Upper Extremity Flashcards

1
Q

only bone connecting upper extremity to axial spine

A

clavicle

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2
Q

rotator cuffs

A

supraspinatus
infraspinatus
teres minor
subscapularis

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3
Q

internal rotator of shoulder

A

subscapularis

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4
Q

what runs between ant and post scalenes

A

subclavian a

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5
Q

what runs with deep brachial a

A

radial n

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6
Q

ulnar a and radial a turn into

A

ulnar a- superficial palmar arterial arch

radial a- deep palmar arterial arch

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7
Q

Really Thirsty Drink Cold Beer

A
Roots
Trunks
Divisions
Cords
Branches
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8
Q

for every 3 degrees of abduction how much does glenohumeral joint move and scapulothoracic joint

A

glenohumeral 2 degrees

scapulothoracic 1 degree

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9
Q

most common SD of shoulder

A

restriction internal and external rotation

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10
Q

second most common SD shoulder

A

abduction

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11
Q

places that can cause thoracic outlet syndrome

A

between anterior and middle scalenes
between clavicle and first rib
between pec minor and upper ribs

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12
Q

special test if pec minor is causing thoracic outlet syndrome

A

hyper extension

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13
Q

pain in shoulder at nights for months and when instructed to hold arm up laterally drops down

A

supraspinatus tear

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14
Q

what cause adhesive capsulitis

A

prolonged immobility of the shoulder

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15
Q

usual direction shoulder dislocation

A

anterior and inferior

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16
Q

what n can be damaged in shoulder dislocation

A

axillary nerve

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17
Q

weakness ant serratus

A

long thoracic n

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18
Q

erb duchene

A

injury to C5 C6
paralysis of deltoid, ext rotators, biceps, brachioradialis and supinator mm
waiters tip

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19
Q

klumpkes palsy

A

C8 T1

intrinsic mm of hand

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20
Q

most common nerve injured in upper extremity from direct trauma

A

radial n

21
Q

crutch palsy

A

radial

22
Q

wrist drop

A

radial

23
Q

primary flexors of hand and wrist inn by

A

median n. attach on medial epicondyle

24
Q

primary extensors of hand and wrist inn by

A

radial n. attach on lateral epicondyle

25
Q

primary supinators of forearm

A

biceps and supinator

26
Q

primary pronators

A

pronator teres and quadratus (median)

27
Q

what inn supinator

A

radial

28
Q

mm of thenar eminence inn by

A

median (except adductor pollicis brevis)

29
Q

what inn adductor pollicis brevis

A

ulnar

30
Q

lumbrical innervation

A

1 and 2: median n

3 and 4: ulnar

31
Q

hypothenar eminence innervation

A

ulnar nerve

32
Q

cubitus valgus

A

> 15 degree carrying angle

“abduction ulna”

33
Q

cubitus varus

A
34
Q

increased carrying angle cause what motion at wrist

A

adduction at wrist

35
Q

radial head motion

A

SAPP
supinate anterior
pronate posterior

36
Q

cause of posterior radial head

A

falling forward on pronated arm

37
Q

cause of anterior radial head

A

falling backward on supinate forearm

38
Q

paresthesias of thumb and first 2.5 digits

A

carpal tunnel

39
Q

gold standard carpal tunnel

A

nerve conduction studies and electromyography

40
Q

OMT carpal tunnel

A

rib and upper thoracic SD dec sympathetic tone
treating cervical SD and myofascial restrictions to enhance brachial plexus function
direct release in space of carpal tunnel

41
Q

lateral epicondylitis

A

tennis elbow, worse with wrist extension

42
Q

medial epicondylitis

A

golfers elbow

43
Q

swan neck

A

flexure MCP and DIP, extension PIP

RA

44
Q

boutonnier deformity

A

extention MCP and DIP, flexion PIP
rupture hood of extensor tendon
RA

45
Q

claw hand

A

extension MCP
flexion PIP and DIP
median and ulnar injury
loss intrinsic and overactivity extensors

46
Q

ape hand

A

wasting of thenar eminence and the thumb is adducted

median n damage

47
Q

bishops deformity

A

contracture last 2 digits with atrophy of hypothenar eminence from ulnar n damage

48
Q

dupuytrens contracture

A

flexion MCP and PIP with contracture last 2 digits

contracture of palmar fascia

49
Q

drop wrist

A

radial n damage

paralysis of extensor mm