CLINICAL CARE OF THE ELBOW, HAND, AND WRIST

Question 1

What is another name for lateral tendinosis?

Answer 1

Tennis elbow

Question 2

What is another name for medial tendinosis?

Answer 2

Golfers/bowlers elbow

Question 3

What activities are associated with lateral epicondylitis?

Answer 3

• Lifting
• Turning screwdriver
• Hitting backhand in tennis
• Excessive typing
• Direct blow to lateral aspect of elbow

Question 4

What activities are associated with medial epicondylitis?

Answer 4

• Golf swing
• Baseball pitching
• Pull-through stroke in swimming
• Weightlifting
• Bowling

Question 5

What systemic inflammatory process might cause olecranon bursitis?

Answer 5

Rheumatoid Arthritis or gout

Question 6

What kind of antibiotics are required for septic olecranon bursitis?

Answer 6

Will be organism specific, ask MO.

Question 7

What are some of the less common nerve compression syndrome?

Answer 7

• Posterior interosseous nerve compression
• Pronator syndrome
• Radial tunnel syndrome

Question 8

Numbness and tingling in the 4th and 5th digits, Elbow pain/ache, May radiate proximally to shoulder and neck are symptoms of what?

Answer 8

Ulnar nerve compression

Question 9

What will you see with ulnar nerve compression of several months
to years duration?

Answer 9

Visible muscle wasting

Question 10

What is the most common dislocation in children and 3rd most in adults?

Answer 10

Elbow

Question 11

What is the following describing?Resulting from a fall on an outstretched hand (FOOSH),80% are posterior, may be complete or perched, and Lateral collateral ligament is always disrupted.

Answer 11

Elbow dislocation

Question 12

What radiographs are required for elbow dislocation?

Answer 12

AP and lateral

Question 13

How should you reduce an elbow dislocation?

Answer 13

• Elbow extended to 45 degrees.
• Slow, steady downward traction of forearm in line with long axis of humerus.
• Gentle pressure over olecranon tip.
• Repeat neurovascular examination after reduction.

Question 14

Numbness and tingling into radial three digits of the hand (1st, 2nd and 3rd digits), Pain and paresthesias or numbness of the median distribution(thumb, and index finger,
long finger, and radial half of ring finger), Worse at night, patients typically report the need to rub hands to “get circulation back”, and Worse after repetitive motion of the hand or stationary tasks of the wrist that require
long term flexion or extension are symptoms of what?

Answer 14

Carpal tunnel syndrome

Question 15

Long cases of carpal tunnel with show what with regards to the muscles?

Answer 15

Atrophy of the thenar eminence

Question 16

What shows Swelling or stenosis of the sheath that surrounds the abductor pollicis longus and extensor
pollicis brevis tendon at the wrist?

Answer 16

De Quervain Tenosynovitis

Question 17

Precipitated by repetitive use of thumb, Pain, swelling and triggering phenomenon results in locking or sticking of the tendon as
the patient moves the thumb, and Commonly affects middle-aged women are signs of what?

Answer 17

De Quervain Tenosynovitis

Question 18

What special test will be positive to show De Quervain Tenosynovitis?

Answer 18

Finkelstein test

Question 19

What is the most commonly fractured carpal bone?

Answer 19

Scaphoid bone