Term
| The Median nerve innervates which three muscles? |
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Definition
adductor pollicis brevis
opponens pollicis
flexor pollicis brevis |
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Term
| A patient complains of pain, tingling, numbness in the thumb, index and middle fingers that is worse at night. What DX is likely? |
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Definition
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Term
| Which wrist bone is most likely to dislocate? |
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Definition
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Term
| Carpal tunnel syndrome is caused by compression on which nerve? |
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Definition
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Term
| What anatomical features compose the carpal tunnel? |
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Definition
ANTERIOR: flexor retinaculum (transverse carpal ligament)
POSTERIOR: carpal bones |
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Term
| if a patient complains of tingling, numb fingers that are worse at night, what question should you ask to differentiate Carpal tunnel syndrome from an Ulnar nerve problem? |
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Definition
| Which fingers are affected? |
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Term
| Name 4 mechanical causes of Carpal Tunnel Syndrome? |
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Definition
1) CArpal bone dislocation/fracture
2) Inward growing GAnglion
3) prolonged use of wrist in full extension or flexion
4) inflamed flexor tendons inside carpal tunnel |
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Term
| Name 5 chronic/ chemical causes of Carpal Tunnel Syndrome |
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Definition
1) pREGNANCY- hormones thicken ligaments + fluid retention
2)Diabetes - poor circulation
3) Rheumatoid arthritis - inflamed ligaments + soft tissues
4) Hypothyroidism - slows metabolic rate
causes fluid accumulation (also CFS, IBS, insomnia...)
5) Vitamin B6 deficiency |
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Term
| Atrophy of the thenar emminence and "Ape Hand" are signs of ... |
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Definition
| Carpal Tunnel Syndrome / Median nerve entrapment |
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Term
| Weakness of the abductor pollicis brevis will result in decreased ability to... |
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Definition
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Term
| Weakness of the opponens pollicis will result in decreased ability to move the... |
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Definition
| palmar surface of the thumb toward the ulnar side of the hand. |
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Term
| What is double crush syndrome? |
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Definition
| Carpal Tunnel syndrome is accompanied by a nerve root problem |
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Term
| in Pronator syndrome, the median nerve is compressed at one of which 3 possible places? |
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Definition
1)at the bicipital aponeurosis (AKA lacertus fibrosus)
2) between 2 heads of pronator teres
3) at flexor digitorum superficialis (by a thickened fibrotic arch) |
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Term
| Where does the pronator muscle insert? |
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Definition
| middle of lateral surface of radius |
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Term
| Where does the pronator muscle originate? |
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Definition
| medial epicondyle of humerus and coronoid process of ulna |
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Term
| a patient presents with aching and tiredness in her forearm, and doesn't remember injuring it. She has a history of repetitive pronation and wrist flexion. She likely has... |
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Definition
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Term
| What are the two actions of the Pronator muscle? |
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Definition
1) Pronation
2) Flexion of forearm (at elbow) |
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Term
| What nerve innervates the Pronator muscle? |
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Definition
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Term
| What spinal Nerves feed into the median nerve? |
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Definition
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Term
| Where might a patient with Pronator syndrome experience tenderness? |
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Definition
| At the entrapment site, near LU 6 and HT 3 |
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Term
| Numbness and tingling in the hand, decreased ability to pronate the wrist, and pain in the proximal forearm are signs of ... |
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Definition
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Term
What syndrome would a patient with these movement defecits likely have:
loss of wrist flexion
partial loss of finger flexion
loss of thumb opposition
decreased ability to pronate the wrist |
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Definition
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Term
| What generally distinguishes Pronator syndrome s/sx from Carpal Tunnel Syndrome S/Sx? |
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Definition
| Tenderness at the entrapment site. |
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Term
| What 2 tests are used to evaluate Carpal tunnel syndrome? |
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Definition
1) Tinel's Sign (percussion)
2) Phalen's Sign/ Reverse Phalen's Sign/ Buddha Prayer Sign
(hold wrist in extreme flexion) |
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Term
| If Phalen's sign / Reverse phalen's Sign (Buddha Prayer sign) cause pain and numbness in the thumb, index, and middle fingers what is your dx? |
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Definition
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Term
| If Phalen's sign / Reverse phalen's Sign (Buddha Prayer sign) cause local wrist pain what is your dx? |
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Definition
| Tendonitis / ligament instability |
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Term
| What channel is used to treat Carpal Tunnel Syndrome? |
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Definition
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Term
| For carpal Tunnel Syndrome, Phu highly recommends which suppliments? |
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Definition
Riboflavin (B2) & B6 - reduce numb/tingle
OMega 3 -reduce inflammation
Turmeric, Ginger, and Bromelain -inflamm |
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