guest lecture Flashcards

(77 cards)

1
Q

how do you check the median nerve

A

okay sign

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2
Q

how do you check the radial nerve

A

thumbs up

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3
Q

how do you check the ulnar nerve

A

restroom sign

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4
Q

what is the carpal tunnel syndrome

A

entrapment of the median nerve in the carpal tunnel

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5
Q

what are motor impairments of carpal tunnel syndrome

A

weakness and atrophy of the thenar muscles

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6
Q

what passes thru the carpal tunnel

A

flexor digitorum superficial
flexor digitorum profundus
flexor pollicis longus
median nerve

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7
Q

when you get surgery for carpal tunnel syndrome what are you releasing

A

the transverse carpal ligament

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8
Q

the transverse carpal ligament does not

A

make bowstring

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9
Q

what is median nerve palsy

A

impaired sensation among palmer aspect of radial half of hand

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10
Q

if you have proximal median nerve palsy then you have loss of

A

anterior compartment of forearm (except FCU and medial half of FDP)

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11
Q

is you have distal median nerve palsy then there is loss of

A

thenar muscles and lateral 2 lumbricals

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12
Q

what is ape hand

A

atrophy of thenar muscles

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13
Q

where dies the thumb rest in ape hand

A

in addiction

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14
Q

ape hand is described in

A

resting position

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15
Q

what is the hand of benediction

A

extension of digits 1-3 when actively making a fist

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16
Q

what is radial nerve palsy

A

impaired sensation along dorsal aspect of thumb and radial half of the hand

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17
Q

radial nerve palsy causes a loss of muscles in

A

posterior arm and forearm with a decreased grip strength

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18
Q

what is wrist drop

A

wrist rests in flexion

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19
Q

what does wrist drop limit

A

the ability to extend teh wrist and fingers

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20
Q

what is ulnar nerve palsy

A

impaired sensation along the palmar aspect of digit 5 and ulnar half of digit 4

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21
Q

proximal ulnar nerve palsy leads to loss of

A

FCU and medial half of FDP

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22
Q

distal ulnar nerve palsy leads to loss of

A

intrinsics , adductor pollicis , hypothenar muscles, and medial 2 lumbricals

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23
Q

what is Claw hand

A

MCO joints are hyperextended and Ip joins are flexed

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24
Q

claw hand leads to

A

loss of intrinsic muscles

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25
clawing is most pronounced in what fingers
medial
26
in claw hand the lateral 2 fingers still have
lumbricals inn by median nerve
27
DR. CUMA
Drop wrist with Radial nerve injury Claw hand with Ulanr nerve injury Ape hand with Median nerve injury
28
what is the treatment of the brachial plexus injury
donor activated focused rehabilitation approach (DAFRA)
29
the donor activated focused rehabilitation approach is used to strengthening what
new neural pathways to maximize functional outcomes
30
other treatments for the brachial plexus injury
grip strengthening dexterity
31
what is DeQuervain’s syndrome
inflammation of the 1st dorsal compartment
32
DeQuervain’s syndrome is caused by
young mothers lifting children repeated lifting or use of thumb
33
what 2 muscles are affected with DeQuervains syndrome
extensor pollicis brevis abductor pollicis longus
34
DeQuervains syndrome prevents thumb
flexion extension abduction
35
what is the treatment of DeQuervains syndrome
thumb spica orthotics
36
what does the thumb spica orthosis do
mobilize IP joint of thumb
37
what does surgery do in the DeQuervains syndrome
release the extensor retinaculum
38
what is the purpose of the extensor hood
extension of the IP joints
39
the extensor hood facilitates coordinated
finger flexion
40
what type of fibers are the sagittal band
transverse fibers
41
is teh sagittal band on top or bottom of it ehED
top
42
what does the sagittal band stabilize
volar plates and MCP joints
43
what does the sagittal band prevent
bowstringing of extensor tendons
44
what is the purpose of the central tendon
extends the PIP joint
45
where does the central tendon of the EH attached
at the MIP joint
46
what does the lateral band of the EH do
extends teh DIP joint
47
where does the lateral band come off of
the central tendon
48
which band is more distal int he extensor hood
lateral band
49
what does the oblique retinacular ligament do
coordinates the PIP and DIP motion
50
what does the PIP do at the oblique retinacular ligament
pip extension elongates at the ORL
51
what happens when the PIP extension enlongates at the oblique retinacular ligament
passion tension to extend the DIP
52
what does the DID do at the ORL
dip flexion enlongates
53
what happens when he DIP flexion enlongates at the ORL
passive tension to flex PIP
54
what does the terminal tendon do
extends tehDIP joint
55
what tendon des swan neck deformity damage
the terminal tendon
56
what causes swan neck deformity
direct blow to the DIP joint when the digits are extended
57
what is the deformity of the swan neck
PIP joint is hyperextended and the DIP joint is flexed
58
what is it called when someone has a duvet injury to the central tendon/slip , votary PIP joint dilation or secondary to RA
boutonnière deformity
59
what is the deformity for boutonnière deformity
PIP joint flexion and DIP joint hyperextension
60
what tendons pass thru a lully system
flexor digitorum superficial flexor digitorum profundus
61
how many annular pulleys are there
5
62
how many crucial pulleys are there
2
63
what is the orientation of the annular pulleys
transverse orientation (horizontal
64
what is the orientation for the crucible pulleys
oblique orientation
65
what do the pulleys prevent
bowstringing of flexor tendons
66
what do the pulleys promote
tendon gliding
67
what do the pulleys increase
mechanical advantage for finger flexion
68
what are the2 most important pulleys
A2 and A4
69
where is teh A2 pulley located by
the MCP joint
70
where is the A4 pulley located
near the PIP joint
71
A2 and A4 pulleys are essential to
prevention bowstringing around these joint
72
what is another work for stenosis tenosynovitis
trigger finger
73
in trigger fingers what is there a fighting of
the flexor tendon sheath because of repetitive gripping activities
74
where is trigger finger most common at
at the MCP joint
75
in trigger finger as the finger bends and straightens what happens
the fibrotic section becomes stuck under th pulley and pops when it passes thru
76
what is the treament for trigger finger
relation motion orthosis
77
what does surgery do for trigger finger
release the affected tendon