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PCE > UE Msk By Ptdi > Flashcards

UE Msk By Ptdi Flashcards

1
Q

Subacromial space

A

Area between the coracoacronial arch and greater tuberosity

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2
Q

Signs and symptoms of arterial TOS

A

Cool skin, pale extremity, diminished or absent pulse, rapid fatigue of limb, lower BP on the affected side

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3
Q

Mill’s test procedure

A

While palpating the lateral epicondyle, passively pronated the patient’s forearm, flex the wrist fully, and extend the elbow

P Lateral epicondilite

Passive wrist flexion

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4
Q

Examples of secondary adhesive capsulitis

A

Trauma, immobilization, surgery, recent stroke, recent MI, thyroid disease, DM, OA,

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5
Q

Roof of the carpal tunnel

A

Flexor retinaculum

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6
Q

Shoulder separation

A

Trauma to the ligaments holding the acromion and clavicle together causing separation between the two joint surfaces

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7
Q

Hand of benediction

A

Inability to flex D1-D3 due to high level lesion of median nerve. D1-D2 remain in extension when attempting to make a fist, only seen when actively attempting to flex digits

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8
Q

Presentation of grade 3 ligament sprain

A

Significant swelling, ecchymosis, and pain. Gross laxity present. No end feel is noted.

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9
Q

Gamekeeper’s thumb

A

Sprain of the ulnar collateral ligament (aka medial collateral ligament) of the thumb

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10
Q

Capsular pattern of the shoulder

A

Loss of ER>ABD>IR

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11
Q

Shoulder dislocation

A

Separation of the humerus from the scapula

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12
Q

Trophic changes that may be seen in CRPS

A

Colour changes (mottled, pink, red, cyanotic, or pale), temperature changes (warm/hot or cold), edema, shiny tight skin, abnormal hair and nail growth

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13
Q

Finklestein test procedure

A

Patient makes a fist with the thumb inside the fingers. The therapist stabilizes the patient’s forearm and ulnar deviates the wrist.

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14
Q

Cozen’s test procedure

A

Stabilize elbow and palpate lateral epicondyle with thumb.

Patient actively makes a fist, pronates the forearm, and radially deviates and extends the wrist while the examiner resists the motion.

(Resisted wrist extension)

Para lateral epicondilite

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15
Q

Double crush syndrome

A

Nerve compression at more than one site along the same
nerve

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16
Q

Complications of scaphoid fracture

A

Avascular necrosis, nonunion of fracture, and arthritis

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17
Q

Radial Tunnel Syndrome

A

Entrapment of the posterior interosseous nerve (a branch of the radial nerve)

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18
Q

Trigger finger

A

Thickening of the flexor tendon sheath (Notta’s nodule) results in the tendon sticking, catching, or locking when attempting to flex the affected finger

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19
Q

Medial epicondylosis commonly involves the
tendon

A

pronator teres; flexor carpi radialis

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20
Q

Claw hand

A

Hyperextension of MCP and Flexion of IP joints of D4-D5 due to ulnar nerve lesion

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21
Q

Positive Halstead maneuver

A

Disappearance of the radial pulse

Also know as reverse Adson test

Used for TOS

The patient is sitting or standing. The therapist continuously palpates the radial pulse on the side being tested. While still palpating the radial pulse, the therapist abducts the arm to 45 degrees, extends the shoulder to 45 degrees, and externally rotates the upper extremity while applying a downward distraction to the arm. The patient is then asked to fully turn her head away from the side being tested and extend the cervical spine.

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22
Q

Special tests for cubital tunnel syndrome

A

Cubital tunnel compression test, Tinnel’s test at the elbow,
Elbow flexion test

Fascia involving ulnar nerve compression

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23
Q

CRPS stage 1 characteristics

A

Acute

Pain, hyperhidrosis, warmth, erythema, rapid nail growth, and edema in the distal extremity

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24
Q

Primary (Structural) impingement

A

Impingement as a result of congenital abnormalities or degenerative changes to the acromion process, coracoid process, greater tuberosity, rotator cuff, or anterior tissues due to stress overload causing impingement

. E.g., Hooked acromion, greater tuberosity

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25
Q

Mallet finger deformity

A

Flexion of the DIP at rest due to rupture or avulsion of the extensor tendon at it’s insertion in the distal phalanx from a hyperflexion injury

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26
Q

Wrist drop

A

Due to radial nerve injury
Dr Cu Ma

Inability to extend the wrist of the mcp joint

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27
Q

Digits most commonly affected with trigger finger

A

D3-D4

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28
Q

Nursemaid’s elbow

A

Subluxation of the radial head

29
Q

Guyon’s canal

A

A semirigid canal created by the connections between the pisiform bone and the hook of the hamate

Ulnar side

30
Q

Maudsley’s test procedure

A

P lateral epicondilite.

Resisted digit 3 extension

Resist extension of third digit of hand distal to the proximal interphalangeal joint, stressing extensor digitorum muscle and tendon

31
Q

De Quervain’s Tenosynovitis

A

Painful inflammation of the sheath (synovium) surrounding the tendons of the 1st dorsal compartment

Pain on the base of the thumb( snuff box)

Pain is worse with abduction of the thumb, a grasping action of the hand, and an ulnar deviation of the wrist.

32
Q

Gamekeeper’s thumb painful movements

A

Abduction and extension

33
Q

Cause of primary adhesive capsulitis

A

Idiopathic

34
Q

Duputren’s contracture

A

Contracture of the palmar fascia

35
Q

Heberden nodes

A

Osteoarthritic enlargement of the DIP on the dorsal surface

36
Q

CRPS stage 3 characteristics

A

Pain either decreasing or becoming worse, severe osteoporosis,
muscle wasting,
and contractures

37
Q

Tendinosis

A

Degenerative changes within a tendon without inflammation

38
Q

Lateral epicondylosis commonly involves the tendon

A

extensor carpi radialis brevis

39
Q

CRPS Type I

A

Occurs after injury to tissue. Formerly known as Regional Sympathetic Dystrophy (RSD).

40
Q

Digits commonly affected with Duputren’s contracture

A

D4-D5

41
Q

Avascular necrosis

A

Death of bone tissue due to interruption of the blood supply

42
Q

Characteristics of Stage 2 of adhesive capsulitis

A

Persistent and more intense pain, even at rest (dull and achy), Restricted ROM in all directions (capsular pattern)

Capsular pattern of shoulder:
Er rotation
Abd
In rotation

43
Q

Contents of the carpal tunnel

A

The tendon of flexor pollicis longus, 4 tendons of flexor digitorum profundus, 4 tendons of flexor digitorum superficialis, median nerve

44
Q

Cause of nursemaid’s elbow

A

Longitudinal traction with wrist in pronation

45
Q

Splinting position for gamekeeper’s thumb

A

MCP in slight flexion

46
Q

Complications of colles fracture

A

Compression neuropathy (most commonly the median nerve), CRPS, and arthritis

47
Q

Signs and symptoms of venous TOS

A

Painful swelling in arm, mottled bluish discoloration

48
Q

Ape hand

A

Inability to abduct or oppose the thumb due to low level lesion of median nerve. Thumb is held in the same dorsal-ventral plane as D2-D5.

49
Q

Glenohumeral painful arc range

A

60°_ 120°

50
Q

Causes of olecranon bursitis

A

Trauma (e.g., falling on your elbow), pressure (e.g., leaning your elbow on a hard surface for a prolonged period), infection

51
Q

Differential diagnosis for lateral epicondalgia

A

Cervical radiculopathy C5-C6, Radial nerve entrapment,
Musculocutaneous nerve tunnel syndrome, Supraspinatus
referral, Radial head fracture, Radiohumeral synovitis

52
Q

Site of compression in Scalenus Anterior Syndrome

A

Interscalene triangle: Between the scalenus anterior and scalenus medius (Supraclavicular)
Superior border of the 1 rib

53
Q

Signs and symptoms of shoulder separation

A

Step deformity, Tenderness and swelling over AC joint, Pain with shoulder horizontal adduction, elevation, and HBB

54
Q

Tendon sheaths affected in De Quervain’s Tenosynovitis

A

Abductor pollicis longus and extensor pollicis brevis

55
Q

Pronator teres syndrome (also known as pronator syndrome)

A

Entrapment of the median nerve between the two head of the pronator teres muscle

56
Q

CRPS Type lI

A

Occurs after injury to nerve. Formerly known as Causalgia.

57
Q

Site of compression for Hyperabduction Syndrome

A

Axillary interval: Under the coracoid process and behind the pec minor (Infraclavicular)

58
Q

Elbow flexion test procedure

A

Patient is asked to fully flex the elbow with extension of the wrist and abduction (90°) and depression of the shoulder girdle. The patient hold this position for 3-5 min

used to determine the cubital tunnel syndrome (ulnar nerve ).

59
Q

Cubital tunnel syndrome

A

Entrapment of the ulnar nerve in the cubital tunnel or between two head of the flexor carpi ulnaris muscle

60
Q

Bouchard nodes

A

Osteoarthritic enlargement of the PIP on the dorsal surface

61
Q

Causes of shoulder separation

A

Downward force on the acromion, directly falling on or hitting the acromion, falling on outstretched hand or falling on elbow

62
Q

Signs and symptoms of neurogenic TOS

A

Paresthesia, numbness, weak grip strength, loss of manual dexterity and precision movements in hands

True TOS anomaly of the bone compressing the nerve

63
Q

Why does rheumatoid arthritis increase the risk of developing carpal tunnel syndrome?

A

Due to inflammation of the flexor tendons and tendon sheaths

64
Q

Sulcus sign

A

Indentation or groove created inferior and laterally to the acromion when traction is applied to the arm

65
Q

Tx for CRPS

A

Phase 1: Activation of pre-sensorimotor co
Visual tactile discrimination.

Phase 2: Gentle active ROM Progressive AROM and Isometric strengthening

Phase 3: Weight bearing: UL: carrying items
LL: partial weight bearing

Desensitisation Progressive stimulation with textures (soft to more rough); Contrast baths with progressive broadening of the temp difference

Pain and edema Management

Aquatic therapy General aerobic activity

66
Q

The physiotherapist educates the client on using crutches appropriately to reduce the risk of crutch palsy. Which of the following is a sign or symptom of crutch palsy?

a) Claw hand
b) Hand of benediction
c) Foot drop
d) Wrist drop

A

D radial nerve

67
Q

18-year-old Elizabeth is diagnosed with an anterior cruciate ligament injury and laceration to the anterior surface of her forearm after a collision at her soccer game.
Upon examination, the anterior drawer tests shows laxity with an empty end feel. Manual muscle testing shows grade 4 strength of her flexor pollicis brevis.

When performing a test on the flexor pollicis brevis, the therapist should direct the force in what direction?

a. Along the volar aspect of the proximal phalanx of the thumb.

b. Along the volar aspect of the distal phalanx of the thumb.

c. Along the dorsal aspect of the proximal phalanx of the thumb.

d. Along the dorsal aspect of the distal phalanx of the thumb.

A

A

68
Q

When performing a test on the flexor pollicis brevis, the therapist should direct the force in what direction?

a. Along the volar aspect of the proximal phalanx of the thumb.
D. Along the volar aspect of the distal phalanx of the thumb.
c. Along the dorsal aspect of the proximal phalanx of the thumb.
d. Along the dorsal aspect of the distal phalanx of the thumb.

A

A

PCE (40 decks)

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