Elbow

Question 1

Visualization of the elbow in the flexion? Abnormal?

Answer 1

Should be triangle

If not, olecranon fracture suspected

Question 2

The median nerve runs between the heads of what muscle

Answer 2

Pronator teres

Question 3

Elbow ROM

Answer 3

Flexion: 160
Extension: 0
Supination: 90
Pronation: 90

Question 4

Mills test

Answer 4

+ = pain over lateral epicondyle

= lateral epicondylitis

Question 5

Cozens

Answer 5

Wrists extended
Doc pushes down

+ pain over lateral epicondyle
= lateral epicondylitis

Question 6

Lift test pronated

Answer 6

Lift weight with palm down (lift up)

+ pain over lateral epicondyle

Lateral epicondylitis

Question 7

Lift test supinate

Answer 7

+ pain over medial epicondyle

Medial epicondylitis

Question 8

Muscle test for radius

Answer 8

Triceps with wrist extended

Pt tries to extend elbow while doc pushes on it

Question 9

Muscle test for ulna

Answer 9

Triceps with wrist flexed

Question 10

DDx for painover lateral epicondyle

Answer 10

Lateral epicondylitis
Fracture
Radius P

Question 11

Treatment for epicondylitis

Answer 11

Ice
Rest
Support
PT
Strengthen
Check spine
Daily activities- modify if possible

Question 12

Elbow traction best for what

Answer 12

Ulna P

Good for: Ulna PM and Radius P

Question 13

MC subluxation in the elbow

Answer 13

Radius posterior

Question 14

Findings for Radius P

Answer 14

Pain over radial head
Decreased pronation (ROM)
Decreased extension and pronation (FM)
Decreased triceps with wrist extended

Question 15

fluid motion, ROM and muscle findings for Ulna P and PM

Answer 15

Decreased fluid motion on extension and supination

Decreased ROM in extension (elbow)

Decreased triceps with wrist flexed

Question 16

Pain point for ulna P

Answer 16

1-1.5 inches distal to medial epicondyle of humerus

Question 17

Pain point for ulna PM

Answer 17

Olecranon fossa near the process

Question 18

Nursemaids elbow

Answer 18

Dislocation of radial head from sudden pull on child’s arm

Unable to straighten

Question 19

Treatment of nursemaid’s elbow

Answer 19

Hold radial head
Traction
Rotate the forearm to reposition (full supination)

Question 20

Elbow traction

Answer 20

Docs thumb down in elbow crease and traction down while flexing forearm up.

LOOK at GH for movement

Best for ulna P

Question 21

Radius posterior adjustment

Answer 21

MC subluxation of the elbow

Thumb on posterior radius with fingers behind. Inferior hand at distal wrist

Fully pronate and extend. Back off and thrust.

Question 22

Ulna P procedure

Answer 22

Doc stand on lateral side of patient

Superior hand thumb web contact and inferior hand at distal wrist.

Extend and supinate; back off and thrust

(1-1.5inches distal to medial epicondyle)

Question 23

Ulna PM procedure

Answer 23

Doc stand on medial side of arm

Use 7/8 and pull L-M till contact on ridge of ulna

Extend and supinate; back off and thrust

Question 24

Ulna P and PM. ROM?

Answer 24

Decreased elbow extension

Question 25

Ulna P and Ulna PM. Fluid motion

Answer 25

Decreased fluid motion with extension with arm supinated.

Question 26

Radius P ROM

Answer 26

Decreased pronation

Question 27

Radius P fluid motion

Answer 27

Decreased P-A at radial head

Question 28

History common with wrist issues

Answer 28

FOOSH injuries

Question 29

Wrist ROM

Answer 29

Flexion: 90 Extension: 70 Radial deviation: 20 Ulnar deviation: 55

Question 30

Allens test

Answer 30

Pump blood, make a fist, doc occluded radial/ulnar artery. Lower and release Refill in less than 5 seconds Normal 5+= occlusion of artery released = TOS, cervical subluxation, Raynaud’s syndrome

Question 31

TOS tests

Answer 31

Adson’s Edens Wrights

Question 32

Adsons test

Answer 32

Palpate radial pulse. Turn head towards doc

Question 33

eden's test

Answer 33

palpate radial pulse and patient brings shoulders back and down +=TOS

Question 34

wrights test

Answer 34

indicates axillary artery or brachial plexus compression by pectoralis minor. 15 degrees difference = +

Question 35

english test

Answer 35

hold wrist over radial and ulnar artery and pump fist. tingling, numbess over distribution of median nerve CTS

Question 36

what is a common subluxation with CTS

Answer 36

anterior lunate --fix: strengthen extensors of hand

Question 37

what is done specially with patients wtih CTS and wrist traction

Answer 37

no extension

Question 38

what hand orthopedic tests are done

Answer 38

finklesteins and froment

Question 39

finklesteins

Answer 39

bring thumb across to pinky and then wrap fingers around it and ulnar deviate. +=pain =stenosing tenosynovitis of dequervian

Question 40

froments

Answer 40

hold paper between 1/2 finger with thumb straight and pull paper. + = pt flexes fingers ulnar N palsy

Question 41

history of C-MC

Answer 41

jammed, fell or hit hand, on crutches, cast removed

Question 42

what is MC-P and I-P good for

Answer 42

fixation/subluxation, jammed finger, arthritis, DJD