Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Elbow/Wrist
Orthopedic Tests
| Question | Answer |
|---|---|
| Elbow ROM | Flextion 140-150, Extension 0-10, Valgus 1-15, Pronation 85-90, Supination 85-90 |
| Gunstock elbow | Deformity of elbow, resulting from condylar fracture at elbow (forearm deviates toward midline when extended) |
| Carrying angle | aka cubitus valgus (the expected carrying angle in adults is between 0-15deg) |
| Busal sac | fluid filling from trauma or secondarily from RA or gout |
| Cozen's test | Resisted, seated -resist wrist extension +pain=lateral epicondylitis (attachment of ext.carpi radialis brevis, ext. digitorum, ext. digiti minimi, ext. carpi ulnaris) |
| Mill's test | passive, seated -pronate and flex the wrist fully and extend the elbow +pain=lateral epicondylitis (stretches muscle attachment and stress on radial nerve) |
| Golfer's elbow test (reverse Cozen's test) | resisted, seated -resist wrist flexion +pain=medial epicondylitis (attachment of flexor carpi radialis/ulnaris) |
| Reverse Mill's test | passive, seated -extend the wrist +pain=medial epicondylitis (stretches muscle atttachment and stresses median nerve) |
| Ligament instability (Medial collateral Ligament test aka valgus/abduction stress test) | passive, seated -abduct forearm +pain=MCL instability/injury |
| Ligament instability (Lateral collateral ligament test aka varus/adduction stress test | passive, seated -adduct forearm +pain=LCL instability/injury |
| Cubital tunnel syndrome | ulnar nerve compression of elbow(numbness/tingling of ring/little finger) |
| Tinel's sign | passive, seated -tap ulnar nerve between olecranon process and medial epicondyle +parathesia=ulnar nerve impingement |
| Elbow flexion test | active, seated -flex the elbow +parathesia=ulnar nerve impingement |
| Radial head/neck fracture | fall on outstretched hand, immediate pain |
| Wrist ROM | Extension=70-90, Flexion=80-90, Abduction=15, Adduction=30-45 |
| Radicular pain (nerve entrapment) | Cubital tunnel syndrome, Ulnar tunnel syndrome (Guyon's canal), Carpal tunnel syndrome, Anterior interosseous nerve syndrome |
| Anterior interosseous nerve syndrome | -pain in proximal forearm and weakness of FPL and FDP to the index finger (entrap by the pronator teres muscle) |
| Pinch grip test | active, seated -pinch tips of index and thumb +pulps of index and thumb touch=injury to anterior interosseous nerve, median nerve |
| Ulnar Tunnel Syndrome | Clawing of he ring finger and hypothenar wasting. |
| Carpal tunnel syndrome | median nerve compression at wrist (repetitive use) F>M |
| Tinel's sign | passive, seated -tap palmar surface of wrist +tingling at 1,2,3, lateral half of 4th fingers)=CTS |
| Phalen's test | active seated -flex the wrists and place them together for 60secs (median n compressed by flex. ret) +tingling in the hand (1-4 fingers =CTS, anterior dislocation of lunate,arthritic changes, inflammation of flex. retinaculum, tenosynovitis of FD tendons) |
| Reverse Phalen's test | active seated -extend wrists and place palms together (inc. pressure of carpal tunnel) +tingling in the hand (1-4 fingers =CTS, anterior dislocation of lunate,arthritic changes, inflammation of flexor retinaculum, tenosynovitis of FD tendons) |
| Pinch test | active seated -pinch piece of paper w/ thumb, index, and niddle fingers and try to pull it away +numbness/cramping of 1-4 fingers/palm in 1 min, +inability to pinch paper=refer for MRI elctromyography |
| Electromyograpy | Diagnose dz that damage muscle tissue, nerves or nm junctions (ie. disc herniation, ALS, myasthenia gravis) |
| Nerve conduction test | Detect and evaluate damage to PNS to help diagnose nerve d/o (ie CTS, Guillain Barre Syndrome) |
| Finkelstein's test | active/passive, seated -bring the thumb in palm, make fist, then ulnar deviate +pain=tenosynovitis of abductor pollicis longus and extensor pollicis brevis tendons (de Quervain's dz) |
| Ganglion cyst | Encapsulated fluid-filled mass, (joint capsule, tendon sheath), painless |
| Scaphoid fracture | fall onto outstretched hand, high rate of non-union, snuff box tenderness |
| Distal radius fracture | common, osteoporotic fracture (DEXA scans esp postmenopausal women) |
| Colle's fracture | complete transverse fracture w/in distal 2cm radius -distal fragment is displaced dorsally |
| Scapholunate ligament injury | fall on outstretched hand “wrist sprain”, pain medial to snuffbox, diagnosed w/ supinated x-ray |
Created by:
phdinh33
Popular Sports Medicine sets