Upper Limb Clinical Correlates Flashcards

1
Q

Shoulder separation

A

Coracoclavicular ligament tear

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2
Q

Piano Key Deformity

A

Acromiclavicular ligament tear

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3
Q

Winged scapula

A

Damage to Long Thoracic nerve

Difficulty abducting arm >90 deg. (serratus ant. musc.)

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4
Q

Humeral surgical neck fracture

A

Pectoralis major pulls humerus medially

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5
Q

Flattening of deltoid muscle

A

Axillary nerve loss due to dislocation of humerus

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6
Q

Lower lateral quadrant of breast

A

Drains to Axillary (pectoral) lymph nodes

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7
Q

Upper lateral quadrant of breast

A

Drains to Interpectoral lymph nodes

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8
Q

Roof of cubital fossa

A

Bicipedal aponeurosis

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9
Q

Cubital fossa contents

A

Brachial artery and median nerve

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10
Q

Erb-Duchenne Palsy

A

Injury to roots of the upper trunk

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11
Q

Roots of Brachial Plexus

A

Mixed motor and sensory

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12
Q

Roots of spinal nerves

A

Either motor OR sensory

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13
Q

Abduction of arm

A

Supraspinatus, deltoid, serratus anterior

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14
Q

Suprascapular notch structures

A

Suprascapular nerve & artery

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15
Q

Test for nerve damage after humoral neck fracture

A

Sensation on the lateral shoulder (axillary/sup. lat. cutaneous nerves)

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16
Q

Tear location for torn biceps

A

Intertubercular groove

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17
Q

Mid-shaft humerus fracture result

A

Damage to radial nerve and deep brachial artery

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18
Q

Nursemaid’s elbow

A

Dislocate radius head from annular ligament

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19
Q

Colles Fracture

A

Extension fracture of radius (more common)

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20
Q

Smith Fracture

A

Flexion fracture of radius (less common)

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21
Q

Hand of Benediction

A

Digits 1-3 paralyzed

Median nerve damaged above elbow

22
Q

Claw Hand

A

Digits 4-5 paralyzed

Ulnar nerve compressed

23
Q

Pinch instead of OK sign

A

Anterior interosseus nerve

24
Q

Landmark for ulnar nerve/artery

A

Flexor carpi ulnaris tendon

25
Q

Landmark for median nerve

A

Flexor palmaris longus tendon

26
Q

Landmark for radial artery

A

Flexor carpi radialis tendon

27
Q

Carpal Tunnel Syndrome Test

A

Oppose thumb (median nerve)

28
Q

“Funny bone” symptom (nerve)

A

Ulnar nerve

29
Q

Cubital Tunnel Syndrome

A

Compression of ulnar nerve

Numbness in lateral hand

30
Q

Wrist Drop

A

Humerus fracture

Damage to radial nerve

31
Q

Wrist Bones

A

How Come Tom Takes So Long To Pis

Hamate, Capitate, Trapezoid, Trapezium, Scaphoid, Lunate, Triquitrum, Pisiform

32
Q

Dupuytren Contracture

A

Scarring of palmar aponeurosis (4th + 5th digits)

33
Q

Infection of finger

A

1st and 5th digits may be connected, others isolated

34
Q

Mallet Finger

A

Ruptured extension tendon (flexed last knuckle)

35
Q

Boutonniere Deformity

A

Ruptured central band (flexed middle knuckle)

36
Q

Spreading fingers (muscle)

A

Dorsal interosseus muscles

PAD DAB

37
Q

Guyon’s Tunnel Syndrome

A

Compression of ulnar nerve

38
Q

Which of the following muscles is innervated by the radial nerve?

  1. Flexor carpi ulnaris
  2. extensor carpi ulnaris
  3. extensor digitorium communis
  4. supinator
  5. Numbers 2, 3, and 4
A
  1. Numbers 2, 3, and 4
39
Q

terminal branch of the muscolucotaneous nerve

A

lateral antebrachial cutaneous

40
Q

Tine’s sign

A

tap of nerve to check irritability

41
Q

Phalen’s sign

A

carpal tunnel

42
Q

pain at lateral aspect of his elbow aggravated by grip

A

pain with resisted wrist extension

43
Q

lateral epicondylitis muscle involved

A

extensor carpi radialis brevis

44
Q

TCL attachments

A

pisiform to scaphoid

Hamate to trapezium

45
Q

most common nerve involved with common radiocuphality

A

C6

46
Q

what is a consequence of carpal tunnel syndrome

A

thenar atrophy

47
Q

Durkan’s sign

A

carpal compression test

48
Q

Cubital tunnel syndrome

A

ulnar nerve compression

49
Q

Heberden’s nodes

A

arthritis; osteophytes

50
Q

Finkelstein’s test

A

extensor pollicis brevis; DeQuervain’s tenosynovitis