TEST 3: Elbow, Wrist, Hand OSCE Flashcards Preview

Osteopathic Skills--Lexie > TEST 3: Elbow, Wrist, Hand OSCE > Flashcards

Flashcards in TEST 3: Elbow, Wrist, Hand OSCE Deck (39)
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1

carrying angle

-axis of humerus to the axis of the forearm
-allows forearms and hands to clear hips when swinging during walking
-on average, larger in adult women due to wider hips and narrower shoulders

2

how does ulnar ABduction affect the carrying angle?

increases CA

3

how does ulnar Adduction adduct the carrying angle?

decreases CA

4

know the locations of the following and how you could palpate them:

-olecranon process
-medial epicondyle
-lateral epicondyle
-radial head
-wrist flexors and pronators
-wrist extensors and supinators

5

what muscles are involved in flexion of the elbow?

biceps, brachialis, brachioradialis

6

what muscles are involved in extension of the elbow?

triceps

7

what muscles are involved in supination of the elbow?

supinator, biceps

8

what muscles are involved in pronation of the elbow?

pronator teres, pronator quadratus

9

ROM of flexion of elbow

140-150 deg

10

ROM of extension of elbow

0 to -5 deg

11

ROM of supination of elbow

90 deg

12

ROM of pronation of elbow

90 deg

13

how do we ran muscle strength?

-0 to 5
-5 being the muscle contracts normally against full resistance
-4 being muscle strength is reduced but can still move against resistance
-3 being muscle strength is further reduced such that the joint can be moved only against gravity, no resistance
-2 being muscle can move only if resistance of gravity is removed
-1 being only a trace or flicker of movement is seen or felt in the muscle, or fasciculations are observed in the muscle
-0 being no movement is observed in the muscle

14

what are the principles governing elbow joint?

1. SD is found in minor gliding motions of the joint, not the major motions
2. SD of the ulnohumeral joint is usually primary and SD of the radioulnar joints is usually secondary
3. impaired fcn of any joint of the arm produces compensatory changes in all other joints (can cause secondary SD)

15

what motion is ulnar abduction coupled with and what do we need to do to get that motion?

-coupled with wrist adduction (ulnar deviation)
-valgus--push medially on lateral elbow and laterally at wrist

16

what motion is ulnar adduction coupled with and what do we need to do to get that motion?

-coupled with wrist abduction (radial deviation)
-varus--push laterally on medial elbow and medially at wrist

17

what is an ulnar ABduction SD?

ease of motion toward ABduction, restriction of ADduction

18

what is an ulnar ADduction SD?

ease of motion toward ADduction, restriction of motion to ABduction

19

what positions should you test ulnar abduction and adduction in?

both in extension and supination

20

what is radial head anterior glide coupled with?

coupled with supination

21

what is radial head posterior glide coupled with?

coupled with pronation

22

what is an anterior radial head SD?

ease of motion toward anterior glide and supination

23

what is an posterior radial head SD?

ease of motion toward posterior glide and pronation

24

what should we palpate at the wrist and hand?

-distal radius and ulna
-radial styloid process
-anatomic "snuff box"
-carpal bones
-MCP, PIP, DIP

25

ROM of flexion of the wrist

80-90 deg

26

ROM of extension of the wrist

70 deg

27

ROM of adduction of the wrist (ulnar deviation)

30-40 deg

28

ROM of abduction of the wrist (radial deviation)

20-30 deg

29

what is wrist flexion coupled with?

coupled dorsal/posterior carpal glide

30

explain wrist flexion SD

wrist:
-freedom of motion in flexion
-restricted to extension
carpal bones:
-freedom of motion in dorsal/posterior glide
-restriction to ventral/anterior glide