Upper Extremity History/MC/Pain

Question 1

At what age does Lateral Epicondylitis occur?

Answer 1

• bw/ages of 30-50

* typically at age 35+

Question 2

Tennis Elbow aka

Answer 2

Lateral Epicondylitis

Question 3

When do children complain of elbow pain?

Answer 3

Radial Head Dislocation - difficult to change arm into supination (palm up)

Question 4

When do osteoarthritis changes occur?

Answer 4

Age 40+

Question 5

Occupational causes for Upper extremity ailments

Answer 5

RSI i.e. tennis player

Question 6

Injury to hand d/t fall:

Answer 6

FOOSH
• carpal bone fracture
• lunate dislocation

Question 7

MC questions (4)

Answer 7

1) Patient’s occupation (King)
2) What is the mechanism of injury (Handshakes)
3) What movement make it worse/better (No Handshakes)
4) Restricted movements? (Finkelstein Issues)

Question 8

Questions to answer where exactly is the elbow pain?

Answer 8

• Medial or Lateral epicondylitis?

* Tip of the Olecranon? (Hints to Bursitis)

Question 9

Pain in the anatomical snuff box may indicate:

Answer 9

Scaphoid injury

Question 10

Pain questions (5)

Answer 10

1) Where? (Wrist)
2) When? ONSET (5YO)
3) How? HISTORY of previous injury? (King Karl Gustav’s Handshake)
4) What? TYPE of Pain? (Sharp, stabbing)
5) Which? HAND is dominant? (Right)

Question 11

Elbow inspection - Carrying angle for males & females:

Answer 11

Males: 5-10 degrees
Females: 10-15 degrees

Question 12

Cubital Valgus

Answer 12

Angle away from body (> 15 degrees)

Question 13

Cubital Varus

Answer 13

Angle toward body (

Question 14

Triangular Space is the Space bw:

Answer 14

Lateral epicondyle- tip of olecranon-radial head

Question 15

Common area of swelling with elbow joint injury

Answer 15

Triangular Space @ elbow

Question 16

Median Nerve issue causes this muscle to atrophy at the palm:

Answer 16

Thenar muscle

Question 17

Ulnar Nerve issue causes this muscle to atrophy at the palm

Answer 17

Hypothenar muscle

Question 18

Osteoarthritis @ DIP joints

Answer 18

Herberden’s nodes

Question 19

Osteoarthritis @ PIP joints

Answer 19

Bouchard’s nodes

Question 20

What happens at hand w/Rheumatoid Arthritis

Answer 20

Ulnar drift at the MCP joints

Question 21

Ganglion cysts is an issue where?

Answer 21

Dorsum of Hand

Question 22

Snuff Box tendons

Answer 22

extensor pollicis brevis & adductor pollicis longus

Question 23

What bone lies beneath the snuff box?

Answer 23

Scaphoid

Question 24

General things to check at hand

Answer 24

Temperature, Color Changes