachaii
brachioradialis
anconeus

44
Q

what muscle group does the palmaris longus belong to

A

wrist flexor

45
Q

what elbow angle represents the correct position when performing the varus stress test

A

25 degrees

46
Q

what forms the lateral humeral articulating surface on the distal border of the lateral epicondyle

A

capitellum

47
Q

what nerve enters the elbow at the arcade of Struthers

A

ulnar

48
Q

what joint play assessment is performed with the patient supine while placing the elbow in 70 degrees flexion and 10 degrees supination

A

humeroulnar

49
Q

what wrist pathology is commonly associated with clicking on the ulnar side of the wrist

A

TFCC tear

50
Q

what ligament is most important in controlling motion and wrist stability

A

palmar radiocarpal

51
Q

manual muscle testing finger abduction will examine motor function for which peripheral nerve

A

ulnar nerve

52
Q

dermatomal distribution to the thumb, index, and half of the middle finger and hand area is distributed by which neurological level

A

C6

53
Q

a reverse Phalen’s test is used to assess which nerve

A

median

54
Q

trauma or pathology to which nerve results in a drop-wrist deformity

A

radial nerve

55
Q

a boxer’s fracture affects which metacarpal neck

A

5th

56
Q

ulnar nerve palsy is usually associated with prolonged pressure to the thenar eminence in what common activity

A

cycling

57
Q

which nerve travels through the tunnel of Guyon

A

ulnar nerve

58
Q

what nonarticular fracture of the radius occuring approx 1.5 inches proximal to the radiocarpal joint, causing the distal radius to be displaced dorsally

A

Colles’ fracture

59
Q

a ball that inadvertently strikes the tip of an extended finger can cause what injury

A

mallet injury

60
Q

what passes through the carpal tunnel

A

median nerve
flexor pollicis longus
flexor digitorum profundus tendons

61
Q

the circulatory integrity of the hand is examined using which test

A

Allen test

62
Q

radial fracture displaced palmarly

A

Smith’s fracture

63
Q

upon suffering a scapholunate dislocation, what ROM is painful

A

flexion and extension

64
Q

the extensor pollicis brevis is what muscle of the wrist

A

extrinsic

65
Q

intrinsic muscles of the hand

A

flexor digit minimi
abductor pollicis brevis
flexor pollicis brevis

66
Q

what nerve travels through the carpal tunnel

A

median

67
Q

what carpal bone is palpable as the floor of the anatomical snuffbox

A

scaphoid

68
Q

in the wrist, which joint mobility test examines general joint mobility

A

distraction

69
Q

true facts of the scaphoid fracture

A

-most commonly fractured carpal
-common in ages between 15-30
-high incidence in nonunion fracture

70
Q

most common dislocated carpal

A

lunate

71
Q

small cuts or abrasions over the dorsal surface of the MCP or IP joints

A

Russell’s sign

72
Q

what digit is not commonly sprained

A

3rd

73
Q

upon suffering a perilunate or lunate dislocation, AROM is painful in which motion

A

extension

74
Q

what special test indicates a scapholunate ligament injury

A

Watson

75
Q

what pulleys are located on the distal aspect of the MCP and the most proximal member of the pulley system

A

palmar aponeurosis

76
Q

a trigger finger is a condition associtated with tenosynovitis of the flexor tendons resulting from repetitive trauma, related to what occurence

A

stenosis

77
Q

what is an infection around the periphery of the fingernail that results in redness and swelling

A

paronychia

KNAT 502 (3 decks)

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