Anatomy
Which articulation joint in the elbow (humeroulnar or humeroradial) has more motion?
Humeroulnar: flexion, extention
Humeroradial: flexion, extension, pronation, supination
Briefly describe how to perform the "Stand Up" test
-Subject seated in chair
-Patient is asked to push up on the seat with forearms supinated
+: symptoms are reproduced in supination
IND: Posterolateral rotary instability
Name the Pathology that matches the description:
-MOI: axial force through forearm w/ elbow flexed
-Painful
-Obvious Deformity
-"Terrible Triad of the Elbow"
Dislocated Elbow
In Anatomical Position, which forearm bone is medial?
Ulna
Which finger is least important?
Index Finger
Name the 8 bones in the hand
scaphoid, lunate, hammate, pisiform, triquetrum, trapezoid, capitate, trapezium
What is the "Moving Values Stress Test" an indication for?
Partial tear of UCL
What is "Nursemaid's Elbow" and what is the MOI?
-Radial Head Dislocation
-MOI: Pulling on a child's arm
What action is the patient unable to perform if they have "Mallet Finger"?
Inability to extend DIP
Describe "Tennis Elbow"
-Inflammation at lateral epicondyle
-Repetitive Stress
-Swelling
-Tenderness
-Pain with active wrist extension
Which elbow ligament holds the head of the radius to allow for rotation?
Annular Ligament
What is "Phalen's Test" an indication for?
Carpal Tunnel Syndrome
What is the "Terrible Triad of the Elbow"?
1. Radial Head Fracture
2. Coronoid Process Fracture
3. Elbow Dislocation
Name the 2 eminences of the hand
Thenar Eminence
Hypothenear Eminence
This injury is most common in males over 40 years of age
Distal Biceps Tendon Rupture
Name the classification of each arm joint (shoulder, elbow, wrist)
Shoulder:
Elbow: Hinge
Wrist: Ellipsoid (condyloid)
True/False: "Watson's Test" is a test indicating lunatriquetral instability.
False: It tests for scapholunate instability
True/False: Jersey finger is the avulsion of the Flexor Digitorum Profundus tendon.
True
True/False: In the "Amsterdam Wrist Rules", it says; Pain on ulnar deviation was found to decrease the likelihood of a distal radial fracture.
True
What is "Boxer's Finger"?
Fracture of the 5th MC
How many muscles are in the forearm/hand?
A. 15
B. 18
C. 22
D. 20
D. 20
Briefly describe the "Murphy's Sign" test and its indication
-Subject makes a fist
-Notice position of 3rd MC
+: 3rd MC is level with 2nd and 4th MC'sIND: Dislocated Lunate
Name the Pathology based on description:
-Poor Healing Injury
-Poor Vascularization to Area
-Pain in Anatomical Snuff Box
-MOI: FOOSH
Scaphoid Fracture
How would you MMT Oponens Pollicis Longus?
-Stablize Wrist
-Have patient touch thumb to pinky while examiner is resisting motion at the DIP joint
How much ulnar deviation is normal?
30-45 degrees