MSK Upper Extremity Conditions Video #3

Question 1

Which nerve is most likely to be injured following a mid-shaft humerus fracture?

Answer 1

Radial Nerve

Question 2

A distal humerous (supracondylar) fracture on the medial side is most likely to affect what nerve?

Answer 2

Median Nerve

Question 3

A distal humerus (supracondylar) fracture on the lateral side is most likley to affect which nerve?

Answer 3

Radial Nerve

Question 4

What motions are used to test for lateral Epicondylitis?

Answer 4

Wrist Extension
Radial Deviation

Question 5

What motions are used to test for Medial Epicondylitis?

Answer 5

Passive Supination
Elbow Extension
Wrist Extension

Question 6

Another name for Lateral Epicondylitis…

Answer 6

Tennis Elbow

Question 7

Another name for medial epicondylitis…

Answer 7

Golfer’s Elbow

Question 8

Interventions for Lateral and Medial Epicondylitis

Answer 8

Night Splints, counterforce bracing, cryotherapy

Cross-friction massage, neural gliding, passive stretching

ECCENTRIC TRAINING

Question 9

Define De Quervain’s Tenosynovitis

Answer 9

Overuse injury of the thumb and wrist

Difficulty with/:
gripping, lifting w/ thumb pointed up

Question 10

What tests are used to identify De Quervain’s

Answer 10

Finkelstein’s Test
Eichoff’s test

Question 11

How is Finkelstein’s test performed?

Answer 11

passive thumb flexion and ulnar deviation

Question 12

How is Eichoff’s Test performed?

Answer 12

place thumb into clenched fist, active/passive ulnar deviation

Question 13

Contraindications for joint mobilization..

Answer 13

Hypermobility
Inflammation
Joint Effusion

Question 14

Precautions for joint mobilization

Answer 14

Malignancy, Bone disease, unhealed fx, p!, weak connective tissue, RA

Question 15

What are the steps of joint mobilization?

Answer 15

1. Determine joint irritability, reactivity
2. Evaluate the Joint response
3. Move the bone further into ROM

Question 16

Describe the Convex-Concave Rule

Answer 16

Convex on Concave = Roll/Glide Opposite
Concave on Convex = Roll/Glide Same

Question 17

To improve pronation, what mobilization needs to be done at the proximal radioulnar joint?

Answer 17

Dorsal (Posterior) Glide
PPP
Proximal, Pronation, Posterior

Question 18

To improve flexion and extension, what mobilization can be done at the elbow?

Answer 18

Humeroulnar Distraction

Question 19

To improve flexion only at the elbow, what mobilization can be done?

Answer 19

Humeroulnar Distal Glide

-Distraction, then flexion of the elbow

Question 20

If the patient is restricted into forearm supination, what mobilization will help?

Answer 20

Anterior(Volar) glide at the proximal radiohumeral joint

Posterior(Dorsal) glide at the distal radioulnar joint

Question 21

What is the overall goal of splinting following Extensor tendon repairs?

Answer 21

Prevent stress on the EDS/EDP tendons

Question 22

What is the overall goal of splinting following flexor tendon repairs?

Answer 22

Prevent stress on the FDP/FDS tendons

Question 23

To increase wrist flexion, what direction should you mobilize the radiocarpal joint?

Answer 23

Dorsal

Question 24

To increase wrist extension, what direction should you mobilize the radiocarpal joint?

Answer 24

Volar

Question 25

To increase radial deviation, you should mobilize in which direction?

Answer 25

Ulnar Glide

Question 26

To increase ulnar deviation, you should mobilize in which direction?

Answer 26

Radial Glide

Question 27

What is the resting position of the radiocarpal joint?

Answer 27

Neutral FLX/EXT w/ slight ulnar deviation

Question 28

What is the resting position of the humeroulnar joint?

Answer 28

70 FLX, 10 Supination

Question 29

What is the resting position of the proximal radioulnar joint?

Answer 29

70 FLX, 35 supination

Question 30

To increase FLX at the MCP and PIP joint, which direction should you mobilize?

Answer 30

Volar Glide