Term
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Definition
Near ear - internally rotate arm and lift over head
Tests for flexion impingement |
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Term
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Definition
Internally rotate arm from a 90 degree angle and elbow at 90 degree
Tests for rotator cuff impingement |
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Term
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Definition
Tests for bicep tendon instability
Arm down, elbow flexed to 90 and hand supine
Patient supines hand against resistance
Pain will appear in the bicippital groove |
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Term
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Definition
Cervical spine injury causing root impingement
Neck is extended, rotated toward pain, and axial compression is applied
Compression not necessary if pain is reproduced with extension |
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Term
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Definition
| Rotated neck toward pain, see if pulse disappears |
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Term
| what might flexed or extended fingers while hand is at rest signify? |
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Definition
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Term
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Definition
–Indicates ligamentous instability between the Lunate and the Scaphoid
Physicians thumb is on the scaphoid tubercle while the patient’s wrist is in ulnar deviation. Pressure is applied dorsally while the patient radial deviates the hand. Pain indicates ligamentous laxity between the lunate and the scaphoid |
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Term
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Definition
–Indicates perilunate instability
The physician holds the patients wrist in flexion while resisting finger extension. Pain elicited with this maneuver is a positive test
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Term
| how do you dx carpal tunnel? |
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Definition
with a pos. tinel sign
it is the median nerve that is affected
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Term
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Definition
–Indicated De Quervain’s Tenosynovitis
De Quervains Tenosynovitis common in activities requiring forceful grasping with ulnar deviation or repetative use fo the thumb ie fishing, knitting, needel-point
hand is in fist, tests Abductor pollicislongus/extensor pollicisbrevis
•Chronic pain in the anatomic snuffbox
•Pain is typically at the styloid process of the radius
•Pain is reproduced with Finkelstein’s test
•Pain is typically more proximal than from OA of the thumb CMC joint
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Term
Avascular necrosis of lunate |
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Definition
Keinbock's disease
positive shuck test, a lunate fx can lead to osteonecrosis |
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Term
| what does the triangular fibrocartilage complex do? |
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Definition
TFCC stablizes the distal ulnar radial joint. Injury causes ULNAR WRIST PAIN AND WEAKNESS AFTER A FALL ON AN OUTSTRETCHED HAND common is gymnasts , tennis etc |
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Term
| where can you find the ulnar nerve running through |
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Definition
the guyon canal. the ulnar nerve is the most commonly compressed nerve affecting the elbow
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Term
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Definition
•Nodular fibrosing lesions with bands radiating distally.
•The ulnar side of the hand is affected, with the 4th and 5th fingers usually involved first.
•2-5X > among workers exposed to repetitive vibration. |
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Term
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Definition
•Most common location: scapholunate ligament of the wrist.
•Typically located over the lunate bone or the scapholunate articulation. |
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Term
how does the radius articulate with the humerus?
the ulna? |
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Definition
via the capitellum
via the trochlea |
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Term
what muscles does the lateral epicondyle control?
the medial? |
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Definition
extensors and supinators
flexors and pronators |
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Term
| what ligaments provide most of the elbow's stability? |
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Definition
| the medial and lateral collateral ligaments |
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Term
what epicondyle is affected in golfer's elbow?
what test would show pain? (valgus/varus) |
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Definition
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Term
what epicondyle is affected in tennis elbow
what test would show pain? (valgus/varus) |
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Definition
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Term
| some acute conditions causing olecranon bursitis |
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Definition
–Direct trauma (precipitous or prolonged)
–Rheumatoid arthritis
–Gout
–Pseudogout
an incision is contraindicated due to the risk of infection
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Term
| what is nursemaid's elbow |
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Definition
•Radial head subluxation beneath the orbicular ligament caused by Longitudinal traction on hand with elbow extended and forearm pronated
usually seen in young children ages 1-3, so if you see it later on, be cautious of child abuse |
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Term
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Definition
avultion fracture of the medial epicondyle
micro-tears in the flexors and pronators
happens in young throwers due to valgus stress leading to hypertrophy
needs 6 to 12 weeks rest |
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Term
| ulnar nerve compression syndrome |
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Definition
•Also known as cubital tunnel syndrome
•neuropathy due to direct trauma to the ulnar nerve
•Repetitive elbow flexion (sleeping “wrong”)
•Hypermobility of the ulnar nerve
•Excess valgus of the elbow
•osteophytes |
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