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MSK 2 - Exam 2
elbow, wrist, and hand
| Question | Answer |
|---|---|
| Primary muscle involved in lateral epicondylalgia | extensor carpi radialis brevis (ECRB) |
| Special tests for lateral epicondylalgia | cozen's, mill's |
| T/F? Lateral epicondylalgia has a gradual onset | True |
| T/F? There is usually no evidence of inflammation for pts with lat epicondylalgia? | True (lat epicon =/= inflammation) |
| T/F? There is usually no evidence of inflammation for pts with elbow sprain? | False (elbow sprain -> inflammation) |
| Elbow sprains are a common result of ___ forces (3) | hyperextension, varus, or valgus |
| T/F? Pts with elbow sprains usually have pain with strength testing? | True |
| PT treatment for elbow dislocations | immobilize |
| T/F? PT is often used for pediatric dislocation injuries? | False (rarely used) |
| Signs/symptoms of cubital tunnel syndrome | Atrophy of ulnar distribution muscles, clawing of ring/pinky, weakness, sensory loss |
| Special tests for cubital tunnel syndrome | Tinel's sign at elbow |
| PT treatment for cubital tunnel syndrome | modalities for pain, splints (for clawing), elbow pads, ulnar nerve glides, strengthening |
| Pronator syndrome is caused by... | "repetitive activities" |
| Signs and symptoms of pronator syndrome | pain along median nerve distribution, muscle weakness, tenderness over pronator teres |
| Special tests for pronator syndrome | Phalen's test |
| PT treatments for pronator syndrome | Splint in neutral, modalities, massage, stretching, median nerve glides |
| Nerve associated with pronator syndrome | median nerve |
| Location of anterior interosseous nerve syndrome (impingement) | B/w heads of pronator teres |
| Signs/symptoms of AIN syndrome | pain/weakness in FPL, FDP, pronator quadratus |
| Muscles innervated by AIN (involved in AIN syndrome) | Flexor pollicis longus (FPL), flexor digitorum profundus (FDP), pronator quadratus |
| Special tests for AIN syndrome | AIN pinch grip |
| Signs/symptoms of high radial nerve compression | loss of wrist, finger, and thumb extension (WRIST DROP), sensory deficits |
| T/F? AIN syndrome -> sensory deficits | False |
| T/F? Pronator syndrome -> sensory deficits | True |
| T/F? Radial tunnel syndrome sometimes causes sensory deficits | True (sometimes) |
| Site of radial tunnel syndrome | B/w heads of supinator |
| Signs/symptoms of radial tunnel syndrome | tight supinator, neuro signs (sometimes), tender over supinator |
| PT treatment for radial tunnel syndrome | splint, radial nerve glides, stretch supinator (?) |
| Signs and symptoms of olecranon bursitis | inflammation, palpation -> pain |
| PT treatment for olecranon bursitis | splint/pad, ROM, strengthen |
| T/F? Dupuytren's contracture is a genetic disease that occurs in otherwise healthy individuals | True |
| T/F? Dupuytren's contracture is more common in women | False (more common in men - recessive) |
| Dupuytren's contractuce is a genetic disease more common in persons of _____ descent | Northern European |
| Dupuytren's contracture is a flexion conracture of ____ | MCP joint of ring and/or pinky (4th/5th) |
| T/F? Palpation is NOT important to diagnosing Dupuytren's contracture | False (is important - can palpate node deep to distal palmar crease) |
| T/F? Dupuytren's contracture may also ocause a contracture of the palmar fascia and web space of the thumb | True |
| T/F? You should NOT use a splint to treat Dupuytren's contracture | False (should use a splint) |
| Describe Boutonniere deformity (flex/ext of what joints?) | Extension of MCP and DIP, flexion of PIP |
| T/F? Boutonniere deformity does not cause to ROM deficits | False (does cause ROM deficits) |
| Describe swan neck deformity (flex/ext of what joints?) | Flexion of MCP and DIP, extension of PIP |
| Describe mallet finger deformity (flex/ext of what joints?) | flexion of DIP |
| Mallet finger | deformity from damage to extensor tendon at DIP joint, common in ball handling sports |
| T/F? Pt with mallet finger has full PROM but no AROM at DIP | True |
| Trigger finger/thumb | flexor tendon sheath + tendon THICKEN -> pain in thumb MCP or finger PIP + tendon "STICKS" during movement |
| T/F? Trigger finger/thumb is most common in middle aged women | True |
| What joints are affected with trigger finger/thumb? | MCP of thumb or PIP of finger |
| Scaphoid fractures account for __% of all carpal fractures | 70% |
| T/F? Scaphoid fracture are more common among the elderly than in younger individuals | False (more common among young persons) |
| Mech of injury for scaphoid fractures | FOOSH (w/ wrist in pronation) |
| De Quervain's tenosynovitis affects the tendon sheaths of ___ | EPB (extensor pollicis brevis), APL (abductor pollicis longus) |
| Signs and symptoms of De Quervain's tenosynovitis | overuse, pain in radial aspect of wrist |
| T/F? For De Quervain's tenosynovitis, a joint play assessment will be negative | True |
| PT interventions for DeQuervain's | splint, modalities, ROM, tendon glides, strengthening, manual therapy |
| Skier's thumb affects what ligament? | ulnar collateral ligament of thumb at MCP joint |
| PT treatment for skier's thumb | immobilize/splint |
| T/F? Guyon's canal syndrome does NOT result in sensory deficits | False (does result in sensory deficits) |
| T/F? Guyon's canal syndrome can be treated by nerve glides | True |
| Carpal tunnel syndrome | ischemic compression of median nerve |
| T/F? Carpal tunnel syndrome symptyoms are usually the same at all times of the day | False (often worse at night) |
| T/F? Symptoms of carpal tunnel syndrome can be relieved when shaking hands | True |
| Age of pts with carpal tunnel | Usually >45 y/o |
| T/F? The flexor retinacculum forms the roof of the carpal tunnel | False (transverse carpal ligament) |
| What structure forms the "roof" of the carpal tunnel? | Transverse carpal ligament |
| Post-op PT for carpal tunnel | pt ed, tendon glides, gentle A/PROM, strengthening, nerve glides |
| Non-op PT for carpal tunnel | pt ed, night splints, modalities, nerve/tendon glides, strengthening |
| T/F? Lat epicondylalgia affects the non-dominant arm more often than the dominant arm | False (affects dominant arm more often) |
| T/F? Inflammation is a common sign of lateral epicondylalgia | False (usually no inflammation present) |
| T/F? Medial epicondylalgia usually results from direct trauma | False (usually caused by overuse) |
| Grade 1-3 elbow sprains | 1) micro-tear of ligs, 2) partial tear of ligs, 3) complete rupture of ligs |
| Are elbow sprain symptoms worse with elbow flexion or extension? | Extension |
| T/F? W/ A/PROM, elbow sprains restrict extension more than flexion | True |
| Findings of joint play assessment for elbow sprain | Laxity + pain |
| Pediatric dislocations commonly affect the __ ligament | annular |
| Sign/symptoms of pediatric dislocation | arm hangs limply (elbow ext, wrist pronated) |
| T/F? Pediatric dislocations commonly result in pain in the forearm and wrist | True |
| T/F? Pts with cubital tunnel syndrome usually have abnormal joint play | False (usually normal) |
| Night splint pts with cubital tunnel syndrome in _ degrees of ___ (flexion/extension) | 40-60 degrees flexion |
| T/F? Pronator syndrome usually has an immediate onset | False (gradual) |
| Pronator syndrome -> pain with what motions?(passive and active) | pronation + wrist flexion (active), supination, wrist ext (passive) |
| PT for pronator syndrome | usual + splint in neutral + avoid pronation activities |
| Most commonly injured nerve w/ forearm fractures | radial nerve (fractured radius) |
| Volkman's ischemic contracture results from... | irritation/damage to brachial artery |
| Volkman's ischemic contracture signs/symptoms | severe pain, loss of radial pulse, discoloration, cold hands, flexion contracture |
Created by:
cbaweiss