Elbow, wrist, hand Practical Setups Flashcards Preview

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Flashcards in Elbow, wrist, hand Practical Setups Deck (26):
1

elbow traction

put your wrist in the bend of the patient's elbow (thumb down) and press in until patient tolerance or until the joint opens up

2

radius P

find radial head with thumb, grab wrist with other hand
extend and pronate the elbow to end ROM, back off, then put a small thrust into it

3

ulna P

place knife-edge hand an inch down from the olecranon process, other hand supinates arm
bring arm to full tension, back off, then add a small thrust

4

ulna PM

tissue pull lateral to medial, same as ulna P otherwise

5

wrist traction longitudinal

traction wrist by grabbing distal forearm and hand
hold traction while flexing and extending wrist

6

wrist traction transverse

grab wrist, push fingers up into wrist while thumbs stretch from midline out

7

lunate, capitate Dth

have the patient hold their arm
traction wrist, then give a slight thrust at the end if it does't move before that

8

scaphoid, trapezium, trapezoid Dth

have patient hold their arm
traction and radial deviate the wrist, give a small thrust if it hasn't moved before that

9

triquetrum, hamate Dth

have patient hold their arm
traction and ulnar deviate the wrist and give a small thrust if it hasn't moved before that

10

lunate, capitate Sth

hold the opposite row of carpals
place thumb on affected carpal
traction and extend wrist

11

triquetrum, hamate Sth

hold the opposite row of carpals with one hand, place thumb on affected carpal, extend and ulnar deviate wrist

12

navicular, trapezium, trapezoid Sth

hold opposite row of carpals, place thumb on affected carpal and extend and radially deviate

13

MCP traction

pinch distal part of the metacarpal and the proximal part of the phalange
traction the joint

14

IP traction

pinch distal part of the phalange and proximal part of phalange around the joint in question
traction the joint

15

CMC 1st

have patient grab their arm
grab thumb with both hands
place both thumbs at base of 1st metacarpal
traction and extend the metacarpal

16

CMC 2-5

grab the carpals
place other thumb at the base of the metacarpal in question
traction and extend

17

Mill's test

show off bicep with fist facing them
have them turn their fist out and extend out
positive: lateral epicondylitis
posterior radius will also cause this to be positive

18

cozen's test

patient extends wrist against resistance
positive: lateral epicondylitis
posteiror radius will also cause this to be positive

19

lift test

have patient lift in pronation (extensors) and supination (flexors)
positive pronation= lateral epicondylitis
positive supination= medial epicondylitis
posterior radius can cause this to be positive

20

allen's test

have patient clench fists bilaterally, then hold a fist
occlude their arteries and have them open up their hands
positive is when the blood doesn't return within 10 seconds (patency of artery)

21

eden's test

palpate radial pulse
have them pull elbows into their sides and put their head down
a weakended or lost pulse means they have costoclavicular syndrome

22

wright's test

palpate pulse
lift their arm until their pulse is no longer palpable
unilateral positive: hyperabduction syndrome

23

adson's test

palpate pulse
have patient look up and toward you and hold their breath
positive: decrease in volume of pulse, scalenus anticus or cervical rib

24

tinel tap

tap over the median nerve for 10 seconds
positive: pain, carpal tunnel syndrome

25

phalen's

have patient touch back of hands together
positive: pain, carpal tunnel syndrome

26

english

compress forearm proximal to the wrist
have patient make a fist 6-8 times
positive: numbness and paresthesia, indicates carpal tunnel syndrome