Elbow Wrist and Hand Evaluation Flashcards Preview

OS Exam 2 > Elbow Wrist and Hand Evaluation > Flashcards

Flashcards in Elbow Wrist and Hand Evaluation Deck (40)
Loading flashcards...
1

carry angle
normal, cubitus varus and cubitus valgus

5-15
cubitus varus <5
cubitus calgus >15

2

flexion ROM

140-150

3

extension ROM

0- -5

4

supination and pronation ROM

90

5

nerve root tested for biceps reflex test

C5

6

nerve root tested for with brachioradialis reflex test

C6

7

nerve root tested for with triceps reflex test

C7

8

valgus stress test assesses

medial (ulnar) collateral ligament

arm slightly abducted and externally rotated
forearm supinated and flexed to 30
slight medial valgus stress to elbow joint

+ with pain/tenderness and laxity

9

varus stress test assesses

lateral (radial) collateral ligament

arm slightly abducted and internally rotated. elbow flexed to 15
varus stress applied to elbow joint

10

tinel test assesses

ulnar nerve entrapment/cubital tunnel syndrome

tap between olecranon and medial epicondyle in ulnar groove

+ test = tingling sensation down forearm within ulnar n distribution

11

golfers elbow test assesses

medial epicondylitis

anterior forearm/flexor compartment

12

golfers elbow test

elbow flexed to 90 and forearm placed in supination with wrist neutral and palm facing up
stabilize proximal forearm and resist flexion

+ = pain/tenderness around medial epicondyle

13

cozen's test assesses

tennis elbow test

lateral epicondylitis

14

cozen's test

flex elbow to 90 and pronate forearm
stabilize proximal forearm and have patient extend wrist

+ = pain/tenderness around lateral epicondyle

15

olecranon bursitis can result from

overuse (students elbow)
occupational (miners elbow)
athletic injury

region is often painless and ROM is normal

16

Little league elbow refers to

a group of problems related to stress of throwing in young adults

17

medial apophysitis occurs during

childhood

18

medial epicondyle avulsion fractures typically happen during

adolescence

19

medial collateral ligament tears typically occur during

young adulthood

20

little league elbow characteristics

pain over medial epicondyle after throwing (repetitive valgus distraction force) progresses to persistent pain

most common elbow injury during childhood as growth plates are not fused
bone development changes characteristic of little league elbow

21

nursemaids elbow
tear of ______ ligament
_____ is typically _______ displacement

annular ligament tear and/or radial head subluxation from annular ligament
pain with palpation of radial head with anterior displacement
restriction to posterior glide

22

Coupled motions at elbow

ulnar adduction and radial head anterior glide with supination and vice versa

23

wrist ROM

flexion 80-90
extension 70
ulnar deviation 30-40
radial deviation 20-30

24

compression of the ulnar n is typically due to

flexor carpi ulnaris

25

ok sign test assesses

anterior interosseous nerve - motor branch of median n
innervates flexor pollicis longus, deep flexors of digit 2 and 3, pronator quadratus

26

carpal tunnel syndrome

entrapment of median n at the wrist in the carpal tunnel produces pain and parasthesias
chronic use may develop atrophy of intrinsic muscles of hand

27

tinel's sign assesses

entrapment of median n or carpal tunnel syndrome

28

tinel's sign test

tap transverse carpal ligament between thenar and hypothenar eminences
with patients hand held in extension

+ = parasthesias/numbness/tingling/pain radiating to thumb, index and middle finger (median n distribution)

29

phalen's sign test assesses

carpal tunnel syndrome

30

phalen's sign test

force patients hands into flexion and press the dorsal aspects together

+ = any reproduction of symptoms/parasthesias in the distribution of the median n

indicates carpal tunnel syndrome