Elbow and Wrist Dx and Txment Flashcards Preview

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Flashcards in Elbow and Wrist Dx and Txment Deck (40):
1

what is a gunstock deformity?

cubitus varus with reverse carrying angle
-usu. occurs due to a malunion fx

2

which ROM is mostly affected by a contracture?

extension

3

what is the tennis elbow test (lateral epicondyle damage)?

pain with resisted wrist extension

4

what is the golfer's elbow test (medial epicondyle damage)?

pain with resisted wrist flexion

5

what is tinel's sign?

light tapping on cubital tunnel over ulnar nerve, observe for sxs in ulnar nerve distribution

6

what might you see with imaging and chronic lateral epicondylitis?

calcification due to inflammation

7

after how many injections do you get an MRI with elbow injuries?

2

8

how does the lateral epiconydlitis surgery help?

causes injury and induces healing

9

what do always want to ask with medial epicondyler pain?

do you have numbness and tingling?

10

how do you reduce nurse maid's elbow?

passively flex to 90 degrees, place thumb over radial head placing posterior force. elbow is ext. suppinated feel click

11

what do you need to distinguish when you have olecranon bursitis?

aseptc vs septic

12

what might you see on XR with olecranon bursitis?

spur at olecranon

13

what is osteochondritis dissecans?

subchondral bone death forms a loose body

14

how does osteochondritis dissecans present?

effusion, pain at capitulum or involved area, stiffness, decrease ROM

15

which imaging study is dx for osteochondritis dissecans?

MRI shows hypodense bone

16

when would you do an EMG study for elbow problems?

when you don't know if the problem is coming from the neck of from the elbow

17

what is ulnar tunnel syndrome?

compression of ulnar nerve in guyon's canal caused by tumor, ganglion, thrombosis ulnar artery

18

who typically has UCL tears?

throwing athletes

19

what sxs do UCL tears have?

pain over inside of elbow PLUS cubital tunnel sxs

20

what is special about supracondylar elbow fx?

it needs to be treated immediately b/c of vessels and nerves

21

when treating kids, how many xrs should you get?

bilateral

22

what is lymphangitis?

infected lymph tracts

23

what is the most common cause of carpal tunnel syndrome?

flexor tenosynovitis

24

when do you NOT use epinephrine?

ears, nose, fingers, toes, hose

25

what are the 4 cardinal signs of Kanavel?

1. uniform swelling of digit
2. finger flexion for comfort
3. passive extension causes pain
4. exquisite pain entire length of tendon

26

what do you do to reduce joints?

1. traction
2. increase deformity
3. return to anatomical position

27

what space is commonly used for injections of the elbow?

anconeus muscle + triangle of radial head/olecranon/lateral epicondyle

28

what structures run through the cubital fossa?

R. artery
M. nerve
B. artery
U. artery
musculocutaneous nerve

29

what can Ehler's Danlos syndrome case?

congenital posterior, bilateral elbow dislocation

30

what can Monteggia cause?

traumatic elbow dislocation

31

what can cause developmental elbow dislocations?

cerebral palsy, neurological disorders

32

which artery supplies the superficial palmar arch?

ulnar artery

33

which artery supplies the deep palmar arch?

radial artery

34

what is Froment sign?

tests for ulnar nerve paralysis
pt holds paper b/w thumb and index finger
if they have to use their thumb, it is positive sign

35

what is finkelstein test?

tests for Quervain's tenosynovitis
positive sign is pain over 1st dorsal compartment when thumb is flexed and ulnar deviated

36

what is a Galeazzi fx?

fx of distal radius with dislocation of radioulnar jt

37

what is a colles fx?

FOOSH injury "dinner fork" from fall on extended wrist
Usu. >50 yo

38

what is a smith's fx?

reversed colles

39

what is a barton's fx?

distal radius fx with dislocation of radiocarpal joint (dislocation is more obvious than fx)

40

what is a bennet's fx?

intraarticular fx of CMC jt of thumb
(ORIF sx)

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