3.) Upper extremity conditions

Question 1

Mid shaft humerus fracture likely damages

Answer 1

the radial nerve

Question 2

Distal humerus facture (supracondylar) most likely damages the

Answer 2

Radial nerve

Question 3

Medial condyle could potentially damage the

Answer 3

median nerve

Question 4

Lateral epicondylitis

Answer 4

• wrist extension overuse
• tennis elbow

Question 5

How do you test lateral epicondylitis?

Answer 5

resisted wrist extension + radial deviation

Question 6

Medial epicondylitis

Answer 6

• wrist flexion overuse
• golfers elbow

Question 7

How do you test medial epicondylitis

Answer 7

passive supination, elbow, extension, wrist extension

Question 8

What is the interventions for epicondylitis

Answer 8

• night immobilization, counterforce brace, avoid aggravating activities, cryotherapy
• cross friction massage, neuromobilatzion, soft-tissue mobilization, passive stretching
• eccentric training

Question 9

How does a counterforce brace work?

Answer 9

The brace goes around the muscle belly to take the weight off the origin muscle on the epicondyle

Question 10

What is De Quervain’s Tenonsynovitis

Answer 10

Overuse injury of thumb and wrist

-Gripping, lifting with thumb up

Question 10

What muscles are affected with De Quervain’s Tenosynovitis

Answer 10

APL and EPB

Question 11

How to test for De Quervain’s Tenosynovitis?

Answer 11

Finkelstein’s
Eichoff’sF

Question 12

Finkelstein’s test

Answer 12

passive thum flexion with ulnar deviation

Question 13

Eichhoff’s Test

Answer 13

place thumb in clenched fist, active/passive ulnar deviation

Question 14

Bunnel-littler test

Answer 14

used to differentiate between tight MCP capsule and tight intrinsic muscles

Question 15

Normal lumbrical action

Answer 15

flex MCP, extend PIP

Question 16

Bunnell-litter Test explained

Answer 16

if there is no motion difference when there is slack on the lumbrical then it is capsular tightness

Question 17

Resting position of the elbow

Answer 17

elbow flexed to 70, 10 supinated

Question 18

Humeroulnar distraction increases

Answer 18

flexion and extension

Question 19

Humeroulnar distal glide increases

Answer 19

flexion

Question 20

Radioulnar Joint PPP

Answer 20

proximal -> pronation -> posterior glide

Question 21

Proximal radioulnar dorsal glide improves

Answer 21

pronation

Question 22

Proximal radioulnar volar glide improves

Answer 22

supination

Question 23

Distal radioulnar dorsal glide improves

Answer 23

supination

Question 24

Distal radioulnar volar glide improves

Answer 24

pronation

Question 25

Radiocarpal dorsal glide increases

Answer 25

flexion

Question 26

Radiocarpal volar glide increases extension

Answer 26

Radiocarpal radial glide increases ulnar deviation

Question 27

Radiocarpal ulnar glide increases

Answer 27

radial deviation

Question 28

MCP and IP volar glide

Answer 28

increases flexion

Question 29

MCP and IP dorsal glide increase

Answer 29

extension

Question 30

What are the tendons you prevent stress on with an extensor tendon repair

Answer 30

EDS and EDP

Question 31

What early motion is allowed with extensor tendon repair

Answer 31

active flexion and passive extension *do not stretch into flexion *rubberbands of brace on dorsal side to prevent stretching into flexion

Question 32

What are the tendons you prevent stress on with an flexor tendon repair

Answer 32

FDP/FDS

Question 33

What early motion is allowed with flexor tendon repair

Answer 33

active extension and passive flexion *do not stretch into extension *rubberbands of brace on volar side to prevent stretching into extension