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What is bursitis and what its clinical sign?
It is: Inflammation of the bursa that is usually a symptom of something rather than being a disease it self
Clinical Sign: Tenderness will be present just off the edge of the acromion
process over the greater tuberosity of the humerus
Abduction and adduction is painful
Where is the prefered site for shoulder injections?
Subdeltoid bursa
What is “Painful arc syndrome” and where is the pain mostly felt?
it is:Pain during abduction of the shoulder between about 40° and 120°
The pain is Felt maximally at the tip of the shoulder superolaterally around the acromion
What is shoulder impingement syndrome and what is its clinical sign?
The condition involves narrowing of the space between the acromion and humerus, often caused by thickening of the supraspinatus tendon, leading to shoulder problems
Clinical sign: Abduction, are minimized and cause the patient significant pain (painful arc syndrome).
What are the causes of rotator cuff injuries and what structures are mostly effected?
Sprain. * Partial tear. * Complete tear. * Tendinitis/osis (possibly caused by a repetitive injury). * Degeneration of tendon.
* Calcification inside the tendon.
Structure: Supraspinatus tendon
What is frozen shoulder syndrome (adhesive caspulitis)?
It is:Inflammation of the capsule of the glenohumeral joint which causes it to adehre to itself.
Clinicalpresents usually without any previous injury as an initially very stiff shoulder (active and passive) in all directions, with an increasing amount of pain, often described as a severe ache. The pain is often worse at night
Where do most glenohumeral dislocations occur and why is that?
Location:inferiorly
Because: It is not supported inferiorly
What are the rotater cuff muscles?
SITS
- Supraspinatus
- Infraspinatus
- Teres minor
- Subscapularis
What four structures are located inside the carpal tunnel?
Median nerve
Flexor pollicis longus tendon
Flexor digitorum superficials
Flexor digitorum profundus
What causes carpal tunnel syndrome?
Median nerve
What are the 5 points of pulse detection in the upper limb?
- Radial pulse in the distal forearm
- Ulnar pulse in distal forearm
- Brachial pulse in midarm
- brachial pulse in cubital fossa
- Axilliray pulse around the armpit
What is the motor innervation of the radial nerve?
Posterior muscles of the arm and forearm (Extensors)
What is the motor innervation of the medial nerve?
All muscles of the anterior comparment of the forearm except flexor carpi ulnaris and medial half of flexor digitorum prodfunds.
First two lumbricals and thenar muscles
What is the motor innervation of the ulnar nerve?
Medial half of Flexor digitorum profundus and all of flexor carpi ulnaris
Hypothenar, all intrinsic muscles of the hand except first 2 lumbricals and thenar muscles.
What is the sensory innervation of the radial nerve?
posterior aspect of the arm and forearm
dorsal aspect of the lateral 2/3s of hand and 3 and 1/2 digits
What is the sensory innervation of the median nerve?
Palmar aspect of lateral 2/3s of hand and palmar aspect of 3.5 digits
What is the sensory innervation of the ulnar nerve?
Palmar and dorsal 1/3 of hand and 1.5 digits