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PS200 > Upper limb injuries > Flashcards

Upper limb injuries Flashcards

1
Q

Posterior interosseus nerve entrapment onset/MOI

A

gradual

compression or trauma causes entrapment of nerve

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2
Q

Posterior interosseus nerve entrapment subjective/agg.ease

A
  • local pain or numbness in wrist/forearm
  • ache
  • ease = avoiding positions that stretch/compress nerve
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3
Q

Posterior interosseus nerve entrapment 24hr pattern

A

PM worsened, worse at end of day

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4
Q

Posterior interosseus nerve entrapment physical

A
  • AROM supination painful
  • PROM pronation EOR painful
  • RSC of ecrb, wrist extensors painful
  • MMT weakness of thumb, wrist + fingers if severe
  • MLT tight wrist ext.
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5
Q

Posterior interosseus nerve entrapment Mx

A
  • neural mobilising techniques
  • local treatment
  • EPAs
  • massage
  • bracing/strapping
  • eccentric exercises
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6
Q

Dupuytren’s contracture aetiology

A
  • previous hand trauma
  • diabetes
  • alcoholism/smoking

more common in males

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7
Q

Dupuytren’s contracture MP

A
  • nodules in hands form + cause problems with flexion contractures
  • hard to dress, wash
  • shaking of hands
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8
Q

Dupuytren’s contracture observation

A
  • firm nodules on observation + palpation
  • TOP
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9
Q

Dupuytren’s contracture AROM

A
  • contractures of PIP or MCP
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10
Q

Dupuytren’s contracture Mx

A
  • deep massage
  • stretches
  • splinting
  • surgery
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11
Q

Gamekeeper’s thumb prognosis

A

4-6 weeks

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12
Q

Gamekeeper’s thumb MP, agg, ease + 24hr pattern

A

local pain in thumb - torn ulnar collateral lig.
- pinching/gripping
- resting, stabilisation
- depends on activity

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13
Q

Gamekeeper’s thumb HPC, contributing fx

A

falling on thumb
skiing etc

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14
Q

Gamekeeper’s thumb observation, AROM, palpation

A
  • localised swelling, discolouration, weak pinch grip
  • TOP
  • decreased AROM
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15
Q

Gamekeeper’s thumb tests

A

+ve valgus stress test

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16
Q

Gamekeeper’s thumb mx

A
  • rest
  • taping/splinting
  • EPAs
  • ROM exercises
  • strengthening
17
Q

Carpal tunnel aetiology

A

compression of median nerve as it passes through carpal tunnel

18
Q

Carpal tunnel MP, behaviour of symptoms

A
  • pain + numbness
  • difficulty manipulating small objects
  • prolonged wrist F/E
  • pressure over anterior wrist
  • prolonged exposure to drilling etc.
19
Q

Carpal tunnel contributing Fx

A
  • decreasing size of carpal tunnel due to synovitis from RA, tumours or spurs
  • increasing size of carpal tunnel content due to fluid retention, tendon sheath irritation, distal radius fracture
  • lifestyle factors
20
Q

Carpal tunnel observation, AROM, MMT

A
  • atrophy of thenar muscles if advanced
  • decreased AROm oppositon if advanced
  • MMT weakness of thenar muscles
21
Q

Carpal tunnel special tests

A

+ve phalens
+ve tinels

22
Q

Carpal tunnel Mx

A
  • EPAs
  • rest, ice
  • massage
  • mobilisation
23
Q

Extensor tendinopathy tendons involved

A

ECRL
ECRB
Ex dig
ECU

24
Q

Extensor tendinopathy risk factors

A
  • repetitive activity/movement (+2hrs daily)
  • age 45-54
  • poor blood supply
  • faulty technique
  • smoking/obesity
25
Q

Extensor tendinopathy subjective

A
  • 1-2cm below origin of ECRB + radiating down forearm
  • agg = arm pronated + extended
  • ease = rest/splints
  • Hx = insidious
26
Q

Extensor tendinopathy physical

A
  • PROM pain w/ E pron, wrist F/UD
  • +ve mill’s test
  • RSC painful wrist E w/ EE
  • TOP
27
Q

Extensor tendinopathy Mx

A
  • EPAs
  • myofascial release
  • stretches
  • eccentric strenghtening
28
Q

Lateral epicondylitis Mx

A
  • anti inflams
    -> ice, EPAs, NSAIDs
29
Q

De Quervain’s MP

A
  • tenosynovitis of APL + EPB (snuffbox)
  • presence of inflammatory cells
30
Q

De Quervain’s subjective

A
  • localised swelling + tenderness
  • agg = wide grip, watches, repeated thumb ext
  • ease = rest, ice
31
Q

De Quervain’s physical

A
  • local swelling
  • TOP
  • RSC painful
  • +ve finklestein’s
32
Q

De Quervain’s Mx

A
  • corticosteroid injection
  • rest
  • EPAs
  • heat
  • strengthening + stretching

PS200 (6 decks)

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