TEST 3: Osteopathic Testing of the Elbow and Wrist PPT Flashcards Preview

Osteopathic Skills--Lexie > TEST 3: Osteopathic Testing of the Elbow and Wrist PPT > Flashcards

Flashcards in TEST 3: Osteopathic Testing of the Elbow and Wrist PPT Deck (30)
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1

where do the wrist extensors attach?

lateral epicondyle

2

where do the wrist flexors attach?

medial epicondyle

3

where does the ulnar nerve run?

b/w medial epicondyle and olecranon (funny bone)

4

explain cubitus varus

carrying angle less than 5 deg (gunstock)

5

explain cubitus valgus

carrying angle greater than 15 deg

6

what should you notice when observing elbow and wrist?

-carrying angle
-swelling
-erythema
-nodules
-scars

7

landmarks of the elbow for palpation

-olecranon process
-medial epicondyle
-lateral epicondyle
-radial head
-lymph nodes
-brachial pulse

8

dermatomes of the arm

-T1-2 on the medial aspect of the arm
-C5-8 from the lateral aspect of the arm towards the middle
-C6: thumb
-C7: index thru ring and most of palm
-C8: pinky finger

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

what is the reference point used for ulnar adduction and ulnar abduction?

distal ulna

14

what is ulnar ADduction coupled with?

forearm supination

15

what is ulnar ABduction coupled with?

forearm pronation

16

what is posterior glide of the radial head coupled with?

pronation and extension

17

what causes a posterior radial head somatic dysfunction?

Fall On OutStretched Hand (hand in pronation)
-FOOSH

18

what causes an anterior radial head SD?

fall back on outstretched hand (hand in supination)

19

what to palpate at the wrist?

-thenar and hypothenar eminences
-radial styloid process
-ulnar styloid process
-anatomic snuff box
-carpal bones
-MCP, PIP, DIP

20

ROM of wrist flexion

80-90 deg

21

ROM of wrist extension

70 deg

22

ROM of ulnar deviation

30-40 deg
(adduction)

23

ROM of radial deviation

20 deg
(abduction)

24

posterior sensation testing of the hand

-radial N: thumb, metacarpal of index finger, metacarpal of half of middle finger
-median N: phalanges of index and middle and 1/2 of ring
-ulnar N: 1/2 of metacarpal of middle finger, metacarpals of ring and pinky fingers, phalanges of pinky and 1/2 of ring fingers

25

anterior sensation testin g of the hand

-radial N: small patch on thenar eminence
-median N: thumb, metacarpals of index, middle, 1/2 of ring; phalanges of index, middle, and 1/2 of ring
-ulnar N: 1/2 of metacarpal of ring finger and metacarpal of pinky; phalanges of pinky and 1/2 of ring finger

26

what is wrist flexion coupled with?

dorsal carpal glide

27

what is wrist extension coupled with?

ventral carpal glide

28

what does wrist ABduction result in?

ulnar adduction

29

what does wrist ADduction result in?

ulnar abduction

30

understand thumb adduction and thumb abduction

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