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Flashcards in Elbow n' Such Deck (57):
1

What is flick's sign?

Paresthesias in the hand after sleeping that resolve with flicking of the wrist

2

What are the ssx of carpal tunnel syndrome?

Pain and numbness of the thumb, index, middle, and radial side of the ring finger

3

What are the late ssx of carpal tunnel?

Thenar eminence atrophy

4

What are the spinal levels that contribute to the brachial plexus?

C5-T1

5

What are the viscerosomatics to the UE?

T2-T8

6

What are the four main vascular parts of the axial skeleton?

Thoracic inlet
Clavicle
Ribs
Pectoral and axillary folds

7

What are the muscle attachments of the trapezius?

Occiput
C-spine
T1-T12

8

What are the areas that should be treated to "drain" the UE? (6)

-Thoracic inlet
-Thoracics and ribs
-Cervicals
-Head (OA)
-Shoulder and elbow
-Distal SDs

9

Treating the thoracics and ribs does what for the UE?

decreases sympathetic tone and improves V?L return

10

Treating the AA does what for the UE?

Addresses segmental and myofascial dysfunctions

11

Treating the shoulder and elbows does what for the UE?

Relieves bony and articular restrictions

12

What is the wrist important for?

Position of the hand to provide mechanical advantage, and acts as a stabilizer for effective functioning of the hand

13

What type of joint is the elbow joint?

Uniaxial hinge joint

14

What are the two joints in the elbow?

Humeroulnar
Humeroradial

15

What are the components of the humeroulnar joint?

Trochlea to the trochlear notch

16

What are the components of the humeroradial joint?

Capitulum to the radial head

17

What is the joint that comprises the pivot joint of the elbow?

Proximal radioulnar

18

What are the two ligaments of the elbow? What is their function?

Radial (RCL)
Ulnar (UCL)

Limit varus/valgus stress on the elbow joint

19

What is the purpose of the annular ligament of the elbow joint?

Prevents distal displacement of the radius

20

What is the function of the interosseous membrane between the radius and the ulna? Which way do the fibers run within this?

Increases surface area for muscular attachment

Slant upward from the ulna to the radius

21

Where does the force in the radius travel on an outstretched hand?

Loads on the radius will tense the interosseous membrane and be transferred to the ulna

22

What are the bones of the hand? (8)

-Scaphoid
-Lunate
-Triquetrum
-Pisiform
-Trapezium
-Trapezoid
-Capitate
-Hamate

23

What is the most commonly fractured carpal bone?

Scaphoid

24

What makes up the floor of the anatomical snuff box?

Scaphoid

25

What is the most frequently dislocated carpal bones?

Lunate

26

What is the largest carpal bone?

Capitate

27

Pain from where can radiate to the hand?

neck, shoulder or elbow region

28

What shoulder muscles in particular can cause hand pain?

-Infraspinatus
-Serratus posterior superior
-Lat dorsi
-Scalenes

29

What is Cozen's test of the elbow?

It is a physical examination performed to evaluate for lateral epicondylitis or, tennis elbow. The test is said to be positive if a resisted wrist extension triggers pain to the lateral aspect of the elbow owing to stress placed upon the tendon of the extensor carpi radialis brevis muscle. The test is performed with extended elbow

30

What are the specific areas that may be tender at the elbow?

Lateral epicondyle
Medial epicondyle
Olecranon

31

What is the major flexor of the thumb?

Abductor pollicis brevis

32

Bringing the thumb anteriorly=?

Abduction

33

Bringing the thumb into the plane of the palm = ?

Adduction

34

Bringing the thumb away from the palm, but staying within the same plane = ?

Extension

35

Bringing the thumb toward the palm, but staying within the same plane = ?

Flexion

36

What is opposition of the thumb? What is the opposite motion of this?

Opposing the thumb with the other digits.

Reposition is the opposite motion

37

What is the piano key sign?

Tests for instability at the distal radioulnar joint

38

What are the two major causes of instability of the radioulnar joint?

RA
Trauma

39

What is nursemaid's elbow?

Radial head subluxation away from the annular ligament

40

What are the PE findings with radial head subluxation?

-TTP near the radial head
-Pain with F/E
-Supination/pronation intact without pain

41

What does the Cozen's test assess for?

Lateral epicondylitis

42

What does the finkelsteins test assess for?

De quervains

43

What is Maudsley's test, and what does it assess for?

The examiner resists extension of the 3rd digit of the hand, stressing the extensor digitorum muscle and tendon, while palpating the patient’s lateral epicondyle. A positive test is indicated by pain over the lateral epicondyle of the humerus.

Lateral epicondylitis

44

What does the Phalens test assess for?

Carpal tunnel

45

What does the piano key test assess for?

DRUJ instability

46

What does the Snuff box test assess for?

Scaphoid fracture

47

What does the tinel sign at the elbow test assess for?

Cubital tunnel syndrome

48

What does the tinel sign at the wrist test assess for?

carpal tunnel syndrome

49

What does the varus and valgus stress test assess for?

UCL/RCL instability

50

What does pain with elbow flexion/extension or supination/pronation test assess for?

Elbow subluxation

51

Supination of the arm does what to the radial head?

Moves anteriorly

52

Pronation of the arm causes what motion of the radial head?

Radial head moves posteriorly

53

What are the three major hand/wrist problems that may be treated with s/cs?

Radial head
Coronoid process
Anterior interosseous

54

What are the two major posterior s/cs tender points at the elbow?

Medial and lateral olecranon

55

What happens to the anterior radial head with FOOSH?

Proximal radial head moves anteriorly, distal moves posteriorly

56

In supination, the radial head is where?

Anterior

57

What are the six steps of the DMU UE OMT protocol?

1. Thoracic inlet
2. Thoracics/ribs
3. Cervs
4. OA
5. Shoulder/elbow
6. Distal SD