Upper Limb Clinical Correlates

Question 1

Shoulder separation

Answer 1

Coracoclavicular ligament tear

Question 2

Piano Key Deformity

Answer 2

Acromiclavicular ligament tear

Question 3

Winged scapula

Answer 3

Damage to Long Thoracic nerve

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

Question 4

Humeral surgical neck fracture

Answer 4

Pectoralis major pulls humerus medially

Question 5

Flattening of deltoid muscle

Answer 5

Axillary nerve loss due to dislocation of humerus

Question 6

Lower lateral quadrant of breast

Answer 6

Drains to Axillary (pectoral) lymph nodes

Question 7

Upper lateral quadrant of breast

Answer 7

Drains to Interpectoral lymph nodes

Question 8

Roof of cubital fossa

Answer 8

Bicipedal aponeurosis

Question 9

Cubital fossa contents

Answer 9

Brachial artery and median nerve

Question 10

Erb-Duchenne Palsy

Answer 10

Injury to roots of the upper trunk

Question 11

Roots of Brachial Plexus

Answer 11

Mixed motor and sensory

Question 12

Roots of spinal nerves

Answer 12

Either motor OR sensory

Question 13

Abduction of arm

Answer 13

Supraspinatus, deltoid, serratus anterior

Question 14

Suprascapular notch structures

Answer 14

Suprascapular nerve & artery

Question 15

Test for nerve damage after humoral neck fracture

Answer 15

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

Question 16

Tear location for torn biceps

Answer 16

Intertubercular groove

Question 17

Mid-shaft humerus fracture result

Answer 17

Damage to radial nerve and deep brachial artery

Question 18

Nursemaid’s elbow

Answer 18

Dislocate radius head from annular ligament

Question 19

Colles Fracture

Answer 19

Extension fracture of radius (more common)

Question 20

Smith Fracture

Answer 20

Flexion fracture of radius (less common)

Question 21

Hand of Benediction

Answer 21

Digits 1-3 paralyzed

Median nerve damaged above elbow

Question 22

Claw Hand

Answer 22

Digits 4-5 paralyzed

Ulnar nerve compressed

Question 23

Pinch instead of OK sign

Answer 23

Anterior interosseus nerve

Question 24

Landmark for ulnar nerve/artery

Answer 24

Flexor carpi ulnaris tendon

Question 25

Landmark for median nerve

Answer 25

Flexor palmaris longus tendon

Question 26

Landmark for radial artery

Answer 26

Flexor carpi radialis tendon

Question 27

Carpal Tunnel Syndrome Test

Answer 27

Oppose thumb (median nerve)

Question 28

"Funny bone" symptom (nerve)

Answer 28

Ulnar nerve

Question 29

Cubital Tunnel Syndrome

Answer 29

Compression of ulnar nerve Numbness in lateral hand

Question 30

Wrist Drop

Answer 30

Humerus fracture | Damage to radial nerve

Question 31

Wrist Bones

Answer 31

How Come Tom Takes So Long To Pis Hamate, Capitate, Trapezoid, Trapezium, Scaphoid, Lunate, Triquitrum, Pisiform

Question 32

Dupuytren Contracture

Answer 32

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

Question 33

Infection of finger

Answer 33

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

Question 34

Mallet Finger

Answer 34

Ruptured extension tendon (flexed last knuckle)

Question 35

Boutonniere Deformity

Answer 35

Ruptured central band (flexed middle knuckle)

Question 36

Spreading fingers (muscle)

Answer 36

Dorsal interosseus muscles PAD DAB

Question 37

Guyon's Tunnel Syndrome

Answer 37

Compression of ulnar nerve