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Flashcards in Hand MMT Deck (42)
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1
Q

2 muscles responsible for wrist flexion and how to differentiate while testing

A

FCR = over 2nd MC
- flexion and rad dev
FCU = over 4-5th MC
- flexion and uln dev

2
Q

Wrist flexion substitution

A

Finger flexors should stay relaxed

3
Q

Muscles responsible for wrist extension and how to differentiate while testing

A

ECR - 2-3 MC
- ext and rad dev
ECU - 4-5 MC
- ext and uln dev

4
Q

Wrist extension palpation

A

ECRL 2nd MC
ECRB 3rd MC
ECU 5th MC distal to ulnar styloid

5
Q

Wrist extension substitution

A

Finger extensors should stay relaxed

6
Q

Lunbricals/interossei testing position

A

Forearm supinated - resist MCP flexion and IP extension

7
Q

Interossei and lumbricals are _______ muscles

A

Intrinsic

8
Q

Substitution for lumbricals/interossei

A

Long finger flexors - IPs should remain extended

9
Q

FDS testing position

A

Forearm supinated - hold all fingers extended except finger to be tested (eliminated FDP)
Pt flexes PIP

10
Q

FDS palpation

A

Palmar surface of wrist between wrist flexors

11
Q

FDS subs

A

FDP
Tenodesis action by extending wrist - results in passive flexion
Relaxing IP ext results in passive flexion

12
Q

FDP testing position

A

Forearm supinated, stabilize middle phalanx - pt flexes DIP

13
Q

Palpation for FDP

A

Palmar surface of middle phalanx

14
Q

FDP substitutions

A

Tenodesis by extending wrist - results in passive flexion

Relaxing IP ext results in passive flexion

15
Q

Finger extension position

A

Forearm pronated, pt extends MCP

16
Q

Finger extension resistance

A

Applied toward flexion on proximal phalanx

17
Q

Finger extension sub

A

Tenodesis action produces passive IP ext

18
Q

Finger abduction test position/resistance

A

Forearm pronated, pt spreads fingers

Resistance applied toward adduction at distal phalanx

19
Q

Below fair for finger abduction

A

Partial range

20
Q

Palpation for abduction

A

1st DI at base of prox phalanx, radial side of index finger

Abd DM - ulnar border of hand

21
Q

Finger adduction test position/resistance

A

Pronated, adduction toward middle finger

Resistance ad middle phalanx

22
Q

Adduction sub

A

Finger flexion

23
Q

Thumb MP flexion test position/resistance

A

Forearm supinated, pt flexes MP with IP extended

Resistance toward extension @ prox phalanx

24
Q

Thumb MP flexion palpation

A

Ulnar side of FP longus tendon in thenar eminence

25
Q

Thumb IP flexion position/resistance

A

Forearm sup, stabilize MP in extension, pt flexes IP

Resistance @ distal phalanx

26
Q

Thumb IP palp

A

Tendon on palmar surface of prox phalanx of thumb

27
Q

Thumb IP flexion sub

A

Relaxation of IP ext produces passive flexion

28
Q

Thumb MP ext position/resistance

A

Forearm neutral - stabilize MC, pt extends MP

Resistance @ prox phalanx

29
Q

Thumb MP ext palp

A

Base of 1st MC lies between tendons of abd pollicus and EPL

30
Q

Thumb MP sub

A

EPL - see ext of IP and CMC adduction

31
Q

Thumb IP ext position/resistance

A

Forearm neutral - stabilize prox phalanx, pt extends IP

Resistance @ distal phalanx

32
Q

Thumb IP ext palp

A

Ulnar side of anatomical snuff box or dorsal surface of prox phalanx

33
Q

Thumb IP ext sub

A

Thenar muscles - flex CMC resulting in passive IP extension

34
Q

Thumb abduction position/resistance

A

Forearm supinated
APB - pt abducts thumb
APL - pt abducts thumb in plane halfway between abd/ext

Resistance @ proximal phalanx (APB), distal end of 1st MC (APL)

35
Q

Thumb abduction palp

A

APB - center of thenar eminence, medial to OP

APL - base of 1st MC on radial side of EPB

36
Q

Thumb abduction subs

A

EP brevis subs for APL - abduction moves toward dorsum of hand

37
Q

Thumb adduction position/resistance

A

Forearm pronated
Pt adducts thumb to palm
Resistance @ proximal phalanx

38
Q

Thumb add palp

A

Web space between thumb and index finger

39
Q

Thumb add sub

A

FP longus/brevis - see thumb flexion

EPL - see CMC extension

40
Q

Opposition position/resistance

A

Forearm supinated

Pt opposes - resistance spreads out hand

41
Q

Opposition palp

A

OP - along radial shaft of 1st MC lateral to APB

ODM - hypothenar eminence radial side of 5th MC

42
Q

Opposition sub

A

FPL/B - see finger flexion

APB - no rotation seen