Week 3- Diagnostic Skills Westra

Question 1

Rotor cuff muscle

Answer 1

SITS
supraspinatus
infraspinatus
teres minor
subscapularis

Question 2

Hawkin’s impingement

Answer 2

rotator cuff disorder

90 degrees at elbow, choo, choo to a football block

Question 3

Drop-arm

Answer 3

large rotator cuff tear, arms drop uncontrollably

Question 4

Empty-can

Answer 4

supraspinatus, empty soup cans, and they resist you up

Question 5

Lift-off

Answer 5

subscapularis,

hand behind back, and push against

Question 6

External rotaton

Answer 6

infraspinatus

Question 7

cross-body adduction

Answer 7

acrimioclavicular joint osteoarthritis or chronic sprain

Question 8

Apprehsion/ Relocation

Answer 8

glenohumeral instability,
relocation
extend upper extremity

Question 9

Anterior elbow pain

Answer 9

biceps tendinopathy

repeated elbow flexion, forearm supination or pronation.

Question 10

the hook test

Answer 10

examiner hooks biceps tendon, confirm an intact tendon and may assist in localizing pain

Question 11

Medial elbow pain

Answer 11

medial epicondylitis
less common
golfers elbow
usually ulnar collateral ligament injury

Question 12

moving valgus stress test

Answer 12

diagnosing ulnar collateral ligament injuries

Positive- pain between 70-120 degrees of flexion

Question 13

cubital tunnel syndrome

Answer 13

compressive or traction neuropathy of ulnar nerve at the elbow

Question 14

positive Tinel sign

Answer 14

gentle tapping over superficial nerve (like the ulnar), tingling and numbness is positive

Question 15

lateral elbow pain

Answer 15

lateral epicondylitis
tennis elbow
pain, decreased strength with resisted gripping, and with wrist supination and extension are often present.
Extension of the middle finger test against resistance, feel pain at the lateral epicondyle

Question 16

Most common wrist fracture?

Answer 16

scaphoid fracture
fall on outstretched hand
snuff box tenderness

Question 17

ulnar neruopathy

Answer 17

wrist pain and numbness and tingling
no trauma
painful wrist extension
sensory changes in the 4th and 5th digist
Positive TInel sign on percussion of the ulnar nerve over the guyon canal

Question 18

de quervain tenosynovitis

Answer 18

inflammation of extensor pollicis brevis, abductor pollicis longue

limited thumb motion (extension and abduction)