Extar From 14b That I Forgot Flashcards
(36 cards)
What are the main 4 mm that will be weak from radial tunnel syndrome
- EPL
- EI
- APB
- EPB
What should u MMT for radial tunnel syndrome to full in
- EI
- resist supination with elbow straight
- retest EI
(+) if weaker for EI
What should u avoid for treatment for radial tunnel syndrome
Avoide resisted supination , especially with elbow extended
(Okay to stretch supinators)
What are teh 3 most common median n injuries compression sites in the forearm
• Pronator syndrome
• Anterior interosseous nerve
syndrome
• Carpal tunnel syndrome
What is pronator teres syndrome
Compression of median nerve b/t
heads of pronator teres muscle
How can u DDx for pronator teres syndrome
Use resisted pronation
How long does it take pronator teres syndrome to resolve without intervention
6 months
What should u avoid during treatment for pronator teres syndrome
• Avoid resisted pronation, especially with elbow extended
This is good
• Gentle pronation stretching (contract/relax)
• Neural gliding Median N
What is the terminal motor branch of the medial N
Anterior interosseous N
MOTOR N ONLY
What does the AIN supply MM wise
- FPL
- FDP of digit is 2 and 3
- PQ
• Patient reports= Difficulty gripping, buttoning shirts, or forming a fist
Objective findings:
• Weakness of innervated muscles
• Positive Pinch Grip Test (Froment’s Sign)
• Difficulty making “OK” sign
If this is what u found what do u think
AIN syndrome
What are some conservative manament u can do for AIN syndrome
• Begin within 6 months of onset
• Nerve glides, activity modification, flexor muscle stretching, anti-inflammatories
When does sx decompression need to be done for AIN syndrome
Within 8 months of SYMTOMS onset if no recovery w conservative management
What is the MOI from carpal tunnel syndrome
Repetitive over use
How is the pain from CTS
- activity related pain w dysesthesia in radial 3 1/2 digit is
*night pain and paraesthesias
How is the dx made for CTS
- (+) tinels sign
- (+) phalens sign
- sensory changes in Median n
What are some ther ex exercseis u could do with CTS
• Nerve glides
• Stretching for wrist extensors and supinators
• Grip strengthening symptom free
What are some meds u can take with CTS
• Anti-inflammatories
• Steroid injections
• Diuretics
• Low dose Vitamin B 12
What sx intervention for CTS will have a slightly faster return to wokr and function but could be unsuccessful
Endoscopic
• Flexor Digitorum
Superficialis
• Flexor Pollucis Longus
• Radial ½ of Flexor
Digitorum Profundus
• Flexor Pollicus Brevis
• Opponens Pollicus
• Radial ½ of Lumbricals
• Abductor Pollicus Brevis
What are these mm innervated by
Median n
For an APE hand they may flex DIP where
4th and 5th , not 2nd and 3rd
What are sites where there can be ulnar n compression
• Cubital tunnel syndrome
• Guyon’s canal
What are the 5 potential areas of compression for the cubital tunnel syndrome
– Medial intermuscular membrane
– Arcade of Struthers
– Medial epicondyle
– Heads of FCU
– Between FCU and adjacent tissue
(ulna, FDP
What is the “Heelbo” protector used for
Cubitla tunnel syndrome
