week 6 - elbow, wrist and hand Flashcards
what are some subjective questions for the elbow, wrist and hand?
aggs/eases
-gripping, pushing, pulling, twisting
-occupation
-physical activity
-hobbies
onset
-insidious
-trauma
neurological symptoms
cervical symptoms
What observations should you make of the elbow, wrist and hand?
posture/positioning
muscle bulk
inflammatory signs
-redness
-swelling
-bruising
deformities
maladaptive patterns
Which accessory movements are available at the elbow?
medial glide
lateral glide
longitudinal distraction
What does Mill’s test test for?
lateral epicondylalgia (tennis elbow)
How do you carry out Mill’s test?
palpate proximal common wrist extensor tendon
flex the wrist and extend the elbow
What is a positive test for Mill’s test?
Reproduce lateral elbow pain
What does Cozen’s test test for?
lateral epicondylalgia (tennis elbow)
What is a positive result for Cozen’s test?
reproduce lateral elbow pain
What does Phalen’s test test for?
carpel Tunnel syndrome
What is a positive test for Phalen’s test?
Paraesthesia reproduced in the cutaneous distribution of the median nerve
What does Tinel’s test test for?
Carpel tunnel syndrome
What is a positive test for Tinel’s test?
Paraesthesia preproduced in the cutaneous distribution of the median nerve
What does Finkelstein’s test test for?
DeQuervain’s Tenosynovitis
How do you carry out Finkelstein’s test?
Patient in sitting or standing
actively flexes the thumb maximally and wrap fingers over thumb making a fist
place wrist into ulnar deviation to stretch APL and EPB
What is a positive Finkelstein’s test?
Pain at APL and EPB