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E&M -JD > Wrist/Hand MMT > Flashcards

Wrist/Hand MMT Flashcards

1
Q

(FCR/FCU) action

A

Wrist flexion

FCR: radial deviation
FCU: ulnar deviation

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2
Q

(FCR/FCU) nerves

A

FCR: median, C6-7
FCU: ulnar C7-T1

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3
Q

(FCR/FCU) fair and above pos

A

Forearm supinated
FCR- wrist flexed and radial deviated
FCU- wrist flexed and ulnar deviated

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4
Q

(FCR/FCU) resistance

A

Across dorsum of wrist in direction of extension
FCR: over 2nd MC
FCU: over 4-5 MC

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5
Q

(FCR/FCU) below fair pos

A

Forearm neutral btw sup/pron

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6
Q

(FCR/FCU) palpation

A

Palpate tendons on volar surface of wrist

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7
Q

(FCR/FCU) subs

A

Finger flexors- fingers should stay relaxed

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8
Q

(ECR/ECU) actions

A

Wrist extension

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9
Q

(ECR/ECU) nerves

A

ECR Longus: Radial C6-7
ECR Brevis: Radial C7-8
ECU: Radial C7-8

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10
Q

(ECR/ECU) fair and above pos

A

Forearm pronated
ECR: wrist extended and radial deviated
ECU: wrist extended and ulnar deviated

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11
Q

(ECR/ECU) resistance

A

Across dorsum of wrist in direction of extension
ECR over 2-3rd MC
ECU over 4-5th MC

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12
Q

(ECR/ECU) below fair pos

A

Forearm neutral

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13
Q

(ECR/ECU) palpation

A

Palpate tendons on dorsal surface of wrist
ECR longus in line with 2nd MC
ECR brevis in line with 3rd MC
ECU in line with 5th MC distal to ulnar styloid process

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14
Q

(ECR/ECU) subs

A

Finger extensors- fingers should stay relaxed

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15
Q

(Lumbricals and interossei) action

A

MCP flexion with IP extension

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16
Q

(Lumbricals and interossei) nerves

A

Lumbricals 1-2 correspond to digits 2-3, Median Nerve C8-T1
Lumbricals 3-4 correspond to digits 4-5, Ulnar Nerve C8-T1

All interossei: Ulnar C8-T1

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17
Q

(Lumbricals and interossei) fair and above pos

A

Forearm supinated
Start with IP flexed/MCP neutral
Move to MCP flexed and IP extended

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18
Q

(Lumbricals and interossei) resistance

A

Resistance applied toward MCP extension

Resistance applied toward IP flexion

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19
Q

(Lumbricals and interossei) below fair pos

A

Forearm neutral

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20
Q

(Lumbricals and interossei) palpation

A

None

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21
Q

(Lumbricals and interossei) subs

A

Long finger flexors: IPs should remain extended

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22
Q

(Flexor digitorum superficialis) action

A

Flex the 2-5 fingers at MCP and PIP; assist to flex wrist

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23
Q

(Flexor digitorum superficialis) nerves

A

Median N, C8-T1

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24
Q

(Flexor digitorum superficialis) fair and above pos

A

Forearm supinated

Hold all fingers extended except for finger to be tested (Eliminating FDP). Patient flexes PIP

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25
Q

(Flexor digitorum superficialis) resistance

A

Resistance applied at middle phalanx.

Make sure you have a floppy DIP

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26
Q

(Flexor digitorum superficialis) below fair pos

A

Forearm neutral

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27
Q

(Flexor digitorum superficialis) palpation

A

Palmar surface of wrist between wrist flexors

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28
Q

(Flexor digitorum superficialis) subs

A

FDP: Tenodesis action by extending wrist- results in passive flexion
Relaxing IP extension results in passive flexion

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29
Q

(Flexor digitorum profundus) action

A

Flex the second through fifth fingers at MCP and DIP; assist to flex the wrist

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30
Q

(Flexor digitorum profundus) nerve

A

Digits 2-3 Median, C8-T1

Digits 4-5 Ulnar, C8-T1

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31
Q

(Flexor digitorum profundus) fair and above pos

A

Forearm supinated
Stabilized middle phalanx
Patient flexes DIP

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32
Q

(Flexor digitorum profundus) resistance

A

Resistance is applied at distal phalanx

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33
Q

(Flexor digitorum profundus) below fair pos

A

Forearm neutral

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34
Q

(Flexor digitorum profundus) palpation

A

Palmar surface of middle phalanx

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35
Q

(Flexor digitorum profundus) subs

A

Tenodesis action by extending wrist- results in passive flexion
Relaxing IP extension results in passive flexion

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36
Q

(Extensor digitorum, extensor indicis, extensor digiti minimi) action

A

Finger extension

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37
Q

(Extensor digitorum, extensor indicis, extensor digiti minimi) nerve

A

Radial C7-8

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38
Q

(Extensor digitorum, extensor indicis, extensor digiti minimi) fair and above pos

A

Forearm pronated

Patient extends MCP

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39
Q

(Extensor digitorum, extensor indicis, extensor digiti minimi) resistance

A

Resistance applied toward flexion on proximal phalanx

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40
Q

(Extensor digitorum, extensor indicis, extensor digiti minimi) below fair pos

A

Forearm neutral

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41
Q

(Extensor digitorum, extensor indicis, extensor digiti minimi) palpation

A

Tendons are apparent of dorsum of hand

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42
Q

(Extensor digitorum, extensor indicis, extensor digiti minimi) subs

A

Tenodesis action produces passive IP extension

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43
Q

(Dorsal interossei, abductor digiti minimi) action

A

Finger abduction

44
Q

(Dorsal interossei, abductor digiti minimi) nerve

A

Ulnar C8-T1

45
Q

(Dorsal interossei, abductor digiti minimi) fair and above pos

A

Forearm pronated

Patient spreads fingers

46
Q

(Dorsal interossei, abductor digiti minimi) resistance

A

Resistance toward adduction at distal phalanx

47
Q

(Dorsal interossei, abductor digiti minimi) below fair pos

A

Partial range

48
Q

(Dorsal interossei, abductor digiti minimi) palpation

A

1st dorsal interossei: at base of proximal phalanx, radial side of index finger
Abductor digiti minimi: ulnar border of hand

49
Q

(Dorsal interossei, abductor digiti minimi) subs

50
Q

(Palmar interossei) action

A

Finger adduction

51
Q

(Palmar interossei) nerve

A

Ulnar C8-T1

52
Q

(Palmar interossei) fair and above pos

A

Hand pronated

Patient adducts fingers toward middle finger

53
Q

(Palmar interossei) resistance

A

Resistance toward abduction at middle phalanx

54
Q

(Palmar interossei) below fair pos

A

Partial range

55
Q

(Palmar interossei) palpation

56
Q

(Palmar interossei) subs

A

Finger flexion

57
Q

(Flexor pollicis brevis) action

A

Thumb MP flexion

58
Q

(Flexor pollicis brevis) nerve

A

Superficial head, Medial C8-T1

Deep head, Ulnar C8-T1

59
Q

(Flexor pollicis brevis) fair and above pos

A

Forearm supinated

Patient flexes MP with IP extended

60
Q

(Flexor pollicis brevis) resistance

A

Resistance applied toward extension on the proximal phalanx

61
Q

(Flexor pollicis brevis) below fair pos

A

Partial range

62
Q

(Flexor pollicis brevis) palpation

A

Ulnar side of FP longus tendon in thenar eminence

63
Q

(Flexor pollicis brevis) subs

64
Q

(Flexor pollicis longus) action

A

Thumb IP flexion

65
Q

(Flexor pollicis longus) nerve

A

Median C8-T1

66
Q

(Flexor pollicis longus) fair and above pos

A

Forearm supinated
Stabilize MP in extension
Patient flexes IP

67
Q

(Flexor pollicis longus) resistance

A

Resistance applied toward extension on distal phalanx

68
Q

(Flexor pollicis longus) below fair pos

A

Partial range

69
Q

(Flexor pollicis longus) palpation

A

Tendon on palmar surface of proximal phalanx of thumb

70
Q

(Flexor pollicis longus) subs

A

Relaxation of IP extension produces passive flexion

71
Q

(Extensor pollicis brevis) action

A

Thumb MP extension

72
Q

(Extensor pollicis brevis) nerve

A

Radial C7-8

73
Q

(Extensor pollicis brevis) fair and above pos

A

Forearm midposition
Stabilize MC
Patient extends MP

74
Q

(Extensor pollicis brevis) resistance

A

Resistance applied toward flexion at proximal phalanx

75
Q

(Extensor pollicis brevis) below fair pos

A

Partial range

76
Q

(Extensor pollicis brevis) palpation

A

Base of 1st MC

Lies between tendons of abd. Pollicis and extensor pollicis longus

77
Q

(Extensor pollicis brevis) subs

A

EP longus- see extension of IP and CMC adduction

78
Q

(Extensor pollicis longus) action

A

Thumb IP extension

79
Q

(Extensor pollicis longus) nerve

A

Radial C7-8

80
Q

(Extensor pollicis longus) fair and above pos

A

Forearm midposition
Stabilize prox phalanx
Patient extends IP

81
Q

(Extensor pollicis longus) resistance

A

Resistnace applied toward flexion at distal phalanx

82
Q

(Extensor pollicis longus) below fair pos

A

Partial range

83
Q

(Extensor pollicis longus) palpation

A

Ulnar side of anatomical snuff box on dorsal surface of prox phalanx

84
Q

(Extensor pollicis longus) subs

A

Thenar muscle flex CMC resulting in passive IP extension

85
Q

(Abd. PB, Abd. PL) action

A

Thumb abduction

86
Q

(Abd. PB, Abd. PL) nerve

A

Abd. PL- radial C7-8

Abd. PB- median C8-T1

87
Q

(Abd. PB, Abd. PL) fair and above pos

A

Forearm supinated
Abd PB: patient abducts thumb
Abd PL: patient “abducts” thumb in plane halfway between true abduction and extension

88
Q

(Abd. PB, Abd. PL) resistance

A

Resistance applied toward adduction
Abd PB on proximal phalanx
Abd PL on distal end of 1st MC

89
Q

(Abd. PB, Abd. PL) below fair pos

A

Partial range

90
Q

(Abd. PB, Abd. PL) palpation

A

Abd PB: center of thenar eminence, medial to OP

Abd PL: at base of 1st MC on radial side of EPB

91
Q

(Abd. PB, Abd. PL) subs

A

EP brevis substitutes for Abd PL- abduction moves toward dorsum of hand

92
Q

(Adductor pollicis, 1st dorsal interossei) action

A

Thumb adduction

93
Q

(Adductor pollicis, 1st dorsal interossei) nerve

A

Ulnar C8-T1

94
Q

(Adductor pollicis, 1st dorsal interossei) fair and above pos

A

Forearm pronated

Patient adducts thumb to palm

95
Q

(Adductor pollicis, 1st dorsal interossei) resistance

A

Resistance applied toward abduction at prox phalanx

96
Q

(Adductor pollicis, 1st dorsal interossei) below fair pos

A

Partial range

97
Q

(Adductor pollicis, 1st dorsal interossei) palpation

A

Web space between thumb and index finger

98
Q

(Adductor pollicis, 1st dorsal interossei) subs

A

FP longus and brevis- see thumb flexion

EPL- see CMC extension

99
Q

(Opponens pollicis, opponens digiti minimi) actions

A

Opposition

100
Q

(Opponens pollicis, opponens digiti minimi) nerve

A

OP: median C8-T1
ODM: Ulnar C8-T1

101
Q

(Opponens pollicis, opponens digiti minimi) fair and above pos

A

Forearm supinated

Patient brings tips of thumb and little finger together

102
Q

(Opponens pollicis, opponens digiti minimi) resistance

A

Resistance applied at palmar eminences to spread out hand

103
Q

(Opponens pollicis, opponens digiti minimi) below fair pos

A

Partial range

104
Q

(Opponens pollicis, opponens digiti minimi) palpation

A

OP along radial shaft of 1st MC lateral to Abd PB

ODM hypothenar eminence radial side of 5th MC

105
Q

(Opponens pollicis, opponens digiti minimi) subs

A

FP longus and brevis- see finger flexion, touching tips to fingers
Abd PB- no rotation seen

E&M -JD (11 decks)

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