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E&M -JD > Wrist/Hand MMT > Flashcards

Wrist/Hand MMT Flashcards

(105 cards)

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1
Q

(FCR/FCU) action

A

Wrist flexion

FCR: radial deviation
FCU: ulnar deviation

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2
Q

(FCR/FCU) nerves

A

FCR: median, C6-7
FCU: ulnar C7-T1

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3
Q

(FCR/FCU) fair and above pos

A

Forearm supinated
FCR- wrist flexed and radial deviated
FCU- wrist flexed and ulnar deviated

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4
Q

(FCR/FCU) resistance

A

Across dorsum of wrist in direction of extension
FCR: over 2nd MC
FCU: over 4-5 MC

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5
Q

(FCR/FCU) below fair pos

A

Forearm neutral btw sup/pron

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6
Q

(FCR/FCU) palpation

A

Palpate tendons on volar surface of wrist

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7
Q

(FCR/FCU) subs

A

Finger flexors- fingers should stay relaxed

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8
Q

(ECR/ECU) actions

A

Wrist extension

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9
Q

(ECR/ECU) nerves

A

ECR Longus: Radial C6-7
ECR Brevis: Radial C7-8
ECU: Radial C7-8

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10
Q

(ECR/ECU) fair and above pos

A

Forearm pronated
ECR: wrist extended and radial deviated
ECU: wrist extended and ulnar deviated

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11
Q

(ECR/ECU) resistance

A

Across dorsum of wrist in direction of extension
ECR over 2-3rd MC
ECU over 4-5th MC

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12
Q

(ECR/ECU) below fair pos

A

Forearm neutral

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13
Q

(ECR/ECU) palpation

A

Palpate tendons on dorsal surface of wrist
ECR longus in line with 2nd MC
ECR brevis in line with 3rd MC
ECU in line with 5th MC distal to ulnar styloid process

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14
Q

(ECR/ECU) subs

A

Finger extensors- fingers should stay relaxed

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15
Q

(Lumbricals and interossei) action

A

MCP flexion with IP extension

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16
Q

(Lumbricals and interossei) nerves

A

Lumbricals 1-2 correspond to digits 2-3, Median Nerve C8-T1
Lumbricals 3-4 correspond to digits 4-5, Ulnar Nerve C8-T1

All interossei: Ulnar C8-T1

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17
Q

(Lumbricals and interossei) fair and above pos

A

Forearm supinated
Start with IP flexed/MCP neutral
Move to MCP flexed and IP extended

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18
Q

(Lumbricals and interossei) resistance

A

Resistance applied toward MCP extension

Resistance applied toward IP flexion

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19
Q

(Lumbricals and interossei) below fair pos

A

Forearm neutral

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20
Q

(Lumbricals and interossei) palpation

A

None

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21
Q

(Lumbricals and interossei) subs

A

Long finger flexors: IPs should remain extended

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22
Q

(Flexor digitorum superficialis) action

A

Flex the 2-5 fingers at MCP and PIP; assist to flex wrist

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23
Q

(Flexor digitorum superficialis) nerves

A

Median N, C8-T1

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24
Q

(Flexor digitorum superficialis) fair and above pos

A

Forearm supinated

Hold all fingers extended except for finger to be tested (Eliminating FDP). Patient flexes PIP

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25
(Flexor digitorum superficialis) resistance
Resistance applied at middle phalanx. | Make sure you have a floppy DIP
26
(Flexor digitorum superficialis) below fair pos
Forearm neutral
27
(Flexor digitorum superficialis) palpation
Palmar surface of wrist between wrist flexors
28
(Flexor digitorum superficialis) subs
FDP: Tenodesis action by extending wrist- results in passive flexion Relaxing IP extension results in passive flexion
29
(Flexor digitorum profundus) action
Flex the second through fifth fingers at MCP and DIP; assist to flex the wrist
30
(Flexor digitorum profundus) nerve
Digits 2-3 Median, C8-T1 | Digits 4-5 Ulnar, C8-T1
31
(Flexor digitorum profundus) fair and above pos
Forearm supinated Stabilized middle phalanx Patient flexes DIP
32
(Flexor digitorum profundus) resistance
Resistance is applied at distal phalanx
33
(Flexor digitorum profundus) below fair pos
Forearm neutral
34
(Flexor digitorum profundus) palpation
Palmar surface of middle phalanx
35
(Flexor digitorum profundus) subs
Tenodesis action by extending wrist- results in passive flexion Relaxing IP extension results in passive flexion
36
(Extensor digitorum, extensor indicis, extensor digiti minimi) action
Finger extension
37
(Extensor digitorum, extensor indicis, extensor digiti minimi) nerve
Radial C7-8
38
(Extensor digitorum, extensor indicis, extensor digiti minimi) fair and above pos
Forearm pronated | Patient extends MCP
39
(Extensor digitorum, extensor indicis, extensor digiti minimi) resistance
Resistance applied toward flexion on proximal phalanx
40
(Extensor digitorum, extensor indicis, extensor digiti minimi) below fair pos
Forearm neutral
41
(Extensor digitorum, extensor indicis, extensor digiti minimi) palpation
Tendons are apparent of dorsum of hand
42
(Extensor digitorum, extensor indicis, extensor digiti minimi) subs
Tenodesis action produces passive IP extension
43
(Dorsal interossei, abductor digiti minimi) action
Finger abduction
44
(Dorsal interossei, abductor digiti minimi) nerve
Ulnar C8-T1
45
(Dorsal interossei, abductor digiti minimi) fair and above pos
Forearm pronated | Patient spreads fingers
46
(Dorsal interossei, abductor digiti minimi) resistance
Resistance toward adduction at distal phalanx
47
(Dorsal interossei, abductor digiti minimi) below fair pos
Partial range
48
(Dorsal interossei, abductor digiti minimi) palpation
1st dorsal interossei: at base of proximal phalanx, radial side of index finger Abductor digiti minimi: ulnar border of hand
49
(Dorsal interossei, abductor digiti minimi) subs
None
50
(Palmar interossei) action
Finger adduction
51
(Palmar interossei) nerve
Ulnar C8-T1
52
(Palmar interossei) fair and above pos
Hand pronated | Patient adducts fingers toward middle finger
53
(Palmar interossei) resistance
Resistance toward abduction at middle phalanx
54
(Palmar interossei) below fair pos
Partial range
55
(Palmar interossei) palpation
None
56
(Palmar interossei) subs
Finger flexion
57
(Flexor pollicis brevis) action
Thumb MP flexion
58
(Flexor pollicis brevis) nerve
Superficial head, Medial C8-T1 | Deep head, Ulnar C8-T1
59
(Flexor pollicis brevis) fair and above pos
Forearm supinated | Patient flexes MP with IP extended
60
(Flexor pollicis brevis) resistance
Resistance applied toward extension on the proximal phalanx
61
(Flexor pollicis brevis) below fair pos
Partial range
62
(Flexor pollicis brevis) palpation
Ulnar side of FP longus tendon in thenar eminence
63
(Flexor pollicis brevis) subs
None
64
(Flexor pollicis longus) action
Thumb IP flexion
65
(Flexor pollicis longus) nerve
Median C8-T1
66
(Flexor pollicis longus) fair and above pos
Forearm supinated Stabilize MP in extension Patient flexes IP
67
(Flexor pollicis longus) resistance
Resistance applied toward extension on distal phalanx
68
(Flexor pollicis longus) below fair pos
Partial range
69
(Flexor pollicis longus) palpation
Tendon on palmar surface of proximal phalanx of thumb
70
(Flexor pollicis longus) subs
Relaxation of IP extension produces passive flexion
71
(Extensor pollicis brevis) action
Thumb MP extension
72
(Extensor pollicis brevis) nerve
Radial C7-8
73
(Extensor pollicis brevis) fair and above pos
Forearm midposition Stabilize MC Patient extends MP
74
(Extensor pollicis brevis) resistance
Resistance applied toward flexion at proximal phalanx
75
(Extensor pollicis brevis) below fair pos
Partial range
76
(Extensor pollicis brevis) palpation
Base of 1st MC | Lies between tendons of abd. Pollicis and extensor pollicis longus
77
(Extensor pollicis brevis) subs
EP longus- see extension of IP and CMC adduction
78
(Extensor pollicis longus) action
Thumb IP extension
79
(Extensor pollicis longus) nerve
Radial C7-8
80
(Extensor pollicis longus) fair and above pos
Forearm midposition Stabilize prox phalanx Patient extends IP
81
(Extensor pollicis longus) resistance
Resistnace applied toward flexion at distal phalanx
82
(Extensor pollicis longus) below fair pos
Partial range
83
(Extensor pollicis longus) palpation
Ulnar side of anatomical snuff box on dorsal surface of prox phalanx
84
(Extensor pollicis longus) subs
Thenar muscle flex CMC resulting in passive IP extension
85
(Abd. PB, Abd. PL) action
Thumb abduction
86
(Abd. PB, Abd. PL) nerve
Abd. PL- radial C7-8 | Abd. PB- median C8-T1
87
(Abd. PB, Abd. PL) fair and above pos
Forearm supinated Abd PB: patient abducts thumb Abd PL: patient "abducts" thumb in plane halfway between true abduction and extension
88
(Abd. PB, Abd. PL) resistance
Resistance applied toward adduction Abd PB on proximal phalanx Abd PL on distal end of 1st MC
89
(Abd. PB, Abd. PL) below fair pos
Partial range
90
(Abd. PB, Abd. PL) palpation
Abd PB: center of thenar eminence, medial to OP | Abd PL: at base of 1st MC on radial side of EPB
91
(Abd. PB, Abd. PL) subs
EP brevis substitutes for Abd PL- abduction moves toward dorsum of hand
92
(Adductor pollicis, 1st dorsal interossei) action
Thumb adduction
93
(Adductor pollicis, 1st dorsal interossei) nerve
Ulnar C8-T1
94
(Adductor pollicis, 1st dorsal interossei) fair and above pos
Forearm pronated | Patient adducts thumb to palm
95
(Adductor pollicis, 1st dorsal interossei) resistance
Resistance applied toward abduction at prox phalanx
96
(Adductor pollicis, 1st dorsal interossei) below fair pos
Partial range
97
(Adductor pollicis, 1st dorsal interossei) palpation
Web space between thumb and index finger
98
(Adductor pollicis, 1st dorsal interossei) subs
FP longus and brevis- see thumb flexion | EPL- see CMC extension
99
(Opponens pollicis, opponens digiti minimi) actions
Opposition
100
(Opponens pollicis, opponens digiti minimi) nerve
OP: median C8-T1 ODM: Ulnar C8-T1
101
(Opponens pollicis, opponens digiti minimi) fair and above pos
Forearm supinated | Patient brings tips of thumb and little finger together
102
(Opponens pollicis, opponens digiti minimi) resistance
Resistance applied at palmar eminences to spread out hand
103
(Opponens pollicis, opponens digiti minimi) below fair pos
Partial range
104
(Opponens pollicis, opponens digiti minimi) palpation
OP along radial shaft of 1st MC lateral to Abd PB | ODM hypothenar eminence radial side of 5th MC
105
(Opponens pollicis, opponens digiti minimi) subs
FP longus and brevis- see finger flexion, touching tips to fingers Abd PB- no rotation seen

E&M -JD (11 decks)

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