elbow

Question 1

list types of elbow pain

Answer 1

soft tissue lesions
neuropathies
Inflammatory Rheumatic Diseases
Traumatic Painful Conditions
Instabilities

Question 2

Ulnar nerve impingement leads to?

Answer 2

cubital tunnel syndrome

Question 3

Radial nerve entrapment leads to?

Answer 3

posterior interosseous nerve syndrome

Question 4

Median nerve entrapment leads to?

Answer 4

pronator teres syndrome

Question 5

give examples of traumatic painful conditions

Answer 5

Collateral ligament injury

Anterior capsule rupture

Biceps and triceps tendon rupture

Question 6

give examples of instabilities

Answer 6

Medial instability
Posterolateral instability

Question 7

It is often seen as a result of repetitive pronation and supination movements of the forearm while the elbow is in extension

it is related to which condition?

Answer 7

Lateral epicondylitis (Tennis Elbow)

Question 8

The extensor carpi radialis brevis (ECRB) tendon begins as a ?

Answer 8

micro-tear at the adhesion site.

Question 9

which tendons have similar microtears injuries?

Answer 9

Extensor carpi radialis longus (ECRL) and extensor carpi ulnaris (ECU)

Question 10

Pain in the lateral epicondyle region adjacent to the inner elbow
true or false?

Answer 10

false, outer

Question 11

Wrist and finger extension against resistance, wrist flexion with forced supination, pain increases with forced elbow extension in tennis elbow

true or false?

Answer 11

true

Question 12

for tennis elbow:

Often spread to the forearm and shoulder

It is dependent of elbow movements and has significant limitation of motion in the elbow

true or false?

Answer 12

false, independent of elbow motion and has no significant limitation of motion in the elbow

Question 13

what is the test for elbow tennis?

Answer 13

The patient’s forearm is stabilized and the fist is requested to extend the wrist.
Then, with the other hand, the wrist is flexed from the dorsal of the fist. If the patient has a tennis elbow, he / she hears a sudden and severe pain in the lateral epicondyle, the common origin of the wrist extensors

Question 14

Golfer’s Elbow or Baseball pitcher is related to which epicondyle?

Answer 14

medial epicondyle

Question 15

Medial epicondylitis is related to overuse of the extensor / supinatorr mass

true or false?

Answer 15

false
flexor,pronator mass

Question 16

Flexor carpi radialis and pronator teres are the most affected muscles in?

Answer 16

medial epicondylitis

Question 17

pain increases during handshakes with medial epicondylitis
true or false?

Answer 17

true

Question 18

for medial epicondylitis is most often with 20-50 years

for lateral epicondylitis is most often with 30-50 years

true or false?

Answer 18

true

Question 19

list location of pain with medial epicondylitis

Answer 19

forearm flexor face medially of the elbow

medial epicondyle by palpation

flexion of wrist versus resistance when the elbow is extended

pronation of wrist against resistance

Question 20

grip strength isn’t lost in medial epicondylitis
true or false?

Answer 20

false, is lost

Question 21

how to test medial epicondylitis?

Answer 21

increasing pain in the medial elbow while forearm pronation and wrist flexed

Question 22

Anti-inflammatory modalities
resting
Movement protection
Strengthening
Splinting (for reducing tendon tension)
are all?

Answer 22

conservative treatment for medial epicondylitis

Question 23

patient education and increasing muscle strength and endurance for?

Answer 23

POSTOPERATIVE TREATMENT for medial epicondylitis

Question 24

what is the goal therapy for medial and lateral epicondylitis?

Answer 24

Pain reduction
Lat. Epicondylitis: Ext. Origin of muscles
Med. Epicondylitis: Flexor and pronator
Correction of chronic inflammatory process
Correction of strength and tension of the affected muscle and tendon complex
Prevention of recurrence

Question 25

Resistant wrist ext.u, passive wrist flex. And pain in the palpation of the origin of the extensor muscle group. Radial tunnel symptoms can be accompanied. in?

Answer 25

lateral epicondylitis

Question 26

Pain in the palpation of the resilient wrist flex.u, passive wrist ext.u and flexor muscle origin related to?

Answer 26

medial epicondylitis

Question 27

what are the phases of nonoperative treatment?

Answer 27

acute chronic protection

Question 28

what is the acute phase for medial epicondylitis?

Answer 28

1- ice: for 15-20 min with 2-3 hours for 3 days 2- immobilizer splint: for 3 weeks 3- transverse friction massage 4- restriction of pic and grip movements 5-electrical stimulation 6- iontophoresis or NSAIDS 7- AROM wrist pron and flex

Question 29

exercises with hard palpation will help in ?

Answer 29

reducing pain

Question 30

Hot before the activity, ice application after the activity is achieved in ?

Answer 30

chronic period

Question 31

in chronic period what can we use for analgesia?

Answer 31

high voltage galvanic stimulation for 20 min

Question 32

Increasing and maintaining flexor force and flexibility for?

Answer 32

medial epicondylitis in protective period

Question 33

Increasing and maintaining extensor strength and flexibility for?

Answer 33

lateral epicondylitis in protective period

Question 34

posture and positioning training is related to?

Answer 34

protection period

Question 35

which position and degree we splint the wrist with ulnar nerve compression?

Answer 35

extension between 40-60 degree

Question 36

Between the deep and superficial heads of the supinator muscle we have?

Answer 36

radial nerve

Question 37

sign and symptoms of lateral epicondylitis is same as?

Answer 37

radial nerve compression

Question 38

It is seen after load bearing and forced supination - pronation movements when the elbow is at full extension it is related to?

Answer 38

radial nerve compression

Question 39

if median nerve compressed over carpal tunnel we will focus on? and if the median nerve is compressed in the carpal tunnel we will focus on?

Answer 39

over= focusing as motor and sensory treatment in carpal tunnel= only sensory and pain

Question 40

Hypoesthesia and paresthesia, diffuse pain in forearm, weakness in forearm pronation are seen with?

Answer 40

median nerve compression

Question 41

resistant pronated and flexed wrist increases the?

Answer 41

pain with median nerve compression

Question 42

what are the structures of carpal tunnel syndrome?

Answer 42

Median nerve flexor digitorum profondes (4 tendons) Flexor digitorum suparfesialis (4 tendons) Flexor pollicis longus

Question 43

Pain Paresthesia (increased by night and repetitive hand movements) Thenar atrophy Weakness in hand Symptoms are reduced by shaking hands. are symptoms of?

Answer 43

carpal tunnel syndrome

Question 44

list the test applied for CTS

Answer 44

Tinel's test commpression tent phalen

Question 45

2-point discrimination vibrometer Semmes- Weinstein Monofilament are testing?

Answer 45

sensory innervation

Question 46

Semmes- Weinstein Monofilament test we start from green till orange. true or false?

Answer 46

false, from orange till green

Question 47

what is the conservative treatment of CTS?

Answer 47

Wrist Rest Splint      3 weeks night and day      3 weeks night NSAIDs Vitamin B6 Electrotherapy (Iontophoresis, US, Laser) Exercise Tendon gliding exercises. Nerve gliding exercises

Question 48

Patient education Wrist extension splint Edema control Elevation Compression clothes Intermittent overhead punch Contrast Bathroom Scar Treatment (if) Exercise (3-5 times a day, 10 repetitions) Tendon gliding exercises Nerve gliding exercises Thumb ROM isometric strengthening thenar and hypothenar treatment for?

Answer 48

postoperative CTS

Question 49

Abductor polices longus and extensor polices brevis tendons are compressed in?

Answer 49

De Quervain Syndrome

Question 50

Swelling in the anatomical snuffbox Decreased (CMC) abduction (ROM) of the first digit. thickening of the extensor sheaths of the first dorsal compartment and crepitus Weakness and paranesthesia in the hand A provocative Finkelstein test. in?

Answer 50

De Quervain Syndrome